LaToya Maurer, CPC-A
Las Vegas
Summary
Healthcare operations professional with several years of experience supporting reimbursement, claims resolution and compliance-driven workflows across complex healthcare environments. Certified Professional Coder (CPC-A) with expertise in ICD-10-CM, CPT and HCPCS Level II coding. Bilingual in English and Spanish.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Production Manager
VapenKY
Fulton
09.2020 - 08.2025
- Create monthly production goals/objectives
- Maintain clean/safe work environment, adhering safety protocols set forth by the state
- Met production deadlines; monitored creation/packaging of products
Disability Claims Analyst
UnitedHealth Group
Las Vegas
11.2018 - 08.2019
- Adjudicated disability/medical-related claims to ensure accurate and timely payment in accordance with health plan policies and procedures
- Reviewed medical records, billing data and coding to determine denial or acceptance of claims
- Maintained comprehensive claim documentation, including detailed notes, payment rationale and audit-ready records
- Maintained strict HIPAA compliance, PHI security and confidentiality requirements in all claim activities
- Managed high-volume workloads while meeting strict turnaround times and quality benchmarks
- Worked daily within multiple enterprise systems, accurately entering, reviewing and maintaining data critical to patient and provider outcomes
General Liability Claims Adjuster I
UnitedHealth Group
Las Vegas
04.2018 - 11.2018
- Reviewed and evaluated post-settlement and post-payment claims to confirm accuracy and adherence to policy and regulatory guidelines
- Tracked claim outcomes and payment activity to ensure alignment with internal financial and compliance standards
- Communicated with claimants, attorneys and providers to explain payment decisions, negotiate resolutions and address disputes
Claims Representative
UnitedHealth Group
Las Vegas
01.2017 - 04.2018
- Conducted outbound/inbound provider and claimant outreach to gather documentation, clarify billing questions and support claim resolution
- Processed/adjusted claim payments while ensuring proper reserves and adherence to policy guidelines
- Scheduled medical appointments for claimants and provided physician with medical records prior to appointment
- Maintained strict confidentiality of client information and medical records in accordance to company policy and HIPAA
- Created and mailed letters to claimants, insurers and physicians
- Typical office clerical work
Claims File Clerk
UnitedHealth Group
Las Vegas
10.2015 - 01.2017
- Organize/maintain accurate filing systems to support efficient document retrieval and management
- Locate/retrieve files upon request by authorized users
- Assist in training new staff on filing protocols; promoting consistency in document handling practices
- Maintained strict confidentiality of all sensitive client information and medical records in accordance to company policy and HIPAA
- General office clerical duties
Education
Certificate of Completion - Medical Billing & Coding
US Career Institute
Online08-2025
High School Diploma -
Palo Verde High School
Las Vegas, NV06-2002
Languages
English
Native/ Bilingual
Spanish
Native/ Bilingual
Certification
Certified Professional Coder (CPC-A) by AAPC, April 2026
Timeline
Production Manager
VapenKY
09.2020 - 08.2025
Disability Claims Analyst
UnitedHealth Group
11.2018 - 08.2019
General Liability Claims Adjuster I
UnitedHealth Group
04.2018 - 11.2018
Claims Representative
UnitedHealth Group
01.2017 - 04.2018
Claims File Clerk
UnitedHealth Group
10.2015 - 01.2017
Certificate of Completion - Medical Billing & Coding
US Career Institute
High School Diploma -
Palo Verde High School