Latoya Johnson Mitchell
Broussard,US
Summary
Team Building and Motivation- effectively communicates with and motivates team members, fostering an atmosphere of teamwork and collaboration with an emphasis on a goal attachment. Relationship Building- merges solid interpersonal and communication skills to forge, nuture and maintain strong business and customer relationships. Customer Service- blends intergrity, innovative thinking, and leadership attributes to ensure first rate customer satisfaction; optimized service delivery using strong decision making skills, critical thinking, and an unwavering drive to excel. Competitive Drive & Strategic Thinking- personable, persuasive and highly respected for displaying a positive leadership approach and consistently surpassing goals.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Insurance Authorization Specialist
Ensemble Health Partners
01.2023 - Current
- Train new hires, receive pending patient referrals via telephone/fax/ email, correctly identify and verify insurance and pt eligibility for Medicare, Medicaid and private insurer payers, contact patient insurance carrier and accurately verify all benefits , confirm eligibility and obtain authorization, reconcile billing codes from referring hospital to inpatient registration system, follow the appropriate guidelines and generate a patient face sheet for the chart, maintain statistical data on all referrals both admits & no admits)
- Enhanced workflow with thorough administrative support.
Authorization Specialist
Amedisys Home Health
03.2015 - 11.2023
- Assist in training new hires for Humana verifications and authorizations
- Responsible for maintaining sufficient visit authorization for a client census of 360 patients in various states
- Process partial approvals and denials while communicating with agencies on appeal process
- Distribute daily faxes to appropriate team members
- Assist agencies in processing urgent request in an effort to avoid impeding workflow
- Responsible for insurance verification for Primary and Secondary Insurances including Levels of Care assigned during patients stay
- Receive pending patient referrals via telephone/fax/email
- Correctly identify and verify insurance and patient's eligibility for Medicare, Medicaid and Private Insurer Payers
- Contact patient's insurance carrier and accurately verify all benefits, confirm eligibility and obtain authorization
- Contact CTC with insurance eligibility information
- Verify and Medicare HIQA form with each Medicare admission
- Maintain statistical data on all referrals (both admits and non-admits)
- Provide administrative support, including but not limited to performing data entry, updating various record keeping systems, participating in projects, duties, and other administrative tasks
- Experience working with insurance companies, and have extensive knowledge of different types of coverage and policies
Insurance and Authorization Coordinator
LHC Group
01.2008 - 03.2015
- Verify patient's insurance and provided benefit information relating to service being rendered
- Functioned as a liaison for patients from diverse educational and social backgrounds
- Researched and investigated unpaid insurance claims and billing discrepancies
- Checks in-patients, verifies and updates demographic, insurance and other necessary information in the computer records
- Problem solved various Medicare and Medicaid issues on a daily basis
- Collects copayments and past due balances for accounts
- Provides documents that may need to be completed prior to patient visit
- Documents information in the computer programs
- Schedules and maintains appointments through computerized scheduling program
- Fill and distribute daily schedules for doctors and staff
- Adheres to established Rules of Scheduling as determined by the Practice
- Answers telephone, screens calls, take messages, and provides information along with greeting patients in a prompt, courteous and helpful manner
- Computer data entry of patient health information and/or typing of correspondence and documents
- Maintains patient confidentiality and follows HIPAA Guidelines
Education
Ross Shaw Sterling High School -
Ross Shaw Sterling High School
Houston, TXSome college - Pharmacy Technician
Academy Of Acadiana
New Iberia, LA01.2014
Louisiana Technical College -
Louisiana Technical College
01.2006
Skills
- Home Care Home Base Trained
- Medisoft Trained
- EHS knowledge
- EMR trained
- Billing and Collections
- Patient Accounts
- Accounts Payable
- Filing Medical Insurance Claims - CMS-1500
- Medical Insurance Coding (ICD-9-CM CPT)
- Osha Guidelines
- CPR skills
- Good Communication Skills
- CNA certifications
- Medical Terminology
- Insurance Verification
- Scheduling Coordinator
- Medical Records
- Medi Touch trained
- Proficient with Excel
- Compounding skills
- Counting Correct Dosage
- Dose Calculations
- Entering Prescriptions electronically
- Epic trained
- ICD-9
- ICD-10
- Epic
- HIPAA
- Filing
- Transcription
- QuickBooks
- Managed care
- Medical records
- OSHA
- Medical office experience
- Medical billing
- Administrative experience
- Patient care
- EMR systems
- Experience administering injections
- Customer service
- Medicare
- CPT coding
- Typing
- Leadership
- Data entry
- CPR
- Accounts payable
- Medical terminology
- Multi-line phone systems
- Vital signs
- EHS
- Medical scheduling
- Communication skills
- Microsoft Excel
- Hospital experience
- Insurance verification
- Research
Personal Information
Authorized To Work: US
Certification
Certified revenue Cycle representative
Timeline
Insurance Authorization Specialist
Ensemble Health Partners
01.2023 - Current
Authorization Specialist
Amedisys Home Health
03.2015 - 11.2023
Insurance and Authorization Coordinator
LHC Group
01.2008 - 03.2015
Ross Shaw Sterling High School -
Ross Shaw Sterling High School
Some college - Pharmacy Technician
Academy Of Acadiana
Louisiana Technical College -
Louisiana Technical College
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