Natashia Pettaway
Semmes
Summary
Certified Professional Coder (CPC) with specialized expertise in HCCs and ICD-10 coding. Master's level training in Healthcare Administration combined with 15+ years of remote experience in patient access, reimbursements, and financial assistance. Proven success supporting high-profile clients and managing complex cases with precision, empathy, and compliance. Detail-oriented, results-driven, and committed to delivering seamless access to care.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Remote Patient Access & Reimbursement Specialist
Sutherland Global
Fully Remote (Headquarters Dallas, Tx)
02.2022 - Current
- Investigator for Medicaid, Medicare, and commercial insurance plans to discover the patients' coverage and out-of-pocket expenses
- Perform follow-up outbound calls to payers to expedite approvals, which requires completion of prior authorizations, and organizing and gathering clinical documentation
- Accurately processing referrals and patient onboarding applications, according to the manufacturer guidelines while also staying in compliance
- Ability to possess empathy and clarity while explaining coverage, next steps, and financial assistance to caregivers, patients, and providers.
- Skilled at balancing high-volume inbound and outbound calls, along with thoroughly documenting all case activity in proprietary systems
- Expert in determining and reporting adverse events within required timelines in complex cases
- Aid patient cases from initial contact through final approval of approval or denial
- High Achiever in maintaining compliance standards, quality, & productivity in remote environments that are very fast paced. (Ranked Number 2 in my site as a top performer)
Remote Financial Operations Specialist
Wells Fargo
Remote
03.2015 - 02.2022
- Managed high-volume financial transactions and customer accounts, ensuring compliance with regulatory standards. (reimbursement case handling)
- Analyzed data to identify discrepancies, payment issues, and fraud alerts to improve reporting accuracy.
- Streamlined operational processes, enhancing efficiency in fund allocation, which allowed consistency in exceeding performance metrics in quality, compliance, and customer satisfaction.
- Earned recognition for reliability and problem solving
- Coordinated cross-functional teams to resolve complex financial issues.
- Directed customers with their financial options while maintaining exceptional data accuracy across multiple banking systems in fast past remote environment
Senior Branch Support Manager
Wells Fargo
Mobile, AL
07.2012 - 03.2015
- Managed and handled complex daily operational transactions to ensure compliance with company policies and regulatory requirements.
- Led cross-functional teams and trained new team members to enhance service delivery and operational efficiency.
- Developed training programs for staff, improving performance and customer satisfaction to help build our branch by supporting customer account openings, payment issues, and engaged thorough with financial product educations
- Streamlined processes for client onboarding, reducing turnaround time significantly along with identifying and escalating suspicious activity in alignment with Wells Fargo Fraud prevention
Lead Banking Teller
Wells Fargo
Mobile, AL
08.2006 - 04.2012
- Processed customer transactions accurately and efficiently, ensuring compliance with banking regulations.
- Managed cash handling and balancing of daily transactions to maintain operational integrity.
- Provided insightful information to enhance service experience.
- Trained new tellers on operational procedures
Education
Master of Science - Health Administration
University of St Francis
Fort Wayne, IN05-2018
Bachelor of Science - Healthcare Admin
Grand Canyon University
Phoenix, AZ05-2014
Bachelor of Arts - Communications
Grand Canyon University
Phoenix, AZ05-2010
Skills
- Appeals handling
- HCPCS coding
- HIPAA compliance
- ICD-10 coding
Certification
- Certified Professional Coder (CPC)- AAPC
- HIPAA Compliance Certification
- Diverse, Equity & Inclusion in Healthcare
- Remote Work Security & Productivity Training
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Remote Patient Access & Reimbursement Specialist
Sutherland Global
02.2022 - Current
Remote Financial Operations Specialist
Wells Fargo
03.2015 - 02.2022
Senior Branch Support Manager
Wells Fargo
07.2012 - 03.2015
Lead Banking Teller
Wells Fargo
08.2006 - 04.2012
Master of Science - Health Administration
University of St Francis
Bachelor of Science - Healthcare Admin
Grand Canyon University
Bachelor of Arts - Communications
Grand Canyon University