LaTroya Hamlett
Hutto,TX
Summary
Outgoing Skilled Specialist professional with robust experience driving impactful initiatives and delivering measurable results. Adept at fostering team collaboration, adapting to evolving requirements, and maintaining solutions-oriented mindset. Skilled in project coordination, strategic planning, and resource allocation, ensuring seamless execution and achievement of objectives. Reliable team player with proven track record of meeting organizational goals,exceling in multitasking and problem-solving, significantly improving my professional work opportunities.
Overview
13
13
years of professional experience
Work History
Program Specialist IV
Goodwill Staffing Services Contractor-TDSHS
11.2022 - Current
- Received incoming phone calls and email submissions(Email delegations) and provided timely responses to provider data related inquiries.
- Improved overall program effectiveness through comprehensive data analysis and evaluation of key performance indicators.
- Evaluated program operations, successes and deficiencies to identify concerns and recommend strategies to enhance processes and elevate results.
- Assists in the design,testing,development and maintenance of Immunization interventions.
- Provide problem analysis and resolution, application testing,documentation and customer training to help improve vaccination rates in Texas.
- Collects and analyzes needs to initiate an intervention or project.
- Participates in multiple projects ,adhering to the project timeline and deadlines.
- Serve as a liaison between program staff and internal partners.
- Facilitate and document stakeholder sessions.
- Coordinate testing,validating and evaluation processes.
- Coordinate and joined provider/customer meetings regarding data interface/system walk throughs.
- Knowledge of CRM/EMR database systems(Salesforce,Syntropi,WS_FTP)
- Ability to tele-work (remote) with the adherence of onsite work once weekly.
Clinic Surgery Scheduler/CSR II
Ascension Seton Medical Center
11.2021 - 11.2022
- Improved patient scheduling efficiency by streamlining appointment booking processes.
- Managed emergency surgery requests efficiently, minimizing disruption to existing schedules.
- Contributed to a positive work environment through effective teamwork with colleagues across departments.
- Assisted in reducing cancellations and no-shows through consistent follow-up calls and reminders to patients.
- Implemented process improvements that reduced scheduling errors, enhancing overall clinic operations.
- Coordinated with ancillary departments such as radiology and laboratory services for efficient surgical planning.
- Streamlined post-operative care coordination, connecting patients with specialists for follow-up appointments.
- Obtained pre-authorizations and pre-certifications ahead of scheduled surgeries.
- Verified insurance coverage and obtained pre-authorizations.
- Educated patients about surgeries and provided treatment plan documentation.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Updated daily operating room calendars with accurate appointment schedules.
- Took pre-operative orders from surgeons and anesthesiologists for smooth operation planning.
- Work pending authorizations ,referrals and claims
- Accessed Multiple EMR systems (Athena Dr.Chrono,Epic)
- Tele-work
Medical Missing Information Specialist/Medical Coding and Billing Specialist
Natera
06.2019 - 01.2021
- Used database to research, gather, analyze and present data.
- Assisted clients with complex research inquiries, providing expert guidance and personalized support throughout the process.
- Prepared reports by collecting, analyzing, and summarizing information.
- Researched and analyzed information into briefing papers, reports and project papers.
- ICD-9 Knowledge.
- Athena,Epic,Salesforce Access.
- Medical terminology knowledge.
- Excel , Outlook, Windows experience.
- Obtain and process all required information needed to process patient genetic testing
- Retrieved and entered all necessary billing codes and any missing information for proper patient billing.
- Tele-work
General Claims Clerk II
Atp2 LLC-(Veteran Affairs)
05.2015 - 06.2019
- Provided clerical support to employees by copying,faxing and filling documents.
- Managed multiple projects using organizational and analytical skills.
- Register veterans into the "Choice Program".
- Obtained ICD-9 knowledge
- Windows,Microsoft word, and Excel experience.
- HCFA/UB claim verification according to policy and procedure.
- Process and distribute claims /authorizations for all veterans within the database for billing.
- Report finalized projects to managers.
Prior Authorization Specialist/Provider Credentialing Consultant
ChaseSource-TMHP
01.2012 - 05.2015
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Verified eligibility and compliance with authorization requirements for service providers.
- Gathered and analyzed data for compliance.
- Generated and updated complete and accurate provider files.
- Respond to provider phone inquires.
- Create and process all authorization request per nurse/providers.
- Assisted senior management in making key decisions by developing and submitting performance reports .
- Communicate with all potential providers within the state required time frames to obtain any missing credentialing documentation.
- Tele-work
Education
High School Diploma -
Hutto High School
Hutto, TX05-2006
Skills
- Group and individual instruction
- Proactive mindset
- Report creation
- Scheduling proficiency
- System enhancement
- Microsoft Access
- Program coordination
- Patient relationship management
- Multitasking Abilities
- Medical Terminology
- Computer Literacy
- Confidentiality Practices
- Problem-solving aptitude
- Intervention strategies
- Program Development
Timeline
Program Specialist IV
Goodwill Staffing Services Contractor-TDSHS
11.2022 - Current
Clinic Surgery Scheduler/CSR II
Ascension Seton Medical Center
11.2021 - 11.2022
Medical Missing Information Specialist/Medical Coding and Billing Specialist
Natera
06.2019 - 01.2021
General Claims Clerk II
Atp2 LLC-(Veteran Affairs)
05.2015 - 06.2019
Prior Authorization Specialist/Provider Credentialing Consultant
ChaseSource-TMHP
01.2012 - 05.2015
High School Diploma -
Hutto High School
Similar Profiles
Troy DavisTroy Davis
Shipping And Recieving at Goodwill Staffing ServicesShipping And Recieving at Goodwill Staffing Services
Alex MartinezAlex Martinez
Inspector at Goodwill Staffing ServicesInspector at Goodwill Staffing Services
Nicholas WhiteNicholas White
Laborer/Warehouse Worker at Goodwill Staffing ServicesLaborer/Warehouse Worker at Goodwill Staffing Services
Maria FalconMaria Falcon
Customer Service Representative at Austin EnergyCustomer Service Representative at Austin Energy
Kristopher LongKristopher Long
Service Technician at AdaptHealthService Technician at AdaptHealth