La'Tia Williams Email & Phone Number

Tampa, Florida

Tampa, Florida

• Processes claims in accordance to plan design: HCFA and UB-04• Validates the information on all medical claims received to ensure that there is no missing or incomplete information• Coordinates all participant and provider appeals, including appropriate research and discussions with Claims Examiner, Team Leader, Client Manager (if necessary), Vendors (if necessary) and Client Contact (if necessary)• Processes all requests for claims adjustments as required based on appeal and or determination that an error has been made• Accepts and documents all complaints made by client contacts, participants and providers and report to internal distribution• Chosen among peers and associates senior in tenure to review/process high dollar and VIP claims • Responds to telephone and written inquiries received from participants, providers and client contacts within defined service standards• Assists Claims Operations leadership and management on high-level projects, when needed

• Analyzed and process a variety of health care forms: UB-04 and CMS 1500• Prepared reports by collecting, analyzing, and summarizing information with processing 100-120 claims daily• Performed medical claim recoupments, account offsets & claims corrections, escalations• Resolved medical claims by approving or denying documentation; calculating benefit due; initiating payment or composing denial letter• Identified process improvement opportunities within the claim department and recommend system enhancements• Accessed high paid accounts, in order for providers to receive payouts for rendering service.

Tampa/St. Petersburg, Florida Area

• Contacted medical provider offices by telephone, schedules and cancels patient appointments, working closely with the Department of Veteran Affairs personnel • Selected to assist in training of newly hired associates, ensuring maximum production while not compromising quality• Go-to Representative for management to work urgent Veterans’ cases, ensuring that the Veteran was taken of• Case by Case Management and Process Intake information

Tampa/St. Petersburg, Florida Area

• Promoted physical, mental and social development by implementing classroom games and outdoor recreational activities• Observed and evaluated students' performance, behavior, social development and physical health

Associate Of Science - As, Early Childhood Education

Associate Of Arts - Aa, Massage Therapy/Therapeutic Massage