Sparkle Moody

**** ********** ** *******, **. ***31 Ph. 925-***-****

abjuq1@r.postjobfree.com

Skills

Medical Terminology

Leadership

** *** / ** ***

Excellent interpersonal skills

HMO,PPO Insurance verification

Medicare insurance industry with emphasis on MAPD/PDP

ICD-9 coding Medical Billing

Knowledge of Salesforce and other CRM's

Confident handling sensitive and confidential situations

Ability to communicate effectively both orally and in writing

Strong interpersonal skills

Excellent presentation skills

Strong analytical skills

Strong organizational skills; attention to detail

Ability to resolve associate issues quickly and efficiently

Ability to represent a positive and professional image

Strong knowledge of Microsoft Word Excel Power Point and Outlook, Epic

Professional Experiences

Lash Group San Bruno, CA 11/13 to 02/14

Benefit Reimbursement Specialist

Provided intake services and setup for all new patients

Coordinated patient's care with physician offices nurses pharmacists and patients.

Performed insurance verification both major medical and pharmacy benefits.

Coordinated prescription deliveries and refills for patients.

Worked with home health nursing visits and maintenance of a patient census throughout the

course of their therapy.

Ensured a continuous quality improvement customer service approach by proactively identifying

areas of improvement and communicating those ideas to the healthcare team.

Maintained current documentation related to the patients drug therapy and pharmacy care plan.

Flagged issues that needed to be addressed.

Coordinated responses and resolutions to issues with appropriate internal and external parties.

Maintained and promoted positive and professional working relationships with associates and

management.

Performed related duties as assigned.

Liberty House Inc. Elk Grove CA 02/13 -08/14

On-Call On site/Worked From Home

Patient Case Coordinator

Answered basic clinical and program inquiries.

Coordinated access to therapies, scheduled and conducted appropriate follow-up.

Facilitated access to appropriate support services, including reimbursement counseling, nursing

hotline, and support.

Processed incoming enrollment forms for program.

Followed up via phone, mail, and/or fax for missing enrollment information.

Supported payer research, health care policy library, and state management.

Identified other sources of health care coverage for patients through simple queries and use of

Payer Plus database.

Worked on problems of limited scope. Followed standard operating procedures in analyzing data

from which answers could be readily obtained. Built stable working relationships internally.

Typically received general instructions on routine work, detailed instructions on new projects or

assignments.

Performed related duties as assigned.

Dr. Mary Davenport OBGYN

El Sobrante, Ca. 3/10 to 11/13

Medical Assistant

Escorted patients to and from exam or treatment rooms as appropriate.

Recorded all patient data prior to the physician/nurse seeing the patient: vital signs, height and

weight, allergies, medications, chief complaint, reason for visit.

Administered subcutaneous and intramuscular injections as directed by the physician.

Answered and returned telephone calls as directed.

Called pharmacies for prescriptions and answered patient telephone calls for referrals.

Obtained all necessary patient records, lab data, diagnostics, consults, etc. as required by the

physician for assessment of the patient's medical status.

Obtained blood specimens from peripheral sites as needed in accordance with OSHA and

Universal precautions.

Assists with exams and procedures as requested.

Assists with scheduling tests, procedures or appointments to follow-up on test results.

Prepares, maintains and stocks exam/ treatment rooms, orders supplies as needed.

Obtained new patient information and any test results.

Assisted with administrative duties such as typing, faxing, reception, EMR, Epic

Processed instruments and equipment as needed.

Assists with delegated patient education activities including but not limited to distributing

educational literature, etc.

HIPAA Certificate Medical Terminology

Maintained strictest confidentiality.

Current AHA CPR/BLS card

Bay Area Credit Service Antioch, Ca 11/08 to 02/10

Customer Credit Analyst/ Accounts Payable

40 wpm Data entry /10key;

High Volume call center of in/outbound calls

Obtained credit records from credit bureaus

Worked on high end business accounts.

Information to reassure skeptical clients

Provided superior personalized service to customers in a timely manner.

Promotions, order status, refunds or cancellations and general inquiries processed payments

Collections

Bank of America Corporate Concord, Ca 01/04-09/08

Client Service Associate

Handled in/outbound calls in a high volume fast paced environment

Analyzed corporate accounts, transferred funds

Converse with customers to obtain information and explain financial services such as, Savings &

Checking accounts, Individual Retirement accounts, Certificates of Deposit, savings bonds and

securities.

Consistently met or exceeded team goals.

Answered member email, telephone and chat inquiries, assisted members with account inquires,

presented product information and services.

Handled escalated calls with 100% resolution and customer satisfaction.

Settled membership disputes, adjusted membership accounts and processed refunds,

Proofed and edited web site content.

Maintained a suitable atmosphere.

Education and Training

Carrington College- Antioch, California June 2011

Medical Assisting Front and Back Office- Certified Medical Assistant

Silicon Valley College- Walnut Creek, California Business Administration 2004

References. ..

Tyrah Johnson Contra Costa Regional Medical Center

415-***-****

Mark Jones SF General Hospital abjuq1@r.postjobfree.com

415-***-****

Contact this candidate