LaToya Hollingsworth
Summary
Results-driven Reimbursement Analyst and Medical Billing Professional with 20 +years of experience in hospital and physician revenue cycle management. Proven ability to resolve complex billing issues, reduce account aging, and maximize reimbursement. Known for accuracy, compliance, and strong analytical problem-solving skills.
Overview
22
22
years of professional experience
3
3
Certifications
Work History
Reimbursement Analyst
Grady Memorial Hospital
Atlanta
11.2018 - Current
- Investigate and resolve underpayments to ensure accurate reimbursement and compliance
- Analyze aging reports and prioritize accounts to reduce outstanding balance
- Identify payer trends and implement corrective actions to prevent revenue delays
- Manage high-dollar accounts and complex claim resolutions
- Prepare and submit formal appeals for denied or underpaid claims
- Collaborate with payers in quarterly meetings to resolve escalated issues
- Maintain productivity and quality standards in a high-volume work environment
Medicaid Managed Care Billing Specialist
Northside Hospital
Atlanta
06.2015 - 11.2018
- Managed billing and collections for Medicaid CMO accounts, ensuring high accuracy and compliance
- Achieved and maintained collection and quality performance metrics above 95%
- Ensured compliance with coding and billing guidelines and regulations to reduce errors
Healthcare Account Representative
Newton Medical Center
Covington
12.2003 - 06.2015
- Coordinated patient services and addressed inquiries, enhancing overall customer experience.
- Resolved patient issues and provided follow-up support to ensure satisfaction.
- Addressed and resolved patient complaints promptly to maintain service quality.
- Responded quickly to customer inquiries via phone or email.
- Provided excellent customer service to ensure patient satisfaction.
Education
Associate of Applied Science - Health Information Management
Atlanta Technical College
Atlanta, GA05-2023
Skills
- Revenue cycle analysis
- Denial management
- Claims management
- Appeal preparation
- Payer collaboration
- Compliance auditing
- Medical billing practices
Certification
RHIT
Timeline
Reimbursement Analyst
Grady Memorial Hospital
11.2018 - Current
Medicaid Managed Care Billing Specialist
Northside Hospital
06.2015 - 11.2018
Healthcare Account Representative
Newton Medical Center
12.2003 - 06.2015
Associate of Applied Science - Health Information Management
Atlanta Technical College