Latonya Abdulrasheed
Operations Quality Specialist at Medical Mutual | Greater Cleveland
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Latonya Abdul-Rasheed is a dedicated Operations Quality Specialist at Medical Mutual, where she leverages her extensive experience in health insurance and administration to enhance operational efficiency and ensure compliance with industry standards. With a Master’s in Business Administration, concentrating in Health Care Administration from Saint Peter's University, Latonya possesses a robust understanding of the complexities of health insurance systems and regulatory requirements, including HIPAA and CMS-1500 billing forms.
In her current role, Latonya is instrumental in conducting comprehensive audits that assess the quality and accuracy of claims processing and service delivery. Her keen eye for detail and critical thinking skills enable her to identify areas for improvement, leading to the implementation of best practices that enhance overall operational performance. Latonya is also adept at grant writing and preparing access documentation, skills that have proven invaluable in securing funding and resources for key initiatives within the organization.
Latonya's interpersonal skills foster collaboration across departments, allowing her to effectively communicate findings and recommendations to both technical and non-technical stakeholders. Her enthusiasm for continuous learning and improvement drives her to stay updated on industry trends and regulatory changes, ensuring that Medical Mutual remains at the forefront of health care excellence. Through her commitment to quality and operational integrity, Latonya Abdul-Rasheed is not only a vital asset to her team but also a champion for positive change within the health insurance landscape.
Operations Quality Specialist at Medical Mutual in April 2019 to Present
Senior Claims/Customer Care Specialist at Medical Mutual in January 2016 to April 2019
Customer Care at CVS Health in November 2015 to December 2015
Managed Care Coordinator at Horizon Blue Cross Blue Shield of New Jersey in May 2010 to June 2015
Claims Processor/Pends Specialist at Options Employment Resources in July 2008 to February 2010
Claims at Medical Mutual in April 2001 to July 2008
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Saint Peter's University, Master of Business Administration (M.B.A.), November 2026
Cleveland State University, Bachelor of Arts (B.A.), November 2026
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Health Insurance
Insurance
Claim
Managed Care
HMO
Provider Relations
Utilization Management
Prior Authorization
HIPAA
Customer Service
Care Radius
• PowerPoint Presentation
• Avaya Software
• HCFA Common Procedure Coding Systems (HCPCS)
• 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
• Grant Writing /Preparing
• Lotus Note & Outlook
• Word Processing
• Excel
• Types (45 words per minute)
PPO
Health Policy
Healthcare Management
Healthcare
Microsoft Excel
Access
Critical Thinking
PowerPoint
U.S. Health Insurance Portability and Accountability Act (HIPAA)
Microsoft Access
Medicare
Employee Benefits
Change Management
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Discover more about Medical MutualWhat is Latonya Abdul-rasheed email address?
Email Latonya Abdul-rasheed at [email protected] and [email protected]. This email is the most updated Latonya Abdul-rasheed's email found in 2026.
How to contact Latonya Abdul-rasheed?
To contact Latonya Abdul-rasheed send an email to [email protected] or [email protected]. (updated on August 26, 2024)
What company does Latonya Abdulrasheed work for?
Latonya Abdulrasheed works for Medical Mutual
What is Latonya Abdulrasheed's role at Medical Mutual?
Latonya Abdulrasheed is Operations Quality Specialist
What is Latonya Abdulrasheed's Phone Number?
Latonya Abdulrasheed's phone (**) *** *** 122
What industry does Latonya Abdulrasheed work in?
Latonya Abdulrasheed works in the Insurance industry.
Latonya Abdulrasheed Email Addresses
Latonya Abdulrasheed Phone Numbers
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