Summary
Overview
Work History
Education
Skills
Timeline
Generic

Latisha Mccormick

Fayetteville

Summary

Detail-oriented Customer Care Specialist with expertise in medication management, insurance verification, and claims processing. Committed to delivering exceptional service while ensuring HIPAA compliance and maintaining accurate medical records.

Overview

4
4
years of professional experience

Work History

Customer Care Specialist

Everise
Fayetteville
04.2024 - 09.2025
  • Remote Position-Handled incoming calls regarding patient medication refills and workers' compensation benefits.
  • Researched patient medical histories to identify potential drug interactions prior to forwarding refill requests.
  • Submitted refill requests for new and expired medications to healthcare providers.
  • Suggested generic medication alternatives to assist patients in reducing prescription costs.
  • Conducted thorough investigations of medical and pharmacy benefits to support patient care.
  • Maintained accurate documentation, ensuring compliance with healthcare regulations and company standards.

Delivered exceptional customer service while managing confidential patient information.

claim specialist

Hire Dynamics
Fayetteville
04.2021 - 02.2023
  • Remote Position- Spearheaded implementation of streamlined support process, reducing response times by 20% and enhancing customer satisfaction.
  • Verified insurance coverage and secured pre-authorizations for patient appointments.
  • Investigated denied claims and reviewed medical coding to facilitate accurate appeals documentation.
  • Addressed inquiries from patients and physicians on explanations of benefits, copays, deductibles, and claim status to enhance understanding and resolution.
  • Maintained accurate patient records to support treatment and billing processes.
  • Facilitated patient enrollment in copay assistance programs and processed necessary documentation.
  • Collaborated with healthcare staff to ensure adherence to clinic appointment scheduling protocols.

Resolved customer account issues, providing timely support to enhance overall customer satisfaction.

Education

Certified Medical Assistant - Healthcare

Miller Motte College
Fayetteville
05-2023

Skills

  • Healthcare Customer Service
  • Customer relationship management
  • Claims processing
  • Claims resolution
  • Insurance verification
  • Prior Authorizations
  • EOB Review & Explanation
  • Medication management
  • Patient record maintenance
  • Medical Records Management
  • HIPAA Compliance
  • Data Entry & Documentation
  • Remote Work Operations
  • Medical coding

Timeline

Customer Care Specialist

Everise
04.2024 - 09.2025

claim specialist

Hire Dynamics
04.2021 - 02.2023

Certified Medical Assistant - Healthcare

Miller Motte College
Latisha Mccormick