Summary

Overview

Work History

Education

Skills

Timeline

Lautissa Swiney

Jacksonville,Ar

Summary

Result-driven, self-motivated professional with extensive experience in health care administration and operations. Demonstrated ability to manage complex work assignments, multitask effectively, and complete tasks with accuracy and efficiency. Quick learner requiring minimal supervision. Seeking opportunities for continued growth and development.

Overview

2027

years of professional experience

Work History

Claims Specialist

Blue Cross and Blue Shield

01.2010 - Current

Process, pay, and deny medical and hospital claims in alignment with policy guidelines, regulatory requirements, and benefit coverage rules.
Review claim documentation for accuracy, completeness, and eligibility while ensuring compliance with internal and external standards.
Collaborate with case workers, nurses, case managers, utilization review analysts, and colleagues across multiple departments to resolve complex claim issues.
Utilize systems including Amisys, Power, CSW, Workday, P8, and CADF to research, document, and process claims efficiently.
Consistently exceed productivity and quality performance standards in a fast-paced environment.
Completed Blue Path training program, demonstrating commitment to professional development.
Frequently selected to support special projects and assist the Team Lead due to strong performance and reliability.

Administrative Assistant

Department of Human Services

01.2006 - 01.2010

Provided administrative support to department staff, case workers, and supervisors to ensure smooth daily operations.
Managed incoming calls, scheduled appointments, and assisted clients with documentation and information needs.
Prepared, organized, and maintained confidential case files and reports with a high level of accuracy.
Entered and updated data in agency systems while ensuring compliance with state and departmental guidelines.
Experienced with CHRIS, Microsoft Word, PowerPoint, Excel.
Coordinated meetings, created agendas, and handled correspondence for leadership and team members.
Supported office workflow by processing mail, ordering supplies, and maintaining inventory.
Assisted with special projects and departmental initiatives.

B&J Cleaning Service

01.2005 - 01.2006

Performed routine cleaning and maintenance duties for commercial companies, ensuring sanitized and orderly environments.
Responsibilities include sweeping, mopping, dusting, waste removal, restocking supplies, and reporting maintenance needs.

Rasul Cleaning Service

01.2003 - 01.2005

Performed janitorial duties for commercial properties, including vacuuming, trash removal, restroom sanitation, and supply replenishment. Ensured all areas meet sanitation and safety standards while consistently delivering quality service.

Bartender/Waitress

Elevations

Beautician/Shampoo Tech

Simply Raw Beauty Salon

Receptionist

Cry-Lyke Realtors

Stocker

Toys R Us

Waitress

The Loony Bin

Hostess

Shoney’s

Cashier

Hardee’s