Latrisha Harris
Stockbridge,GA
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
5
5
years of professional experience
Work History
Appeals Specialist
Cognizant Technologies Solutions
11.2021 - Current
- Understands and interprets medical terminology, procedures, regulations and policies.
- Research claims appeals and grievances using support systems to determine outcome.
- Maintain performance and quality standards based on established metrics.
- Construct effective appeal letters using medical justification.
- Reviews applicable medical records and data to investigate and resolve disputes over medical necessity for services, approvals, pre-certifications or other cases.
- Responsible for meeting production standards set by department.
- Seeks opportunities to improve knowledge, skills, and performance by reviewing knowledge base content , practicing skills and being receptive to coaching and constructive feedback.
Process Specialist
Next Level Business Services, Inc.
11.2021 - 12.2022
- Provide assistance to members and / or providers regarding website registration and navigation.
- Respond to customer inquiries via telephone and written correspondence in a timely and appropriate
- Document issues and identifies appropriate actions to resolve inquiries.
- Actively re-directs incoming callers to self-service options
- Maintain performance and quality standards based on established call center metrics including turn-around times
Recruiting Specialist
Grizzly Sales Force
10.2020 - 10.2021
- Managed all aspects of recruiting, scouting and hiring new talent.
- Exceptional time management, organization and multitasking skills.
- Tracked and monitored company’s presence on all social media platforms (ad writing, social media, reviews).
- Determine effectiveness of current recruiting programs and strategies.
- Search resume databases for ideal candidates.
- Communicate effectively with Hiring Managers.
- Exceptional time management, organization and multitasking skills.
Administrative Office Manager
American Care Center/American Financing
12.2018 - 04.2020
- Managed all transactions within sales office including processing contract agreements.
- Generated daily, weekly and monthly reports.
- General filing and scanning document duties.
- Comply with confidentiality rules by adhering to state and government entities.
- Utilized Microsoft office professionals word, power point, excel, outlook and access.
- Utilized company's accounting systems to review reports and prepare assessments.
Skills
- Time Management
- Process Improvement
- Professional and Courteous
- Business Administration
- Cross-Functional Teamwork
- Problem Resolution
- MS Office
- Staff Training and Development
- Computer Skills
- Documentation And Reporting
- Work Planning and Prioritization
- Verbal and written communication
Timeline
Appeals Specialist
Cognizant Technologies Solutions
11.2021 - Current
Process Specialist
Next Level Business Services, Inc.
11.2021 - 12.2022
Recruiting Specialist
Grizzly Sales Force
10.2020 - 10.2021
Administrative Office Manager
American Care Center/American Financing
12.2018 - 04.2020