Latresha Davis
Windsor Mill,MD
Summary
Revenue cycle and accounts receivable professional supporting inpatient and outpatient claims for skilled nursing, long-term care, and rehabilitation facilities. Handles payment posting, adjustments, denials, disputes, appeals, and collection follow-up for Medicare, Medicaid, managed care, workers' compensation, and commercial payers while resolving account issues within deadlines.
Overview
24
24
years of professional experience
Work History
Manage Care Financial Analyst/AR
Communicare, LLC
Linthicum, MD
05.2019 - Current
- Reviewed claims documentation with central intake team and case managers to support reimbursement from managed care, Medicare, Medicaid, workers' compensation, commercial, and other payers.
- Completed payment posting, adjustments, write-offs, refunds, reconsiderations, disputes, appeals, and account follow-up within contract terms and deadlines; collaborated with business office managers, team supervisor, and department director to resolve account issues using Microsoft Word, Excel, and multiple internet applications.
- Supported inpatient and outpatient account review for multiple skilled nursing, long-term care, and rehabilitation facilities.
- Investigated delinquent accounts and coordinated resolutions with internal teams to ensure timely recovery.
- Contacted clients to discuss payment status and scheduled collection meetings to effectively resolve outstanding balances.
- Applied payments accurately and updated account records in billing systems
- Worked disputed claims and supported adjustments for account corrections
Medicare/Managed Medicaid Specialist
Sava Senior Care, LLC
Baltimore CBO
07.2012 - 05.2019
- Evaluated Medicaid eligibility criteria for Sava Senior Care resident accounts to ensure compliance.
- Compiled Medicaid applications along with financial documents to support resident eligibility.
- Interacted with state agencies to inquire about and update Medicaid case statuses for residents.
- Analyzed inpatient and outpatient accounts for skilled nursing, long-term care, and rehabilitation facilities to identify discrepancies. Evaluated claims documentation to confirm alignment with reimbursement requirements from Medicare and Medicaid.
Medicaid Specialist
Financial Health Strategies, LLC
04.2011 - 07.2012
- Managed billing for inpatient and outpatient hospital claims for Medicaid, MCO, and HMO providers, verifying insurance, analyzing claims, identifying billing errors, and submitting corrected claims to ensure timely reimbursement.
- (Hospital Billing and Collections Specialist)
- Coordinated with families, providers, and agencies on Medicaid enrollment.
- Reviewed Medicaid applications for Financial Health Strategies client cases.
- Verified eligibility records and supporting documentation for compliance.
Patient Financial Counselor
Kennedy Krieger Institute
08.2010 - 01.2011
- Reviewed insurance coverage and explained benefits to Kennedy Krieger Institute families.
- Calculated patient responsibility and discussed payment options for care services.
- Verified insurance for pediatric specialty providers, obtained authorization, and facilitated patient admissions to the facility. Informed patient's family about COB and insurance issues that could delay payment. Clarified insurance and patient financial responsibilities to family members. Processed end of month billing to insurance companies.
- Verified demographic and financial information during registration and intake.
- (Medicaid Billing Specialist)
Department Manager
Respira Medical, Inc.
02.2003 - 08.2009
- Launched supply department, developed and directed replenishment supply program for patients using cpap machines, tracheotomies, suction, oxygen, diabetic, and enteral equipment. Managed staff and all aspects of day to day operations including entering charges, billing, collections, payment posting, department budgeting and end of month reconciliations. Rapidly learned and mastered various computer programs to ensure correct supplies were shipped to patients. Assisted therapy department with managing veterans' need at the Walter Reed sleep clinic. Coordinated professional correspondence with customers, physicians, and vendors, resolving questions, concerns, and complaints effectively. Trained employees and patients on product usage and services to ensure successful operation of equipment. Monthly report and meeting with Owners and CEO of company.
- (DME-Durable Medical Equipment Company)
- Oversaw daily department operations for Respira Medical, Inc. across daily workflow priorities.
- Coordinated staff schedules to enhance operational efficiency.
- Trained team members on company procedures, patient support, and compliance practices.
Skills
- Claims management
- Denial management
- Medicare billing
- Revenue cycle
- Account reconciliation
- AR follow up
- Claims appeals
- Payment posting
- Healthcare software proficiency
- Microsoft Office suite outlook, Excel, Word, Document formatting, PowerPoint, etc
- Microsoft Excel
- Financial reporting
- Budget analysis
- Data collection
- Analytical thinking
- Attention to detail
- Written communication
- Operational strategy
Timeline
Manage Care Financial Analyst/AR
Communicare, LLC
05.2019 - Current
Medicare/Managed Medicaid Specialist
Sava Senior Care, LLC
07.2012 - 05.2019
Medicaid Specialist
Financial Health Strategies, LLC
04.2011 - 07.2012
Patient Financial Counselor
Kennedy Krieger Institute
08.2010 - 01.2011
Department Manager
Respira Medical, Inc.
02.2003 - 08.2009