Manager Medical

Elishaine D. Moses

**** ********** ******

Brandon, FL 33510

813-***-**** - **************@*****.***

Summary:

Exceptional written and communication attributes, with proven leadership and managerial skills. With a degree in Technical Management; coupled with twenty-one years of military experience as a Management Professional, will work efficiently under pressure while making critical decisions quickly and effectively.

Security Clearance: NACI.

Education: DeVry University, Tampa, FL; Bachelor of Science in Technical Management – December 2014.

Computer/Office Skills: Proficient knowledge of a variety of computer software applications in word processing, spreadsheets, database, presentation software (MSWord, Excel, Access, PowerPoint), and Outlook. Typing: 40+ WPM.

Military Training:

Special Security Assistant Courses – SCI Administrator; AIS Security; SSO Administrator; Security Policy and Procedures - MacDill, AFB, FL (12/2011)

Records Management Officer Training – MacDill, AFB, FL (05/2011)

Security Manager Course – San Diego, CA (04/2008)

Government Travel Charge Card Program Coordinator Course – San Diego, CA (06/2007)

Joint Combatant Commanders Foreign Disclosure Operators Course, MacDill, AFB, FL (01/2007)

Command Equal Opportunity Course, - Mayport, FL (03/2003)

Legal Clerk – Norfolk, VA (07/2000)

Experience:

Referral Management Specialist – April 2015 – present

Chenega Corps, MacDill AFB, FL

-Reviews referrals for administrative completeness and researches covered benefits prior to processing. Determines patient eligibility for services and arranges and schedules medical appointments for referred care.

-Provides general instructions to patients and ensures patients have necessary documentation for referred health care services. Obtains updates and files medical records as needed. Organizes and researches patient records, extract needed information, and review records for referral results within established guidelines.

-Request medical records and ensures arrival of medical records prior to appointments. Initiates and locates patient medical records as needed. Obtains documentation as requested by healthcare providers, test results, or documentation not yet filed in records.

-Ensures referral results are returned to the referring provide and to the medical record within required timelines. Assists with follow up, written or verbal, as necessary.

-Completes referral tracking data collection tool for, calculates metrics, and compiles monthly reports as directed by the MTF. Orients and trains MTF personnel about the referral process and timelines.

-In-depth knowledge of medical programs as ALTHA, TIPs, and CCHS.

Referral Management Specialist, July 2013 – December 2013

Next Level Business Services, Inc, Brandon, FL

-Protected the security of medical records to ensure confidentiality was maintained. Reviewed records for completeness, accuracy, and compliance with regulations. Resolved or clarified codes or diagnoses with conflicting, missing, or unclear information. Proficient with HIPPA regulations and medical terminology.

-Assessed patient needs and documented referral requests for coordination of care and provide information pertaining to equipment supplies and services.

-In-depth knowledge of medical referrals coding programs (CPT & ICD-9).

Records Management Clerk, March 2013 – July 2013

Randstad Staffing and Recruiting, Tampa, FL

-Compiled, copied, sorted, and filed records of office activities, business transactions, and other activities. Computed, recorded, and proofread data and other information, such as records or reports.

Human Resources (HR) Program Manager/Administrative Office Supervisor, June 2009 – May 2012

Joint Intelligence Center Central, U.S. Central Command, Tampa, FL

-Managed, trained and supervised five multi-service enlisted personnel, who worked three shifts to provide support for over 940 assigned, multi-service and contracted personnel working stateside and in 27 countries. Routinely advised senior leadership on policies and procedures, related to personnel management, including interpreting new requirements of publications, Memorandums of Understanding (MOU), regulations and directives issued to the Command.

-Reviewed Task Manager Requests for information (RFIs) dealing with JICCENT directorate, as an Office of Coordinating Responsibility. Tracked TMT for updates, responded to RFIs, and reviewed proper response delivered in a timely manner.

