![Latonya Moots](https://jobicy.com/react/themes/app/images/avatar.jpg) Latonya Moots # Communication and Data Specialist Actively looking · Member since 1 Sep 2023 [Message](https://jobicy.com/dashboard-page.md) ShareLocationUnited StatesDesired salaryfrom 25 USD/hourlyWork preferenceFull Time, Contract, Part TimeExperience levelNot set * [Overview](#overview) * [Portfolio 0](#portfolio) * [Services 0](#services) ## About Professional summaryI am a Communication and data entry specialty who is looking to work for a company where I can utilize my educational background, skills, and work experience to excel at all levels and tasks to excel for myself and the company. ## Skills 11 capabilities[Communication Skills](https://jobicy.com/talent/communication-skills.md)[Conflict Resolution](https://jobicy.com/talent/conflict-resolution.md)[Customer Service](https://jobicy.com/talent/customer-service.md)[Data Entry](https://jobicy.com/talent/data-entry.md)[Health Insurance](https://jobicy.com/talent/health-insurance.md)[Mentoring](https://jobicy.com/talent/mentoring.md)[Problem Solving](https://jobicy.com/talent/problem-solving.md)[Project Management](https://jobicy.com/talent/project-management.md)[Time Management](https://jobicy.com/talent/time-management.md)[Training](https://jobicy.com/talent/training.md)[Typing](https://jobicy.com/talent/typing.md) ## Experience Career history ### Provider Data Analyst · Aetna 2019/2020• Updated, validated and finalized provider contracts in insurance contract database. • Utilized excel as a resource to verify and validate contracts. • Researched and verified all anomaly provider data and patient data for claim processing. • Utilize company resources to complete all tasks and projects accurately and timely. • Analyze and update data from Excel to ensure that all provider contracts meet the criteria of the State approved Medicaid plans. • Interactions and communications daily between departments to verify and clarify all newly updated contract data. ### Document Coordinator · Option Care 2018/2019• Accessed insurance providers portals to verify the eligibility of the patient and to complete the authorization process. • Proactively submit authorizations prior to expiration dates. • Obtained up-to- date clinical and non- clinical documents required for services. • Maintain COH (claims on hold) report at 5% percent allowing minimization of bad debt for the company. • Communicate effectively with all departments to ensure services are valid and authorized to prevent breaks or discontinuation of therapy. • Prioritized and addressed all claims from the Claims on Hold report (COH) tasks daily. ### Hepatitis C Project SME · CIGNA 2015/2018• Monitored and documented clinical results daily based up patient’s therapy completion. • Updated clinical and non-clinical information in Hepatitis C primary database. • Created Hepatitis C project SOP for Cigna minimizing errors in reporting and documentation. • Worked independently and was available to assist with all inquiries related to the Hepatitis C project. • Successfully trained internal and external workers on Hepatitis C objectives counteracting conflicting data and creating autonomous tracking • Interacted with internal and external partners via fax, phone, and mail daily. • Obtained verbal and written accolades for successfully meeting goals and accumulating data that management requested. ### Therapy Support Coordinator · CIGNA 2015/2015• Interacted with customers, providers, and pharmacies to streamline medication authorization process. • Collaborated with other departments to minimize therapy interruptions for patients. • Assisted training classes as a SME. • Prioritized and completed daily tasks in a timely manner. • Implemented de-escalation techniques for escalated calls as needed. • Type 45 wpm ### Pharmacy Service Associate - PSA · CIGNA 2013/2015• Navigated multiple systems daily with minimal downtime. • Cross trained in all pharmacy authorization functions within 12 months of employment. • Minimal supervision required for 'special projects’ and standard job tasks. • Maintained and exceeded metrics across all lines of business that I was trained. • Customer service successful as noted by the patients and management via awards. • Mentored New Hire classes and Specialty drug training classes as needed. • Validate and advised patients about their eligibility and benefits per HIPAA guidelines. • Type 40 wpm ## Education Learning history ### Martin Luther King Jr. Sr. High School 1995/1999CISC - Center for International Studies and Commerce High School Diploma ### Grand Valley State University (GVSU) 1999/2004Photography/Communications Bachelor of Science ### Grand Valley State University (GVSU) 2004/2006Communications Master of Science ### Colorado Technical University 2008/2010Master of Business Administration (MBA) Medical Management This professional hasn’t added portfolio projects yet. 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