Felicia Moore

Data Entry Specialist

Qualification Course of

Las Vegas High School, NV High School, Las Vegas Diploma General

• HIPAA Privacy Training

SKILLS

Data Entry

• Microsoft Excel

• Workers' Compensation

• Credit Card Payment

Processing

• Knowledge Microsoft

PowerPoint

• Microsoft Office

• Critical Thinking

• Insurance Authorizations

• Call Center Operations

• Medical Claims Submission

• Customer Service

Patient Identification

• Refund Processing

• Regulatory Compliance

• Managing Multiple Tasks

• Verbal and Written

• PUS Systems Expertise

• Communication

• Medical Terminology

Knowledge

• IC D-10 Coding

• Problem-Solving Ability

• Insurance Collections

• Conflict Resolution

• Adjustment Posting

• Money Handling Abilities

• Medical Billing

• Multi-Line Telephone

Operation

• Payments Posting

• Computer Proficiency

• Esurance Claim

Requirements

• Office Equipment

Proficiency

• Medical Billing Technology

• Calm and Professional

Under

• Speaking Clearly

• Pressure

• Discrepancy Reconciliation

• Spreadsheets

• Statement Distribution

• Client Inquiries

• Signature Verification

• System Updates

• Equipment Monitoring and

• Till Counting

• Troubleshooting

• Information Updates

• Statement Itemization

• Bill Payment

• Billing Data Verification

• Claims Review

• Patient Admission

• Statement Billings

• Charges and Rates

• Obtaining Authorizations

• Documentation

• HIPAA Compliance

• Billing Statement

Management

• Medical Records Security

• Bank Machine Operation

• Information Inputting

• Process Payments

• CMS-1500 Billing Forms

• Adding, Calculating and

Billing

• Machines

• EZClaim

• ICD-9

• Reimbursements

Professional Experience:

Ttec bank of America, Las Vegas, NV 6/2023 - 8/2023 Customer service representative

• Answering phone calls and emails, responding to customer questions and complaints, and walking customers through basic troubleshooting or setup processes.

• Maintain customer accounts and record account, fraud information.

• Oversee customer financial accounts and process customer adjustments.

• Make product recommendations or services to customers based on their needs and preferences. Job Gap Feb 2023 to May 2023

Reason: Was looking for better opportunity.

First Transit I Las Vegas, NV 08/2022 to 01/2023

Customer Service Representative

• Provide friendly service to passengers and guides them to the correct bus for

• their destination, ensuring the bus is not overloaded

• Greets all passengers in the loading areas in a courteous and enthusiastic manner

• Maintains Et strong attendance record

• Guides passengers to the buses in proper loading order as defined in location policies and counts passengers and monitors luggage to ensure no overloading

• of the buses

• Works in a team environment and communicates with supervisors and other CSR staff verbally and through hand signals to keep the process of loading smooth

• and efficient

• Facilitates and assists ADA passengers to the designated loading areas or Rent a-Car counters

• Keeps the loading area clear of all items that could pose a safety hazard to the staff or passengers and reports all hazards to the supervisor immediately

• Maintains complete focus on their area of responsibility and communicates with other staff as needed

• Makes proper decisions in the loading of buses taking into account passenger flow and bus availability

• Notifies supervisor of overloads, accidents. passenger incidents, medical concerns, and passenger behavioi problems immediately

• Works in a safe and efficient manner at all times

• Completes and submrts wafter reports concerning passengers and all accidents MEDICAL BILLING REPRESENTATIVE., SPECIALIST 02/2022 to 07/2022

Healthcare Outsourcing – Remote

• Posted charges, payments and adjustments

• Completed appeals filed and submitted claims

• Verified proper coding, sequencing of diagnoses and pro-cedures

• Tracked and recorded status delinquent accounts and sent followup

• Maintained current working knowledge of CPT and 0 coding

• principles, government regulation, protocols and third-party billing !requirements Job Gap Sep 2020 to Jan 2022

Reason: Her Daughter was pregnant and had complications with Twins baby. HMS Healthcare Management Sep 2018 to Aug 2020

Service Representative – Remote

• Updated patient and insurance data and input changes into company computer system

• Checked documentation for appropriate coding, catching errors and making revisions

• Instructed clients on amounts covered under benefit plans in easy to understand terminology

• Examined claims, records and procedures to grant approval of coverage

• Retained strong medical terminology understanding in effort to better comprehend procedures

• Handled billing related activities focused on medical specialties

• Performed verification of Medicare coverage

• Customer

Overlapping Reason – With C3 channel it was Part time. C3, Channels, Las Vegas, NV Nov 2018 to Jun 2019

Service Representative

• Answered incoming phone call and made outbound phone call regarding benefits

• Verified insurance and received claims

• Denied benefit and created grievances

• Collected on outstanding past due accounts

Job Gap May 2018 to Oct 2018

Reason: Taking of mother as she was diagnosed for breast cancer. CLAIMS BENEFIT SPECIALIST Oct 2014 to Apr 2018

United Healthcare Group, Las Vegas, NV

Researched and reviewed information to determine validity of insurance claims and contacted companies and customers about decisions

Maintained knowledge of policies and procedures and insurance coverage benefit levels, eligibility systems and verification process

Acted as intermediary between insurance companies and customers by researching and assessing information to determine claim validity Researched coverage and premium options and supplied clients with the best coverage available for individual needs

Oversaw regulatory and strategic initiatives to ensure accuracy of medical claims

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