-Performed functions in HR records, manpower planning, solving pay and personnel issues, reviewing and revising changes to performance evaluations, correspondence, memorandums. Routinely answered phones, distributed mail, maintained calendars, arranged travel, and reserved conference rooms, to include coordinating meetings.

-Reviewed packages involving security violations of sensitive compartment information for proper documentations of incident, resolutions to problems and command, branch or division training.

-Coordinated VTC sessions to include scheduling, monitoring, and testing for problem isolation and resolutions. Scheduled and oversaw the installation of Tandbergs and VTC hardware.

Administrative Officer Manager/Security Manager/Equal Opportunity Manager, April 2007 – May 2009

Naval Special Warfare Unit Three, Manama, Bahrain

-Managed five personnel, providing a full spectrum of administrative and personnel support over 90 assigned personnel and over 700 Naval Special Warfare personnel traveling through U.S. Central Command’s area of responsibility. Thoroughly reviewed and created Command’s correspondence, instructions, regulations for proper grammar and spelling. Supported and assisted Directors, Action Officer on internal and external documents and Memorandums of Understanding and Agreements. Routinely answered phones, distributed mail, maintained calendars, arranged travel, and reserved conference rooms, to include coordinating meetings.

-Served as the Command Equal Opportunity Manager coordinator for the command climate assessment. Monitored all command EO training. Ensure formal complaints are submitted and processed with established guidance.

-Monitored security policies, programs or procedures to ensure compliance with internal security policies, licensing requirements, or applicable government security requirements, policies, and directives, to include NISPOM, NISPOM supplement, DCIDs and DIA M-1 manual. Initiated and updated security clearances, access eligibility, fingerprint process, and tracking of all background investigations. Drafted security operating procedures and training materials.

-Defense Travel Manager/Management of charge card accounts for 90 cardholders: prepared travel authorizations, expenses and authorized automatic payments. Managed $224,000 travel budget, ensuring 100 percent accountability of funds and liquidation of all travel claims.

Administrative Office First Line Supervisor, March 2004 – March 2007

Coalition Intelligence Center, Plans Division, Joint Intelligence Center Central, U.S. Central Command (USCENTCOM), Tampa, FL

-Supervised four multi-service personnel and one civilian personnel in all administrative tasking, personnel concerns and the tracking of all multi-service and contractor personnel for three divisions. Created and submitted weekly reports to senior leadership, capturing timelines of personnel awards and evaluations being submitted. Routinely answered phones, distributed mail, maintained calendars, arranged travel, and reserved conference rooms, to include coordinating meetings.

-Command Career Counselor: knowledge of principles and procedures for personnel recruitment, selection, training, compensation and benefits, labor relations and negotiation, and personnel information systems. Provided sound counseling to over 600 Naval personnel in reenlistments, retirements and career progression.

-As a Security Manager, trained office personnel on proper usage of USCENTCOM’s automated programs and network computers, to avoid improper spillage of information ensuring zero discrepancies. Provided military, contract personnel and civilians with extensive resources and abilities to work with customers providing all sensitive compartment, and special security, to support various commands within USCENTCOM area of responsibility.

Administrative Office First-Line Supervisor/Security Administrator, July 2000 – February 2004

USS Underwood (FFG 36) Mayport, FL

-Led, trained and mentored three personnel in the daily administration, pay and personnel issues for over 300 ship board personnel. As Ship’s Secretary, typed, edited and reviewed all command correspondence and instructions throughout each department and divisions. Responsible for receiving command mail and properly distribution of sensitive information to the proper departments.

-As Officer of the Deck on board USS UNDERWOOD, routinely organized and led eight or more personnel in security of the ship including transportation of security personnel.

-Initiated and updated security clearances, access eligibility, fingerprint process, and tracking of all background investigations.

-Monitored and operated surveillance systems to include alarms and motion detectors.

-Issued temporary ID badges and facility keys to authorized personnel.

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