Lashani Watson Email & Phone Number

Chapel Hill, NC, US

United States

• Managed appeals, compliance, subrogation cases, and client inquiries, ensuring adherenceto regulatory timelines and standards.
• Implemented streamlined workflows for appeals processing, significantly improving efficiencyand client satisfaction.
• Led training initiatives, elevating team performance and achieving high-quality standards.
• Successfully facilitated negotiations under the No Surprises Act between our vendor andclients.

Remote

• Conducted comprehensive audits on medical claims, enhancing accuracy and aligning withclient plan requirements.
• Developed and implemented audit procedures, improving team efficiency and qualityassurance.
• Led focused audits before client plan renewals, ensuring compliance with benefit setuprequirements.

Remote

• Managed and processed claims for multiple clients, consistently surpassing production andaudit goals.
• Collaborated on new client testing and system upgrades, ensuring seamless transitions.
• Developed and updated policy and procedure documents tailored to client needs.

Parsippany, New Jersey, United States

• Provided troubleshooting and support for software and hardware issues, maintaining highcustomer satisfaction.
• Educated clients on software functionality and troubleshooting steps, documentinginteractions in Salesforce.
• Supported training for new hires, facilitating smooth onboarding and knowledge transfer.

• Oversaw spa operations, achieving membership and retail sales goals.
• Managed staff scheduling and HR functions, ensuring operational efficiency.
• Provided customer service excellence, resolving issues and promoting the spa's services.

Remote

• Handled customer inquiries and complaints, utilizing effective communication channels.
• Educated customers on products and services, enhancing customer satisfaction and loyalty.

• Led a team towards achieving monthly goals, ensuring consistent performance andexceeding client expectations.
• Acted as the primary point of contact for departmental inquiries and concerns from otherdepartments.
• Managed relationships with a select group of key clients, ensuring high satisfaction andretention rates.
• Facilitated streamlined workflow within the department, optimizing efficiency andproductivity.
• Monitored reports and financial savings daily, promptly addressing discrepancies to maintainaccuracy.
• Handled VIP clients, new client onboarding, and sensitive cases, assigning workloadstrategically to maximize team efficiency.

Bedminster, New Jersey, United States

• Analyzed out-of-network claims, optimizing cost savings by leveraging appropriate networksfor repricing.
• Evaluated offers on claims based on client guidelines, ensuring fair and efficient claimsprocessing.
• Determined claim eligibility and managed workflow during director's absence, maintainingoperational continuity and efficiency.

Bedminster, New Jersey, United States

• Coordinated with hospitals and doctor offices to retrieve medical records, ensuring timelyand accurate document acquisition.
• Organized and analyzed documents before submission to appropriate medical personnel,facilitating efficient processing.
• Reviewed invoices from document retrieval companies for accuracy, ensuring compliancewith financial procedures.

• Examined all claims prior to adjudication, ensuring accuracy and compliance withestablished procedures.
• Reviewed claims for data entry errors and potential fraud, maintaining high standards ofaccuracy and integrity.
• Analyzed hospital contracts to verify proper payment percentages, ensuring adherence tocontractual obligations.
• Evaluated patient benefit plans for coverage details, providing accurate information tostakeholders.
• Followed Standard Operating Procedures (SOPs) meticulously, ensuring consistency andcompliance in claims processing.
• Independently resolved error messages and issues before adjudication, minimizing delaysand optimizing efficiency.