Insurance Verification - Customer Care - Delivery & Logistics
Resume:
RosaMya Moreno
Mesa, AZ *****
*************@*****.***
Authorized to work in the US for any employer
Work Experience
COB enrollment specialist
CVS CAREMAK-Phoenix, AZ
February 2024 to Present
• Verified medical insurance coverage for patients, ensuring accurate and up-to-date information
• Reviewed insurance policies and claims to determine eligibility and coverage limits
• Contacted insurance companies to obtain pre-authorization for medical procedures and treatments
• Resolved billing discrepancies by coordinating with insurance providers and healthcare facilities
• Maintained detailed records of insurance verifications, including policy numbers, deductibles, and co- pays
• Performed regular data quality checks to identify and correct errors, maintaining a clean and reliable database
• Maintained confidentiality of sensitive information by adhering to strict security protocols and procedures
Delivery Driver/Warehouse
Amazon-Phoenix, AZ
Contract 1099 employee
Pickup and deliver various orders
Delivery Driver/Warehouse Worker
Amazon-Phoenix, AZ
February 2020 to February 2025
• Delivered packages and goods to customers in a timely and efficient manner
• Maintained accurate records of deliveries, including time of delivery, recipient's name, and any special instructions
• Ensured the safe handling and transportation of fragile or perishable items
• Provided excellent customer service by addressing inquiries and concerns promptly and professionally
• Resolved delivery issues or discrepancies in a timely manner to ensure customer satisfaction
• Maintained accurate inventory records by conducting regular cycle counts and reconciling discrepancies
• Picked and packed orders with high attention to detail, ensuring accuracy in product selection and packaging
• Utilized computer systems to track inventory levels, update stock locations, and generate shipping labels
Customer Care Coordinator
Magellan Health-Phoenix, AZ
January 2019 to February 2022
Verify Member Information
Address Preauthorization Status
Outbound Calls to Providers, Facilities, and Members Administration and business operations
Courier
Quicksilver courier express-Phoenix, AZ
March 2017 to January 2019
Loaded and unloaded packages from vehicle
Completed and submitted all necessary logs and paperwork on a daily basis Fostered positive working relationships with customers by responding to their questions and concerns Obeyed traffic laws and followed established traffic and transportation procedures Attended and participated in training to remain aware of current trends, advancements, best practices in safe driving, and the safe handling of heavy loads Meeting deadlines on all route deliveries.
Worked closely with corporate dispatch with attention to detail on all service orders Handled sensitive lab and hospital materials delivered to and from locations Prior Authorization Coordinator
Iasis healthcare
January 2016 to February 2017
Verify Member Eligibility / Benefits
Process Medical Authorization Request
Answer Multiple Phone Lines
Address Calls / Messages Promptly
Administration and business operations
Senior PFS registration rep
Banner Health-Phoenix, AZ
July 2012 to January 2016
Patient Registration (Inpatient, Outpatient, ER, OB) Authorization Coordinator
Insurance Verification / Referral Updates
Check In / Out Patients
Answer Multiple Phone Lines
Address Calls / Messages Promptly
Route Patients and Calls Appropriately
Account/Debt Collections
Administration and business operations
Education
Healthcare Administration (Associate's degree)
College of America-Phoenix, AZ
January 2012 to June 2014
Medical assistant (Certification)
Apollo College
August 2004 to July 2005
High school (High school diploma)
Higley High School
August 2000 to May 2004
Skills
Project timeline management Medical Terminology State-specific medical credentialing regulations Load & Unload Information management Analytical thinking Customer service Data entry Quality control Typing Google Sheets Attention to detail Front desk Google Drive Data entry in Excel Microsoft Access Surgery Documentation review Desktop administration Windows Grammar Experience Records management Adobe Acrobat Microsoft Outlook Calendar Microsoft Office EMR Systems Medical Records Insurance Verification Computer Skills Courier Filing EMR/EHR Data collection Analysis skills Medical credentialing Google Docs Customer communication Medical claims processing Computer networking Medical Office Experience Appointment scheduling Progress tracking (project management tasks) Cash handling Conflict management Financial services NCQA standards Medical billing ICD-9 Databases First aid Salesforce Accounts receivable HIPAA Accounting Microsoft Excel Order Picking Phone communication Administrative experience Customer acquisition Customer inquiry handling Transcription Cross-functional communication Computer literacy Basic math Office activity coordination Office management Document management Multi-line phone systems Database software proficiency Compliance QuickBooks Ambulatory surgery center experience Research Clinic experience Client interaction via phone calls Accounting systems Database management Quality assurance 10 key typing Medicare Cashiering Epic Medical records Computer operation Clerical experience Medical administrative support Insurance prior authorization Written communication Organizational skills Medical terminology Medical Scheduling Hospital experience EMR systems Supervising experience Administration and Business Operations Driving Leadership Time management Delivery Driver Experience Account management Technical Proficiency Customer support Microsoft Word Excel data analysis Ethernet Negotiation Schedule management Microsoft Outlook Regulatory reporting Warehouse Experience Certifications and Licenses
First Aid Certification
CPR Certification
Medical Billing Certification
Medical Coding Certification
Driver's License
Class D
Certified Medical Assistant
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