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
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
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
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
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