LaToyoa Mahoney
Columbia,SC
Summary
Dedicated healthcare professional focused on patient retention and satisfaction, contributing to organizational success. Skilled in managing insurance claims and building relationships with patients and colleagues. Dependable team player with expertise in establishing rapport, upholding ethical standards, and ensuring efficient workflow.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Pending Order Outreach Specialist
Grail
02.2025 - Current
- Answers questions and responds to email inquiries to assist with scheduling blood draws.
- Maintains outreach queue in Salesforce database to track progress and pending orders.
- Conducts 40-50 outbound calls per shift to patients to assist with questions and schedule blood draws.
- Assists patients in finding mobile or walk-in phlebotomy partners for blood draw via blood draw locator.
- Documents patient interaction and resolution via Salesforce.
Patient Intake Coordinator
Cencora
12.2024 - 02.2025
- Conducted outbound calls to patients to assist in e-signing required documents.
- Assisted in verifying if patients qualified for extra help programs through Social Security.
- Verified insurance coverage for services via MedConnect portal.
- Conducted initial assessments to identify if patient qualified for Patient assistance program.
- Denied claims that did meet the Federal Poverty Level.
- Organized patient data including medical history, insurance information, and medical diagnosis.
- Processed 50 Medicare Part D Patient assistance re-enrollment forms per hour for benefit year of 2025.
- Conducted out bound calls to patients to obtain missing information needed to complete Patient Assistance re-enrollment form.
Benefit Verification Specialist
Cencora
11.2024 - 12.2024
- Identified discrepancies in patient benefit information and resolved them with the insurance provider increasing patient eligibility by 70%
- Reviewed employee enrollments to verify accuracy, inputting information into company database.
- Resolved customer inquiries regarding benefit eligibility in a timely manner.
- Checked accuracy and completeness of benefits applications and documents.
- Facilitated communication between providers and payers when there were disputes over claim payments.
- Developed strategies to maximize available coverage for clients.
- Collaborated with medical staff to ensure accuracy of patient records and eligibility for services.
- Conducted data entry into relevant systems regarding benefit verifications.
- Managed correspondence between patients, providers, and payers regarding authorization status for Medicare part D patients.
- Explained the requirements for obtaining pre-authorization from insurers.
- Contacted Pharmacy Benefits Manager to verify benefits.
Data Intake Specialist
Cencora
09.2024 - 11.2024
- Determined appropriate databases for completed documents and transferred files electronically.
- Reviewed data for deficiencies or errors, corrected any incompatibilities and checked output processing 20 documents per hour
- Processed completed documents in Salesforce database by patient assistance program.
- Gathered and analyzed data from external sources to identify relevant information for intake process.
- Organized and filed data in appropriate locations for easy access to essential information.
- Input patient data into medical software and provided appropriate updates to records.
- Verified accuracy of data entry into electronic systems, ensuring compliance with established procedures and protocols.
Patient Onboarding Specialist
Luna Physical Therapy
08.2024 - 09.2024
- Advised patients on potential financial obligations and payment processes.
- Assisted patients with paperwork and scheduling appointments.
- Verified documentation methodically to avoid ethical errors impacting care delivery and payments for services.
- Instructed patients on policies and required actions for different types of appointments and procedures
- Obtained informed consent and payment documentation from patients and filed in system.
- Actively listened to patient concerns, offering appropriate solutions as necessary
- Scheduled patient with a licensed therapist according to their diagnosis
Customer Service Representative-Anesthesia
United Digestive
08.2023 - 08.2024
- Handled and resolved problems related to patient billing for anesthesia and pathology services.
- Collaborated with Revenue Cycle Management and accounts teams for denial resolution.
- Boosted patient retention by 75% via effective and courteous resolution of issues.
- Collaborated with insurance companies to expedite claim resolutions, enhancing denial payments by 70%.
- Executed daily payment processing tasks totaling $5,000 through Eclinical Works.
Referral Coordinator
United Digestive
05.2023 - 08.2023
- Coordinated patient appointments and procedures, ensuring efficient schedule management and adherence to physicians' availability
- Accurately collected and recorded patient data in compliance with documentation standards, and coordinated ancillary service scheduling
- Provided prompt and professional patient support, resolving inquiries and relaying medical procedure information effectively
- Served as a key point of contact for physicians and hospitals, maintaining patient confidentiality and supporting office operations through cross-training in various administrative functions
Front Desk Representative
United Digestive
01.2023 - 05.2023
- Managed front desk operations, ensuring efficient patient check-in, and facilitated payment transactions using E-Clinical Works and Waystar software
- Coordinated communication between patients and clinic staff, handling incoming calls and maintaining organized schedules to optimize clinic workflow reducing appointment cancellations by 60%
- Ensured stringent adherence to HIPAA regulations through verification of patient data.
