Taylor McNaughton
Monroe,LA
Summary
Skilled professional ready to excel in a leadership role with focus on results-driven performance. Proven ability to streamline operations and foster team collaboration to achieve organizational goals. Known for reliability and adaptability in meeting changing demands while maintaining high standards.
Overview
12
12
years of professional experience
Work History
Supervisor, Claims Operations
Blue Cross and Blue Shield of Louisiana
Monroe, LA
09.2024 - Current
- Conducted performance evaluations, providing constructive feedback to support employee development and growth.
- Oversaw daily operations of the department, ensuring smooth workflow and timely completion of tasks.
- Increased team productivity by implementing efficient workflows and setting clear expectations for staff members.
- Collaborated with other departments to achieve organizational goals, fostering teamwork across various functions.
- Enhanced team collaboration through regular communication, goal setting, and performance evaluations.
- Trained and mentored staff to enhance team performance and productivity.
Business Analyst
Blue Cross And Blue Shield Of Louisiana
Monroe, La
01.2023 - 09.2024
- Streamlined operational efficiency by identifying areas of improvement and implementing effective solutions.
- Assisted in the development of strategic plans, incorporating valuable input from various departments within the organization.
- Organized daily tasks for better efficiency and use of resources.
- Collaborated with team members to develop strategies for optimizing the claims process, resulting in improved client experience.
- Assisted in the development of training materials for new Claims Examiners.
- Contributed to departmental meetings by sharing insights gained from daily work experiences which helped improve overall team performance.
- Efficiently navigated company databases to retrieve essential information for accurate claim handling and reporting purposes.
- Liaised between various departments within the organization to facilitate efficient communication flow during claims management processes.
Institutional Medicare Claims Coordinator
Vantage Health Plan, Inc. (Acquired By BCBSLA)
Monroe, LA
01.2020 - 12.2023
- Managed large volume of medical claims on a daily basis.
- Used administrative guidelines as resource or to answer questions when processing medical claims.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
- Trained employees per regulations and guidelines provided by Vantage Health Plan
- Provide answers to examiners and other departments in order for claims to be processed accurately.
- Managed high-volume caseloads, prioritizing tasks effectively to ensure timely resolution of all assigned claims.
- Monitored pending claims closely to identify potential issues or delays in processing.
- Managed claim load on a daily basis, reporting to supervisor any issues and concern.
- Directed the Claims examiners on day to day duties and tasks.
Institutional Medicare Claims Examiner
Vantage Health Plan, Inc.
Monroe, LA
07.2017 - 12.2019
- Paid or denied claims based upon established claims processing criteria.
- Maintained knowledge of claims processing, claims principles, medical terminology and procedures and HIPPA regulations.
- Audited claims to ensure accuracy.
- Assisted other departments in claims processing
Personal Banker
Tensas State Bank
Newellton, Louisiana
11.2013 - 07.2017
- Executed customer transactions, including deposits, withdrawals, money orders and checks.
- Scheduled staffing for main branch.
- Rapidly and efficiently prepared customer and ATM cash and change orders.
- Handled various accounting transactions.
- Created member account profiles on Tensas State Bank online banking program.
- Collected member loan payments.
- Sold cashier's checks, traveler's checks and money orders.
- Executed stop payments and account transfers Answered telephone inquiries on banking products including checking, savings, loans and lines of credit.
- Maintained friendly and professional customer interactions.
- Maintained compliance with bank policies and regulations while executing various financial transactions for customers.
Education
High School Diploma -
Newellton Christian School
Newellton, La05-2012
No Degree - Medical Billing And Coding
AAPC
12-2024
Skills
- Attention to Detail and Organization
- Verbal and Written Communication
- Information Processing
- Time management
- Goal oriented
- Adaptability
- Microsoft Office
- Teamwork and Collaboration
- Analytical Skills and Thinking
- Training and mentoring
- Staff management
Timeline
Supervisor, Claims Operations
Blue Cross and Blue Shield of Louisiana
09.2024 - Current
Business Analyst
Blue Cross And Blue Shield Of Louisiana
01.2023 - 09.2024
Institutional Medicare Claims Coordinator
Vantage Health Plan, Inc. (Acquired By BCBSLA)
01.2020 - 12.2023
Institutional Medicare Claims Examiner
Vantage Health Plan, Inc.
07.2017 - 12.2019
Personal Banker
Tensas State Bank
11.2013 - 07.2017
High School Diploma -
Newellton Christian School
No Degree - Medical Billing And Coding
AAPC