Latoya Davis Email & Phone Number

Philadelphia, Pa, Us

United States

Philadelphia, Pennsylvania, United States

Manage all Medicare appeals, including redeterminations, reconsideration, and ALJ hearings. Investigate complex healthcare reimbursement information, including manage care contracting and claims-related data for both private and government payers. Prepare documentation and process computer input of patient accounts to ensure timely follow-up. Review diagnosis, procedure codes, and charges for accuracy and obtain from the appropriate department when necessary. Verify patient eligibility using appropriate systems, and checks system for possible overlap claims. Request additional insurance information and assignments from patients.Process and submit claims to the appropriate intermediary to ensure accurate and prompt reimbursement of charges.

Greater Philadelphia Area

Greater Philadelphia Area

Establish guidelines for proper coding/billing for providers.Work hand in hand with front office staff to ensure that the proper information is received for claims processing.Work collections which include mailing of correspondence, working with patients to establish promissory notes for payment and if necessary forwarded accounts to collection agency.Keep accurate records of all activity and conversations for each file.Post payments to patient's accounts and verified medical insurance.Review billing edits and provide insurance company with correct information.

Horsham, Pa

Transcribes data from source documents according to established procedures and rules.Verifies data entered with source documents, checks for compliance with composition codes and style rules and corrects all typographical errors and missing or repeated data.Operates tracking system to print, add appropriate ID and perform other tracking functions as required.Investigates data that is unclear to produce a quality product.Performed other job related duties as required.

Execute and perform activities of the returns clerk at a distribution center. Process returns of unordered and non-saleable merchandise. Inspect and verify products and merchandise worth returning back. Verify and inspect all forms, reports and records relating to product returns. Inspect and reconcile quantities returned with that of the returns forms and documents. Maintain and manage a database of all product returns and exchanges. Adhere to and comply with corporate standards and procedures in handling returns. Assists with receiving and unloading freights both manually or with equipment such as pallet jacks; checks for damaged goods; verifies quantity and quality of order; verifies items received with purchase order; wraps, packages, and ships supplies; delivers and retrieves supplies to and from work or storage areas; tags and issues supplies; stocks shelves and rotates inventory.

Horsham, Pennsylvania

Returns Department Specialist August 2014 - September 2016Log, investigate, research and finalize all incoming patient returns immediately upon receipt.Properly log and dispose of returned medication in the medication morgue area of inventory.Track and process exception packages generated from a manifest area by correcting incorrect address labels using various internal computer systems.Reship medication upon customer request. Credit customer accounts if necessary.Track and communicate internal return trends that affect the business. Monitor “Returns Mailbox” on Outlook and process requests.Communicate with Supervisor on immediate customer needs that require next level authorization. Pharmacy Technician November 2004 - August 2014Labeled all products appropriately; including cautionary and auxiliary labels.Mastered Pharmacy Standard Operating Procedures (SOPs).Assisted the pharmacist in preparing and packaging products and other medications.Accurately recorded compounded products and prepared appropriate labels.Strictly maintained customer and patient confidentiality.Retrieved, counted and measured drugs and capped and uncapped vials and bottles.Trained new hires on daily job functions and metrics.Worked closely with pharmacists and used medication input software to safely and accurately dispense medication.Manifested completed pharmaceutical orders.Updated courier service reports, database and spreadsheets on weekly basis.Processed extensive amounts of prescriptions on high volume days with 100% accuracy.

Malver, Pennsylvania

Inputting invoices onto the companies software.Handling special tasks for supervisors.Assisting vendors with questions on incoming invoices, status of payment and payment arrangements

Horsham, Pennsylvania

Responsible for all incoming and outgoing correspondence. Typed contracts, insurance documents, and maintained files.Data entry of all insurance claims files.Entered reports and invoices in the computer database.