Latia Williams Email & Phone Number

United States

Remote

Jacksonville, Florida, United States

Support the clinical medical review team.Serve as a “Universal” Service Advocate responding to inquires related to all segments including Medicare, Group, and Consumer across multiple functions.Assist providers with the entry and update of prior authorization / pre service requests.Research, coordinate and resolve inquiries and claim exceptions.Process.

Jacksonville, Florida Area

Demonstrate passion for providing superior customer service to our customers and continually seeks to understand the needs of those we serve.Follow internal processes and procedures to ensure all activities are performed in accordance with departmental and company policies and procedures.Provide members education and assist members with PCP selection and.

Remote

• Design, build, configure, test and validate documentation needed for contract installation across various application software.
• Overall employer contract loading using various databases and/or source documents.
• Audit contract loads for adherence to quality measures and reporting standards.
• Translate clinical/operational needs and workflow into systems specifications and configuration requirements.
• Research configuration and setup installation issues and develop customer specific resolutions.
• Create policy and procedure documents for new and existing accounts.

Remote

• Responsible for initial triage of members and administrative intake of members.
• Manage the admission and discharge information post-notification.
• Work with hospitals and the clinical team to validate and complete pre-service notification in a timely manner.
• Manage the referral process and prior authorization for members and clinical staff in regards to patient intake and service notifications.
• Manage medical Insurance precertification / clinical review.
• Work with hospitals and clinical teams for initial triage of members.

Jacksonville, Florida Area

Scheduled appointment for inpatient and outpatient services.Entered and completed patient demographics in SMS system.Completed pre-registration and register patients for upcoming visits and procedures.Verified insurance information such as co-payments, funds for collection for Emergency Room patients, inpatient and outpatient services and.

Jacksonville, Florida Area

Interacted with customers from diverse cultures and backgrounds in regards to their healthcare needs.Supported continuous improvement efforts through the early identification, investigation and resolution of problems by communicating and coordinating with the appropriate contacts for completion.Provided information and guidance to customers regarding the.

High School, Diploma

Professional Certification, Medical Insurance Coding Specialist/Coder, 4.0

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