Summary
Overview
Work History
Education
Skills
Timeline
LATOYA HILTON

LATOYA HILTON

Fresno,CA

Summary

Astute Medical Administrative professional trained in appointments, front desk management and recordkeeping. Helps staff maintain office operations at optimal levels with great organizational and multi-tasking abilities. Skilled at typing correspondence and managing files.

Overview

14
14
years of professional experience

Work History

Medical Receptionist (Part-Time)

America's Best Contact And Eyeglasses
Fresno, CA
06.2022 - Current
  • Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
  • Completed administrative patient intakes with case histories, insurance information and mandated forms.
  • Organized and maintained patient chart filing system to promote quick data finding for staff.
  • Coordinated patient scheduling, check-in, check-out and payments for billing
  • Kept waiting room neat and organized by stacking magazines, removing trash and cleaning glass

Credentialing Coordinator's Assistant

Aston Carter
Fresno, CA
08.2022 - 09.2022
  • Obtained NPI numbers for providers and facilities and updated existing profiles.
  • Received and evaluated applications to look for missing and inaccurate information.
  • Conducted primary source verifications such as background checks and board certifications.
  • Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
  • Communicated effectively with various parties each day using polished interpersonal and active listening skills
  • Tracked expiration dates on documents and communicated with appropriate staff to avoid late filing

Medical Claims Specialist

Sante Health Systems
Fresno, CA
10.2021 - 02.2022
  • Evaluated accuracy and quality of data entered into agency management system.
  • Checked documentation for accuracy and validity on updated systems.
  • Generated, posted and attached information to claim files.
  • Coordinated with contracting department to resolve payer issues.
  • Reviewed 220 patient cases per week and verified insurance coverage information
  • Verified client information by analyzing existing evidence on file

Eligibility Worker (Call Center)

County Of Fresno, Department Of Social Services
Fresno, CA
07.2017 - 07.2020
  • Managed processing of financial assistance and food stamp benefits applications.
  • Inputted all gathered information and researched data on applicants into computer system using CalWIN.
  • Interviewed applicants and explained scope of different available benefits.
  • Educated patients on eligibility and affordability options by offering insightful information.
  • Resolved problems, improved operations and provided exceptional service
  • Proved successful working within tight deadlines and fast-paced atmosphere

Office Supervisor

County Of Fresno, Department Of Social Services
Selma, CA
11.2014 - 07.2017
  • Established workflow processes, monitored daily productivity and implemented modifications to improve overall performance of personnel.
  • Established and developed strong administrative team by delivering ongoing coaching and motivation and fostering career advancement.
  • Prepared reports to assist business leaders with key decision making and strategic operational planning.
  • Monitored and evaluated personnel performance to complete annual reviews, recommend advancement or address productivity concerns.
  • Prepared agendas and took notes at meetings to archive proceedings
  • Set priorities and problem-solved workflow issues to maintain rapport with customers and managers
  • Created, prepared and delivered reports to various departments
  • Delivered performance reviews, recommending additional training or advancements
  • Coached new hires on company processes while managing employees to achieve maximum production

Eligibility Worker (Call Center)

County Of Fresno, Department Of Social Services
Fresno, CA
08.2008 - 11.2014
  • Managed processing of financial assistance and food stamp benefits applications.
  • Inputted all gathered information and researched data on applicants into computer system using CalWIN.
  • Scheduled appointments with applicants to gather information and explain benefits processes.
  • Interviewed applicants and explained scope of different available benefits.
  • Worked with customers to understand needs and provide excellent service
  • Proved successful working within tight deadlines and fast-paced atmosphere
  • Resolved problems, improved operations and provided exceptional service
  • Actively listened to customers, handled concerns quickly and escalated major issues to supervisor

Tax Preparer

Liberty Tax Service
Fresno, CA
10.2009 - 04.2010
  • Completed and filed returns with tax departments at local, state and federal levels.
  • Reviewed clients tax filing papers thoroughly to determine eligibility for additional tax credits or deductions.
  • Provided information about available products and services to clients, resulting in increased business opportunities.
  • Conducted reviews of internal tax documentation, reducing errors related to missed tax benefits
  • Prepared tax returns for clients in various industries according to government regulations and requirements

Healthcare Billing Specialist

Eminence Health Care Services
Fresno, CA
05.2006 - 06.2007
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Filed and updated patient information and medical records.
  • Posted payments and collections on regular basis.
  • Prepared billing statements for patients and verified correct diagnostic coding.
  • Delivered timely and accurate charge submissions.
  • Reviewed patient diagnosis codes to verify accuracy and completeness.
  • Gathered information from multiple sources to simplify billing and organize accounts.

Education

Specialist Diploma - Medical Office Administration

Heald Business College, Fresno, CA
07.1997

Skills

  • Critical Thinking
  • HIPAA Guidelines
  • Organization and Time Management
  • Call Transfers
  • Office Management
  • Telephone Etiquette
  • Administrative Support
  • Calendar Software
  • Eligibility Determinations
  • Customer Service
  • Scheduling and Coordinating
  • Data Entry and Maintenance
  • Reception

Timeline

Credentialing Coordinator's Assistant - Aston Carter
08.2022 - 09.2022
Medical Receptionist (Part-Time) - America's Best Contact And Eyeglasses
06.2022 - Current
Medical Claims Specialist - Sante Health Systems
10.2021 - 02.2022
Eligibility Worker (Call Center) - County Of Fresno, Department Of Social Services
07.2017 - 07.2020
Office Supervisor - County Of Fresno, Department Of Social Services
11.2014 - 07.2017
Tax Preparer - Liberty Tax Service
10.2009 - 04.2010
Eligibility Worker (Call Center) - County Of Fresno, Department Of Social Services
08.2008 - 11.2014
Healthcare Billing Specialist - Eminence Health Care Services
05.2006 - 06.2007
Heald Business College - Specialist Diploma, Medical Office Administration
LATOYA HILTON