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Latasha E. Hall
238 BarclayRd. Upper DarbyPa, 19082
215-913-2125 / 484-452-6356 tasha19121@yahoo.com
OBJECTIVE
Provenleadership,organizational,andproblem-solvingskills.Excellentinterpersonal communication
skills. Abilitytoprofessionallyinteractwithstaff andworkina team environment.Dependable,
ambitious.
SKILLS
MS Office,Excel Typing60WPMData Entry Alpha14,000 Numeric16,000 AccountsPayable 3rd
Party
BillingCredentialingCodingCommercial andGeneral LiabilityRatingEncodingMachine (CHECKS)
CustomerService Inbound&Outbound.
WORK HISTORY
MERCY HEALTH SYSTEM [PROTOCALL STAFFING]
CREDENTIALING SPECIALIST
11/2014-3/2015
Maintainphysicianpractitionerfiles,IndividualCAQHfile &physicianrosterbyidentifyingwhomay
needupdatingorre-credentialing&processaccordingly.Complete insurance applicationforproviderat
the time of hire as well asongoingto variousinsurance panelsMedicare MedicaidBCBS.Ensure that
licensure ineverystate &jurisdictionfederal registrations&boardcertificationremainintactand
current.
ZOTEC MMP
EDI/ERA COORDINATOR
10/2013-6/2014
Enteringof patient demographics/insuranceinfo/changes,postingof insurance/patient
payments/adjustments,followuponaccountsansweringphone calls,create appealletter.Follow-upon
delinquentaccounts.Create spreadsheets.Setupnew accountthruEMDEON. Primary functionopen
enrollmentERA & EFT thru EMDEON.
DEVON HEALTH
CREDENTIALING SPECIALIST
10/2011-6/2013
Processcredentialingandre-credentialingapplicationforhealthcare providersandancillaries.Perform
verificationandcheckforsanctions.Oversee all of the credentialingfunctionsof the providersand
ancillarieswithinadesignatedterritory.Communicate withprovidersduringthe credentialingprocess
by phone,fax andemail.Answerproviderquestionsetc.
INFINITYSTAFFING
CUSTOMER SERVICE REP
08/2010-4/2011
Conductingoutboundcallstomedical organizationandhealthcare professionals.Communicate
informationtophysicianormedical professionalsregardingaparticularpharmaceutical ormedical
products.
UNITED NATIONAL GROUP
SPECIALTY CODING CLERK
8/2006-9/2009
Inputcommercial general liabilityandpropertyrating.Manage dailyworkflow including endorsement,
and reinstatement.Reviewandkeyaudits.

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RESUME 2016 LH

  • 1. Latasha E. Hall 238 BarclayRd. Upper DarbyPa, 19082 215-913-2125 / 484-452-6356 tasha19121@yahoo.com OBJECTIVE Provenleadership,organizational,andproblem-solvingskills.Excellentinterpersonal communication skills. Abilitytoprofessionallyinteractwithstaff andworkina team environment.Dependable, ambitious. SKILLS MS Office,Excel Typing60WPMData Entry Alpha14,000 Numeric16,000 AccountsPayable 3rd Party BillingCredentialingCodingCommercial andGeneral LiabilityRatingEncodingMachine (CHECKS) CustomerService Inbound&Outbound. WORK HISTORY MERCY HEALTH SYSTEM [PROTOCALL STAFFING] CREDENTIALING SPECIALIST 11/2014-3/2015 Maintainphysicianpractitionerfiles,IndividualCAQHfile &physicianrosterbyidentifyingwhomay needupdatingorre-credentialing&processaccordingly.Complete insurance applicationforproviderat the time of hire as well asongoingto variousinsurance panelsMedicare MedicaidBCBS.Ensure that licensure ineverystate &jurisdictionfederal registrations&boardcertificationremainintactand current. ZOTEC MMP EDI/ERA COORDINATOR 10/2013-6/2014 Enteringof patient demographics/insuranceinfo/changes,postingof insurance/patient payments/adjustments,followuponaccountsansweringphone calls,create appealletter.Follow-upon delinquentaccounts.Create spreadsheets.Setupnew accountthruEMDEON. Primary functionopen enrollmentERA & EFT thru EMDEON. DEVON HEALTH CREDENTIALING SPECIALIST 10/2011-6/2013 Processcredentialingandre-credentialingapplicationforhealthcare providersandancillaries.Perform verificationandcheckforsanctions.Oversee all of the credentialingfunctionsof the providersand ancillarieswithinadesignatedterritory.Communicate withprovidersduringthe credentialingprocess by phone,fax andemail.Answerproviderquestionsetc. INFINITYSTAFFING CUSTOMER SERVICE REP 08/2010-4/2011 Conductingoutboundcallstomedical organizationandhealthcare professionals.Communicate informationtophysicianormedical professionalsregardingaparticularpharmaceutical ormedical products.
  • 2. UNITED NATIONAL GROUP SPECIALTY CODING CLERK 8/2006-9/2009 Inputcommercial general liabilityandpropertyrating.Manage dailyworkflow including endorsement, and reinstatement.Reviewandkeyaudits.