Gaterina Moore

adymee@r.postjobfree.com

202-***-****

Summary of Qualifications

Multitalented professional with 10+ years’ experience within the healthcare industries.

Motivated leader with strong organizational and prioritization abilities.

Areas of expertise include customer service, health information management, office and support staff management, training and supervision.

Skills

Customer Service

Detail Oriented

Health Information Management

Conflict Resolution

Database Management

HIPPA Compliance

Data Entry (50 WPM)

Insurance Verification

EMR Proficient

Microsoft Office Suite

Professional Experience

The Department of Veteran Affairs - Washington, DC November 2019 – May 2021

Advance Medical Support Assistant

Consistently communicate and treat customers in a courteous, tactful, and respectful manner.

Handles conflicts as it pertains to the veterans and their families.

Responds to telephone inquiries promptly, professionally, and efficiently to provide resolution.

Maintains competency and attends required education and training programs via Training Management System to improve my skills to better serve the Veterans.

Respond to correspondence regarding scheduling changes/cancellations both written and orally in a timely, accurate manner

Operate and utilize the scheduler software, GUI for daily operations in the clinic.

Pre-register patient encounters by obtaining patient demographic and financial information for clinic, hospital and outpatient departments.

Serve as a liaison with internal and external VAMC locations for scheduling consult for the Ear, Nose and Throat Clinic at the Medical Center.

Communicate effectively, with other departments and senior-level medical personnel.

Howard University Hospital – Washington, DC April 2019 – November 2019

Business Office Associate

Managed accounts receivable, accepting and processing payments from patients and verifying insurance benefits.

Managed cash including receiving and counting money, distributing funds, preparing deposits and handling of safe with security.

Prepared, reviewed and corrected source documents prior to data entry, as well as validate the data entered to ensure future billing and follow-up activities are conducted effectively.

Responded to inquiries and assisted with investigations regarding entered data.

Registered patients for office visits, collected payments for services rendered and completed all insurance billing for accurate posting.

Ensured a superior customer experience by addressing customer concerns, demonstrating empathy and resolving conflicts.

Memorial Hospital Gulfport- Gulfport, Mississippi April 2018 – February 2019

Patient Financial Service Refund Specialist

Served as the primary point of contact providing direct support and guidance to insurance and billing companies to determine accuracy of their refund request for the patient or insurance company.

Analyzed and resolved encounters within 30 days to ensure accuracy and maximization of reimbursement.

Respond daily to in-coming correspondence and telephone inquiries from third parties, attorneys, guarantors, patients or other Memorial Hospital departments, regarding accounts.

Provided administrative support using multiple computer systems and technologies, including Microsoft Office, MS PowerPoint, MS Excel, and MS Word.

Well versed to systems such as Cerner Revenue Cycle, nThrive claims and Billing Solutions, Document Manager, and insurance contractual agreements.

Communicated effectively and professionally with staff at varying grade levels.

Answered customer inquiries and resolved issues regarding insurance coverage, billing, and claim status in a timely manner.

Maintained Self-pay credits and Referrals at less than 2%.

Knowledgeable in interpreting Explanation of Benefits (EOB's) to ensure accurate reimbursement and determine appropriate contractual adjustments.

Consistently met and exceeded all productivity outlined by successfully completing special projects, providing assistance to team members, demonstrating positive team-based behavior to achieve business goals, obtain quality outcomes and customer satisfaction.

AFFLINK- Tuscaloosa, Alabama October 2015 - May 2016

Supplier Payment Clerk

Perform vendor accounting services for 15 separate companies; compiled and sorted their documents, such as invoices and checks.

Verified and posted details of business transactions for disbursement and funds received; developed a budget spreadsheet of each transaction.

Prepared vouchers, invoices, checks, account statements, reports, and other records.

Verified the accuracy of invoices and other accounting documents or records.

Responsible for the preparation and distribution of various weekly, monthly, and quarterly vendor reports.

Fort Belvoir Community Hospital – Fort Belvoir, Virginia March 2014 – August 2015

Executive Assistant

Served as Executive Assistant to the Director of Medicine – Nurse Manager

Ran and audited reports to ensure increased patient-centered care

Drafted and distributed various correspondence to include Standard Operating Procedures (SOPs), meeting minutes, and memorandums

Conducted monthly nursing audits which involved reviewing patient charts for accurate Intake documentation from the nursing staff i.e. pain scale, screenings, past medical and social histories, etc.

Conceptualized and designed presentations for distribution to executive level military officers

Working knowledge of an Automated Computer System, Microsoft Office Suite, and knowledge of Military Health Care Systems such as AHLTA and CHCS.

Completed special assigned projects in a timely manner.

HealthNet Federal Services – Fort Belvoir, Virginia June 2011 – June 2013

Enrollment and Benefits Specialist

Counseled active duty service members and their dependents on TRICARE policies and procedures

Analyzed financial and hospital statistical data for use in reporting to HealthNet and Fort Belvoir Community Hospital

Prevented nearly $3,000 in insurance fraud through regular monitoring and research of claim discrepancies

Demonstrated expertise, and HIPAA compliance, in navigating and maintaining healthcare databases which contained a myriad of protected health information (PHI).

Utilized DEERS daily to verify Service Members and their beneficiaries’ eligibility.

Monitored Third Party forms for completeness and accuracy before submitting to claims department.

Assisted government Healthcare Specialist with research regarding beneficiaries with Medicare.

The Pediatric Group – Alexandria, Virginia October 2009 to June 2011

Medical Front Office Supervisor

Planned and coordinated the daily activities of the front office staff ensuring proper coverage at all times

Utilized AllScripts, performed various administrative tasks to include registering patients, scheduling, verifying insurance, collecting co-pays and account balances

Reconciled and prepared daily payment batches for deposit

Demonstrated ability to maintain composure and work efficiently in a fast-paced environment while following strict privacy procedures

Monitored encounters for completion and accuracy to ensure maximum collection of dollars by providing appropriate follow-up and documentation.

AFFLINK- Tuscaloosa, Alabama May 2008-September 2009

Supplier Payment Clerk

Performed vendor accounting services for 15 separate companies; compiled and sorted their documents, such as invoices and checks.

Verified and posted details of business transactions for disbursement and funds received; developed a budget spreadsheet of each transaction.

Prepared vouchers, invoices, checks, account statements, reports, and other records.

Verified the accuracy of invoices and other accounting documents or records.

Responsible for the preparation and distribution of various weekly, monthly, and quarterly vendor reports.

Education

Associate of Science, Business Administration – Northern Virginia Community College 2012 - 2015

Bachelor's in Health Care Management, The University of Birmingham Alabama-Birmingham, AL 2021-In progress

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