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

• 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