Entry Agent Data
Resume:
Kelley E. Mooney
**** ******* ******* • San Antonio, TX 78244
************@*****.***
Professional Summary Expert knowledge in Medicare/Medicaid/HIPAA/PHI/CMS guidelines and regulations to excel as a Insurance Sales Specialist. Resourceful healthcare team player with Senior Insurance Verification skills to confirm member benefits/eligibility. Acquire self motivation, hard-work while being a team player using superior customer service skills and outstanding attention to detail as a Data Entry agent.
Core Qualifications
● Data Entry (54 wpm)
● Extensive experience in handling insurance discrepancies and authorizations
●Profound knowledge with MS Office applications: Excel, Word, Quickbooks,etc.
● Senior knowledge of ICD-10 and HCPC billing and coding
● Understanding of Medical Terminology
● Ability to multi-task while resolving internal/external customer issues
● Broad understanding of Medicare and Medicaid~CMS to sale based on members’ needs for healthcare.
Work Experience
05/2018 to 07/2019 DMS Sales Agent
Humana * San Antonio, TX
● Keen expert on Medicare Supplemental plans and Medicare Advantage products. Also, individual dental and vision plans for those outside the Medicare/Medicaid population
● Computer proficiency excelled in order to navigate multiple online agent tools in order to confirm in network providers or simple medication price matches.
● Displayed excellent telephone etiquette and verbal communication skills for an optimal customer service experience via Inbound/Outbound Sales metrics.
● Maintained over 95% QA average to ensure Humana’s protocols and procedures were displayed on every call.
● Simplified complexity with the Senior population in order to identify the member’s healthcare needs and closing the sale at 92% avg. rate. 03/2017 to 10/2017 Intake Specialist
Aerotek-KCI • San Antonio, TX
● Responsible for verifying patient’s DME benefits and eligibility
● Educate internal/external customers on the advantages of wound vac therapy
● Conducted timely filing and authorization submissions to various insurances
● Strong and open communication with Territory Field agents to ensure customer satisfaction on every wound vac order
● Reconciled and processed Workers Comp and Auto caused cases
● Provided accurate use of ICD-10 and HCPC billing and coding 06/2011 to 12/2016 Sr. Patient Financial Services Insurance Collection Specialist Medtronic Inc . • San Antonio, TX
● Ability to process orders under the Diabetic DME benefit provisions
● Knowledge of private and public insurance companies which follow Medicare/Medicaid guidelines
● Provided inbound customer order support
● Initiated and Received authorization timely filing
● Provided accurate use of ICD-10 and HCPC billing and coding 02/2008 to 11/2010 Medication Aide
San Pedro Manor • San Antonio, TX
● Administered medications
● Performed and recorded basic vital signs and routine shot administrations.
● Monitored and reported patients adverse reactions or progress while maintaining a clean-safe environment.
● Performed general office duties such as fax, answer MD calls and file charts
● Collaborated with nursing staff to lead productive staff meetings and quarterly reports
04/2007 to 02/2008 Home Health Provider
Community Council Oaks Ltd . • San Antonio, TX
● Evaluated the physical and mental conditions during daily grooming
● Administered am/pm medications
● Performed and recorded basic vital signs and routine shot administrations.
● Provided housekeeping and laundry services for the designated group homes
● Maintained friendly and Open-minded relationships with down-syndrome teens, their family and staff to continue positive rehabilitation. 01/2007 to 06/2008 Medical Assistant
Texas Medclinic • San Antonio, TX
● Maintained clean and sterile environment for staff and patient interaction
● Meet and Greet patients
● Organized daily financial reports while performing clerical duties such as filing, typing and scheduling appointments
● Collected payment for services rendered
● Performed and recorded basic vital signs and routine shot administration Education 2016 to 2018 • Business Administration-Healthcare
St. Philip’s College • San Antonio, TX
2009 • Medication Aide
Dept of Aging • Austin, Texas
2008 • Vocational Nurse Diploma
Texas Careers (Kaplan College) • San Antonio, Texas 2007 • Medical Assistant Diploma
Texas Careers (Kaplan College) • San Antonio, Texas 1999 • High School Diploma
Judson Senior High School • Converse, Texas
References Available Upon Request
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