Latonya M Abdul-Rasheed

Operations Quality Specialist

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Location:

Cleveland, OH

Industry:

Insurance

Work:

Medical Mutual Jan 2016 - Apr 2019
Senior Claims and Customer Care Specialist
Medical Mutual Jan 2016 - Apr 2019
Operations Quality Specialist
Cvs Health Nov 2015 - Dec 2015
Customer Care
Horizon Blue Cross Blue Shield of New Jersey May 2010 - Jun 2015
Managed Care Coordinator
Options Employment Resources Jul 2008 - Feb 2010
Claims Processor and Pends Specialist

Education:

Saint Peter's University 2011 - 2013
Master of Business Administration, Masters, Management, Health Care Administration Cleveland State University 2003 - 2006
Bachelors, Bachelor of Arts, Urban Studies

Skills:

Health Insurance
Healthcare
Insurance
Claim
Managed Care
Hmo
Hipaa
Provider Relations
Customer Service
Utilization Management
Ppo
Healthcare Management
Microsoft Excel
Prior Authorization
Care Radius
Powerpoint Presentation
Avaya Software
Hcfa Common Procedure Coding Systems
Cms 1500 Billing Forms
Medical Terminology
Dental Terminology
Team Player
Critical Thinking
Excellent Problem Solving Skills
Multi Tasking
Articulate Presenter/Representative
Professional Communicational Skills
Professional Organizational Skills
Interpersonal Skills
Lotus Note and Outlook
Word Processing
Excel
Types
Health Policy
Access
Critical Thinking
Powerpoint
U.s. Health Insurance Portability and Accountability Act
Microsoft Access
Medicare
Employee Benefits
Change Management

Interests:

Social Services
Children
Economic Empowerment
Civil Rights and Social Action
Politics
Education
Environment
Reading
Poverty Alleviation
Human Rights
Researching
Arts and Culture
Health

Languages:

English
Arabic

Latonya Abdul-Rasheed

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Location:

Cleveland, OH

Latonya Abdul-Rasheed Irvington, NJ

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Work:

Horizon Blue Cross Blue Shield of NJ

May 2010 to 2000
Managed Care Coordinator I Options Employment Resources
Tinton Falls, NJ
Jul 2008 to Feb 2010
Claims/Pends Specialist Medical Mutual of Ohio
Cleveland, OH
Apr 2001 to Jul 2008
Data Entry Operator II

Education:

Saint Peters University
Jersey City, NJ
2011 to 2013
Master of Business Administration in Health Care Administration Cleveland State University
Cleveland, OH
2003 to 2006
Bachelor of Arts in Urban Studies

Skills:

PowerPoint Presentation, Excel, Lotus Note & Outlook, Microsoft Office, Word Processing, Types (45 words per minute), CMS-1500 billing forms, Avaya Software, HCFA Common Procedure Coding Systems (HCPCS), Medical Terminology, Dental Terminology, HIPAA Compliance, HMO/Managed Care, Critical Thinking, Excellent Problem-solving skills, Multi-tasking, Articulate presenter/representative, Professional Communicational skills Professional Organizational skills, Team Player