Latoya Simmons
Homestead,FL
Summary
Healthcare revenue cycle professional with a strong background in medical billing, collections, and account resolution. Handles payment plans, denial follow-up, claims analysis, and patient communication while maintaining HIPAA-compliant records and supporting accurate, timely reimbursement through EPIC and related billing systems.
Overview
22
22
years of professional experience
Work History
Medical Collector
HCA Hospital
08.2025 - Current
- Negotiated payment plans with patients and insurance companies, facilitating successful debt recovery.
- Conducted follow-up on outstanding accounts, securing timely payments and resolving issues.
- Analyze account discrepancies and resolve billing issues to improve cash flow.
- Collaborated with the billing department to streamline processes, reducing errors and enhancing accuracy.
- Maintain accurate records of all collection activities and communications.
- Ensure compliance with healthcare regulations and privacy laws during all interactions.
Medical Collection Specialist
Baptist Health
Coral Gables
03.2025 - 07.2025
- Followed up on high volume of insurance and patient accounts, resulting in timely reimbursement.
- Communicated with payers, patients, and internal teams to efficiently resolve issues and improve collection outcomes.
- Resolved denial underpayments and rejected claims through appropriate follow-up actions.
- Submitted corrected claims and appeals to facilitate payment.
- Interpreted Explanation of Benefits (EOBs) and denial codes for accurate processing.
- Documented all actions in billing software such as Epic.
- Maintained HIPAA compliance and confidentiality in all processes.
- Oversaw hospital collection processes to ensure timely payments from patients and insurers. to optimize cash flow.
- Met daily productivity and collection benchmarks consistently.
Account Rep
MedSrv
Chattanooga, Tennessee
08.2024 - 03.2025
- Managed client accounts, provided exceptional customer service, addressed inquiries, and ensured satisfaction to build long-term relationships.
- Managed patient account inquiries for MedSrv healthcare billing and service support.
- Resolved billing discrepancies with patients, insurers, and internal teams.
- Reviewed claims, payments, and denials using MedSrv account records.
Claims Management Specialist
Gastro Health
Miami, FL
02.2021 - Current
- Monitored billing and collection processes, contributing to strategies that minimized edits and payer rejections through active participation in department meetings.
- Perform billing editing for electronic and paper claims as guided by billing software, ensuring completion within established timeframes for all payer groups.
- Responded to payer rejections promptly, communicating identified barriers to management for resolution.
- Provided follow-up services for billed claims while addressing customer service inquiries regarding patient accounts.
Collection Specialist
University Of Miami Miller School Of Medicine
03.2005 - 09.2020
- Reviewed contractual adjustment amounts and negotiated claims appeals with insurance carriers to maximize revenue capture from high-dollar Medicare plans.
- Resolved overlapping claims issues, facilitating successful reconsideration processes and effectively monitoring appeals and denied claims.
- Ensured compliance with CMS guidelines for bad debt accounts and accurately determined Medicare deductible and coinsurance amounts to support financial accuracy.
- Conducted comprehensive accounts receivable analysis, including remittance advice reconciliation for both government and commercial accounts.
Medical Collector
Alliance One
Miami, FL
06.2004 - 06.2004
- Resolved patient accounts through effective communication with insurance companies and patients, ensuring timely collection of outstanding medical debts and compliance with regulations.
- Collected patient balances at HCA Hospital to ensure accurate billing and revenue cycle management. for HCA Hospital billing and revenue cycle accounts.
- Reviewed insurance claims and explained account status to patients.
- Followed up on overdue accounts using hospital billing systems to facilitate payment recovery. overdue accounts using hospital billing systems.
Education
Associate - Surgical Technologist Intern
National School Of Technology
02-2004
Diploma - Medical Coding
National School Of Technology
Miami, FL01-2004
Skills
- Claims Processing Software
- Revenue Cycle Management
- Medical Billing Regulations
- Claims analysis
- EPIC System
- EMR systems
- Hospital Experience
- Patient privacy compliance
- Privacy regulations knowledge
- Excel
Timeline
Medical Collector
HCA Hospital
08.2025 - Current
Medical Collection Specialist
Baptist Health
03.2025 - 07.2025
Account Rep
MedSrv
08.2024 - 03.2025
Claims Management Specialist
Gastro Health
02.2021 - Current
Collection Specialist
University Of Miami Miller School Of Medicine
03.2005 - 09.2020
Medical Collector
Alliance One
06.2004 - 06.2004
Associate - Surgical Technologist Intern
National School Of Technology
Diploma - Medical Coding
National School Of Technology