LaToya Singleton
Louisville,KY
Summary
Detail-oriented Billing/Collections Specialist with expertise in corporate and medical billing. Skilled in account reconciliation and verification, utilizing aging reports to resolve past due accounts. Experienced in correcting claims and re-billing to ensure accurate reimbursement.
Overview
1
1
Certification
4
4
years of post-secondary education
21
21
years of professional experience
Work History
Billing Specialist/Team Lead
BrightSpring Health Services
Louisville, KY
01.2021 - Current
- Monitored outstanding bills and followed up with internal and external teams to secure timely payments
- Monitoring and reviewing outstanding bills and following up with the appropriate internal or external teams to ensure payment is made
- Collaborated with teams to reduce delinquent payments for assigned accounts
- Prepared reports and spreadsheets to track billing and receivables effectively
- Prepared invoices and forwarded to the appropriate contact or department
- Ensuring any billing process inquiries are handled quickly and efficiently
- Working with the finance department to ensure that contract specifications are up-to-date and procedures are followed
- Completed online status reports to track project progress
Benefit Verification Specialist/ Pharmacy Care Coordinator
Lash Group
Louisville, KY
11.2019 - 12.2020
- Louisville, KY
- November 2019 to April 2020
- Benefit Verification Specialist
- . Performed district-wide eligibility, verification of benefits, and re-verification for Medicare.
- Medicaid, and commercial insurance payor sources.. Worked closely with clinical liaisons, admissions, central business
- Office, chief financial. officers, and administrators to assist in new patient admissions and verification of benefits
- Purposes.. Verified coverage for all patient insurance payors.. Filed correspondence electronically.. Updated file
- Information as needed to ensure files are current.. Completed and compiled insurance reports for re-verification. Acted as
- Patients advocate to ensure that the prescribed drug therapy and pharmacy care plan are followed as prescribed and also
- Met the medical, social and personal needs of the patient.
- Pharmacy Care Coordinator
- Assisted the patient by coordinating their prescribed pharmacy care with the patients health care providers, payers, and
- Other health related resources to ensure successful drug therapy outcomes and demonstrated value to patients
- Healthcare providers and payers.
- Answered and responded to patient inquiries within committed time frames.
- Identified and addressed drug therapy issues for patients.
- Enhanced drug compliance through patient education and support.
- Reported all adverse events related to drug therapy and pharmacy care.
- Established and maintained strong customer relationships with physician practices to streamline communication to the
- Patient, payers, pharmacist, nurse, lab and other healthcare-related parties.
- Embraced a continuous quality improvement customer service approach by pro-actively identifying areas of
- Improvement and communicated those ideas to the healthcare team.
- Maintained current notes and documentation related to patient's drug therapy and pharmacy care plan; flagged issues
- That needed to be addressed.
- Coordinated responses and resolutions with appropriate internal and external parties. Actively participated in
- Discussions with pharmacists, nursing services, pharmacy support manager and other pharmacy care coordinators to
- Review cases and related drug therapy and pharmacy care plan issues.
Technician Satisfaction
Spectrum Dispatch
Louisville, KY
08.2019 - 11.2019
- Louisville, KY
- August 2019 to November 2019
- Responsible for ensuring the RSC department maintains effective daily communications between the customer and
- Technicians. Ensures staff relays and records information to field personnel via radio, telephone or other form of
- Communications. Manages and coordinates technical workforce job completion, customer complaint resolution and
- Oversees improvement in customer satisfaction and technician satisfaction. Works daily with customer service, ROC and
- Technical operations teams to increase efficiencies to reduce customer service problems.
New Patient Intake Coordinator /Assistant Manager
PAIN MANAGEMENT CENTERS
Louisville, KY
07.2018 - 05.2019
- Acted as liaison among physician, patients, and medical assistants to facilitate communication and streamline processes
- Cultivated relationships with referral departments across organizations to increase referral volume
- Supported marketing efforts and ongoing patient engagement to enhance new patient acquisition
- Compiled employee reports and assessments
Patient Account Representative
BOLDER/COGNIZANT
Louisville, KY
02.2018 - 07.2018
- Processed physician office claims to ensure timely reimbursement
- Completed 1500 and UB04 forms for claim submission for accurate claim submission
- Followed up on denied and unpaid claims to identify and resolve denial issues
- Utilized 1500 and UB04 forms
Accounts Receivable Specialist
KINDRED HOSPITAL LOUISVILLE
Louisville, KY
02.2016 - 01.2018
- Filed insurance claims and appeals for assigned accounts, ensuring timely processing and accuracy to support reimbursement.
- Monitored contracts and single patient agreements to confirm receipt of appropriate reimbursement.
- Reviewed and researched insurance correspondence, correcting errors to facilitate claims payment.
Accounts Receivable Specialist
FRESENIUS MEDICAL CARE
02.2006 - 02.2016
- Secured retro authorizations for previously denied claims, facilitating timely reimbursement
- Assured accuracy of patient data and prepared billing according to regulations
- Verified patient data accuracy and ensured compliance with billing regulations
- Obtained retro authorizations for claims that were denied for no prior authorization
- Documented actions taken on patient accounts promptly and corrected late charges to maintain billing integrity
- Reviewed insurance coding practices to ensure compliance with regulations
Education
(Bachelor's Degree) - Business Management
Indiana Wesleyan University
Marion, IN 10.2008 - 05.2012
Skills
- Medical Billing
- Accounts Receivable
- AR
- Accounts Payable
- Insurance Verification
- ICD-10
- Medical Coding
- Account Reconciliation
- Documentation Review
- Microsoft Excel
- Microsoft Office
- CUSTOMER SERVICE
- Receivables
Flexible
Willing to travel.
Certification
Driver's License
Willing To Relocate To
Myrtle Beach, SC, US
Timeline
Billing Specialist/Team Lead
BrightSpring Health Services
01.2021 - Current
Benefit Verification Specialist/ Pharmacy Care Coordinator
Lash Group
11.2019 - 12.2020
Technician Satisfaction
Spectrum Dispatch
08.2019 - 11.2019
New Patient Intake Coordinator /Assistant Manager
PAIN MANAGEMENT CENTERS
07.2018 - 05.2019
Patient Account Representative
BOLDER/COGNIZANT
02.2018 - 07.2018
Accounts Receivable Specialist
KINDRED HOSPITAL LOUISVILLE
02.2016 - 01.2018
(Bachelor's Degree) - Business Management
Indiana Wesleyan University
10.2008 - 05.2012
Accounts Receivable Specialist
FRESENIUS MEDICAL CARE
02.2006 - 02.2016