latonya smith
@latonyasmith
Dedicated pre-authorization specialist with extensive healthcare experience.
What I'm looking for
I am a dedicated and dependable pre-authorization specialist with over a decade of experience in the healthcare industry. My career began at Vista Care Hospice, where I honed my skills in verifying insurance records and ensuring compliance with Medicare and Medicaid standards. This role laid the foundation for my subsequent positions, where I continued to develop my expertise in medical coding, insurance verification, and patient service.
At Children's Healthcare of Atlanta, I currently manage pre-authorization processes for various insurance carriers, utilizing Epic software to streamline operations. My role involves verifying insurance eligibility, documenting authorization information, and communicating effectively with patients and families. I take pride in my ability to multitask and maintain accuracy in a fast-paced environment, ensuring that patients receive the care they need without unnecessary delays.
Throughout my career, I have demonstrated strong leadership and communication skills, particularly during my time as a supervisor at Grady Memorial Hospital. I am passionate about continuous growth and am eager to expand my knowledge and experience in different fields within healthcare.
Experience
Work history, roles, and key accomplishments
Pre-Authorization Specialist
Children's Healthcare of Atlanta
Sep 2011 - Present (13 years 8 months)
Responsible for pre-authorization of insurance for Medicaid and commercial plans, including cardiology coding. Utilized Epic software for verifying insurance eligibility and documenting authorization information. Communicated with patients and families regarding insurance coverage and procedures.
Supervisor
Grady Memorial Hospital
Jan 2008 - Aug 2010 (2 years 7 months)
Managed staff to ensure timely patient registration and accurate demographic information. Assisted in employee scheduling and training, while overseeing emergency patient chart authorizations.
Medical Records Clerk
SALUS BEHAVIORAL HEALTH
Feb 2007 - Jan 2008 (11 months)
Audited clinician paperwork for accuracy in patient files and worked closely with Medicare for documentation requests. Posted payments for billing using Medisoft.
Patient Service Representative
Health field Hospice
Sep 2005 - Feb 2007 (1 year 5 months)
Maintained medical records in compliance with HIPAA, coordinated patient charts, and organized weekly team meetings. Utilized a web-based system for tracking medical orders and care plans.
Site Revenue Coordinator
Vista Care Hospice
Feb 2003 - Sep 2005 (2 years 7 months)
Verified insurance records, negotiated with payers, and ensured compliance with documentation standards. Conducted administrative reviews and assisted in obtaining documentation for outstanding receivables.
Education
Degrees, certifications, and relevant coursework
Asher School of Business
Technical Diploma, Medical Office Administration
1999 - 2000
Completed a program in Medical Office Administration, gaining skills in medical coding, billing, and office management.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Skills
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