Latonya J.

Background

About Latonya J.

As a seasoned professional in the healthcare industry, I specialize in detecting and addressing fraudulent activities, driving significant annual savings exceeding $1 million. My expertise in advanced data analysis, including SAP Business Objects, allows me to uncover discrepancies in Medicare and Medicaid claims, effectively preventing over $1 million in improper payments. My career is marked by a rigorous commitment to risk mitigation and financial integrity. I have a proven track record in initiating independent reviews and identifying fraudulent practices with a consistent 98% accuracy rate in quality assurance. My roles at UnitedHealth Group/Optum and Centene Corporation highlight my proficiency in fraud prevention, clinical appeals, coding accuracy, and claims processing, contributing to substantial savings and recovery from fraudulent providers. Recognized for my efficiency, accuracy, and leadership, I excel in optimizing revenue cycles and managing budgets exceeding $4 million monthly. My dedication to adherence to guidelines and regulations is matched by a relentless pursuit of continuous improvement and the highest standards in healthcare practices.