- Enhanced patient service and clinic efficiency by providing administrative support, maintaining a tidy reception area, and assisting with patient appointment management
Operations Assistant/Interim Operations Manager
Fusion Autism Center, Bluesprig Pediatrics
06.2022 - 09.2022
- Managed daily operational tasks to ensure clinic efficiency, including administrative duties such as document management, maintaining cleanliness, and supply inventory control
- Coordinated schedules and processed referrals in collaboration with the clinic and business development teams, enhancing client service delivery and operational workflow
- Administered client financial transactions, including copayment collection, and facilitated communication with the billing department to resolve authorization issues
- Conducted training and onboarding for clinical staff, performed site audits to uphold compliance standards, and provided direct client therapy as needed to maintain service continuity decreasing therapy cancellations by 70%
Registered Behavior Technician
Hopebridge, LLC
05.2021 - 05.2022
- Delivered individualized Applied Behavior Analysis therapy, tailoring sessions to support children's unique developmental objectives and recorded progress through systematic data collection and assessment tools
- Communicated regularly with parents and behavioral analysts, providing detailed reports on client progress and documenting session activities with precision
- Ensured patient and staff safety by applying Safety-Care training techniques as required, and adeptly managed maladaptive behaviors through evidence-based interventions
- Recognized for exemplary service with 'Registered Behavior Technician of the Month' distinction and successfully completed an advanced 6-month leadership development program
Assistant Montessori Teacher
Endeavor Schools
11.2020 - 05.2021
- Facilitated self-directed learning for a diverse group of students, delivering personalized instruction and support to enhance educational outcomes
- Documented student progress through detailed observations and reports, contributing to the development of tailored educational strategies in collaboration with the Lead Teacher
- Maintained a clean and organized learning environment, ensuring the classroom was prepared and sanitized for optimal student engagement and safety
Assistant Teacher
One City Schools
08.2020 - 11.2020
- Facilitated a nurturing classroom atmosphere by adopting the Conscious Discipline model to encourage positive behavior and emotional development
- Conducted comprehensive student assessments utilizing the Teaching Gold Strategies for over half of the class, ensuring academic progress and milestone documentation
- Supported the lead teacher in managing classroom operations and providing tailored support to students, while maintaining a clean and organized learning environment
Health Assistant
Middleton Cross Plains Area School District
08.2018 - 08.2020
- Administered oral and injectable medications, including insulin and emergency responses, to ensure student well-being
- Collaborated with the nursing team to execute individualized care plans for students with a range of health conditions
- Acted as a key communicator, coordinating with families, staff, and healthcare professionals to advocate for student health needs
- Maintained meticulous health records in compliance with HIPAA regulations, and managed immunization tracking and notification processes
Education
Nursing Assistant Certificate - undefined
College of Lake County
10.2017
Some College (No Degree) - Education
University of Houston - Clear Lake
08.2014
Child Development Associate Caregiver Certification - Child Development
College of The Mainland
05.2007
Skills
- Microsoft Excel
- Customer Service
- Medication Administration
- Microsoft Word
- Microsoft Powerpoint
- Medical Office Experience
- EMR Systems
- HIPAA
- Electronic Health Records
- Knowledge of EHR Data
- CRM systems
- Patient Scheduling
- Insurance Pre certification Processes
- Database Management
- Scheduling Software
- Insurance Verification
- Electronic Medical Record Software
- Health Information Systems
- Schedule Management
- Complaint Resolution
- Account Management
- Hospital Coordinations
- Inbound and Outbound Calling
- Written Communication
- Verbal Communication
- Professional Etiquette
Certification
- CPR Certification, None
- First Aid Certification, None
- CDA, 05/01/07
- RBT Certification, None
- AED Certification, None
- BLS Certification, None
- State Tested Nursing Assistant, None
- LinkedIn Collaborative Leadership, 2022
- LinkedIn Working on a Multifunctional Team, 2022
Timeline
Pending Order Outreach Specialist
Grail
02.2025 - Current
Patient Intake Coordinator
Cencora
12.2024 - 02.2025
Benefit Verification Specialist
Cencora
11.2024 - 12.2024
Data Intake Specialist
Cencora
09.2024 - 11.2024
Patient Onboarding Specialist
Luna Physical Therapy
08.2024 - 09.2024
Customer Service Representative-Anesthesia
United Digestive
08.2023 - 08.2024
Referral Coordinator
United Digestive
05.2023 - 08.2023
Front Desk Representative
United Digestive
01.2023 - 05.2023
Operations Assistant/Interim Operations Manager
Fusion Autism Center, Bluesprig Pediatrics
06.2022 - 09.2022
Registered Behavior Technician
Hopebridge, LLC
05.2021 - 05.2022
Assistant Montessori Teacher
Endeavor Schools
11.2020 - 05.2021
Assistant Teacher
One City Schools
08.2020 - 11.2020
Health Assistant
Middleton Cross Plains Area School District
08.2018 - 08.2020
Nursing Assistant Certificate - undefined
College of Lake County
Some College (No Degree) - Education
University of Houston - Clear Lake
Child Development Associate Caregiver Certification - Child Development
College of The Mainland
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