Natasha Anthony
Baton Rouge,LA
Summary
To support the growth and efficiency of an organization that provides challenge, encourage advancement, and rewards achievement with the opportunity to utilize my experience, skills, and proven abilities.
Overview
12
12
years of professional experience
Work History
Care Management/Utilization Management Representative
Humana
Louisville, KY
10.2022 - Current
- Process orders from referral sources and patients, responding to phone and fax inquiries, and resolving patient complaints
- Assess patient needs and document referral requests for coordination of care.
- Provide information pertaining to equipment supplies and services to applicable departments in order to bring a patient on service with the Company
- Coordinate with the Insurance Verification Team to process patient details and collect benefit coverage information
- Relaying insurance coverage to referral sources and patients and discuss forms required for billing with patients
Clinic Coordinator
Ochsner Healthcare Systems
Baton Rouge, LA
07.2019 - Current
- This position is responsible for obtaining pre-certifications and pre-authorizations for procedures and medications, scheduling appointments for outpatient testing with other providers, transcribes and triages patient calls to physicians, coordinates patient appointments/orders.
- Recorded patient data in permanent records while maintaining HIPAA compliance and internal standards to protect individual medical information.
Technical Support Representative
Cox Communications
Baton Rouge, LA
06.2015 - 12.2018
- Assisted customers with various types of technical issues via email, live chat and telephone.
- Supported customers with online billing, access and account issues.
- Reviewed support cases for technical and troubleshooting accuracy and identified needed process improvements.
Unit Clerk
Baton Rouge General Hospital
Baton Rouge, LA
01.2012 - 05.2015
- Answered telephone calls, responded to requests for information and routed callers to correct personnel or departments.
- Prepared charts for outpatient and inpatient services.
- Recorded patient data in permanent records while maintaining HIPAA compliance and internal standards to protect individual medical information.
- Conveyed special dietary restrictions and requirements to food preparation team and verified compliance of delivered food items.
Education
High School Diploma -
Mckinley High School
Canton, OH05.2004
Skills
- Claims/Audit Review
- Health Insurance Processing
- Medicaid/Medicare Management
- Utilization Review
- Problem Solving
- Case Management
- Community Outreach
Timeline
Care Management/Utilization Management Representative
Humana
10.2022 - Current
Clinic Coordinator
Ochsner Healthcare Systems
07.2019 - Current
Technical Support Representative
Cox Communications
06.2015 - 12.2018
Unit Clerk
Baton Rouge General Hospital
01.2012 - 05.2015
High School Diploma -
Mckinley High School
Similar Profiles
Lindsey WilsonLindsey Wilson
Grievance & Appeals Representative 3 at HumanaGrievance & Appeals Representative 3 at Humana
Monifah CocroftMonifah Cocroft
Healthcare Customer Service Representative at HumanaHealthcare Customer Service Representative at Humana
Jacqueline AugustinJacqueline Augustin
Lead Medical Assistant 4 at HumanaLead Medical Assistant 4 at Humana
Erica ParsonsErica Parsons
Senior IT Vendor Management Professional at HumanaSenior IT Vendor Management Professional at Humana
Reese SantinyReese Santiny
Team Member at Chic-Fil-ATeam Member at Chic-Fil-A