Caroline Moore
Summary
Motivated Medical Office Specialist with background supporting patient medical needs by verifying insurance, scheduling appointments, and organizing documents. Forward-thinking and resourceful with good interpersonal skills, strong attention to detail and upbeat mentality. Advanced abilities in healthcare billing and scheduling software.
Overview
6
6
years of professional experience
Work History
Patient Service Specialist
KORT Physical Therapy
Louisville, KY
02.2023 - Current
- Ensured all required documentation was completed accurately before submitting claims.
- Processed payments from patients, including cash, check, or credit card transactions.
- Educated patients on available payment plans and financial assistance options.
- Scheduled appointments and managed patient records using electronic health record software.
- Verified patient coverage prior to appointment scheduling.
- Collected co-pays at time of visit according to office policy.
- Identified trends in denials or rejections of claims and worked to resolve them quickly.
- Assisted in resolving billing disputes between providers and insurance companies and patients.
- Created weekly reports summarizing activity within the department.
- Accessed patient information through various software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
- Obtained insurance verification and authorization to submit financial clearance of patient accounts.
Medical Receptionist/VEVC
UofL Physicians, Neurosurgery
Louisville, KY
05.2021 - 02.2023
- Checked patients in and out for appointments and collected co-payments.
- Greeted and checked in patients, updating patient information in computer system.
- Prepared charts for new patients, ensuring all necessary forms were completed correctly.
- Photocopied insurance cards, documented details and verified patient coverage for upcoming procedures or appointments.
- Carried out daily tasks by professionally communicating with physicians, nursing staff, technicians and medical assistants.
- Answered multi-line phone system and directed callers to requested personnel and departments.
- Assisted with filing of medical records and documents, maintaining accurate electronic files.
- Processed referrals for specialist care when requested by physicians or patients.
- Trained new staff on office procedures, insurance processes and medical terminology.
- Performed bookkeeping duties, preparing and sending financial statements or bills.
Guest Service Representative
Robert Half Office Team (Contract Position)
Louisville, KY
07.2019 - 05.2021
- Input customer data.
- Identified issues and established facts to produce practical decisions and solutions.
- Delivered exceptional service to every customer through active engagement, effective listening and well-developed interpersonal skills.
- Answered multi-line telephone with polite tone of voice to provide general information and answer inquiries.
- Maintained client accounts by obtaining, recording and updating personal and financial information.
Data Entry Associate
Randstad (Contract Position)
Louisville, KY
03.2020 - 10.2020
- Utilized knowledge of various computer programs such as Microsoft Word, Excel, Access.
- Generated reports from various software applications for management review.
- Identified trends in customer inquiries to improve processes or services offered.
- Uploaded and maintained digital records accurately.
- Processed large volumes of data quickly, accurately, and efficiently.
- Reviewed, corrected or deleted data, verifying customer and account information.
- Verified confidential or private client information in adherence to state and federal laws.
- Proofread and edited documents to correct errors.
Benefit Verification Specialist
Pionear Recruiting
Louisville, KY
11.2019 - 02.2020
- Adhered to HIPAA regulations when handling confidential patient information.
- Reviewed and verified eligibility of patients for benefits coverage.
- Responded promptly and accurately to inquiries from patients, healthcare providers, and insurance companies via phone or email.
- Provided detailed information about insurance plans and benefits to health care providers, patients, and staff members.
- Initiated contact with insurance companies as necessary to obtain additional information needed for verification purposes.
- Researched discrepancies between patient records and insurance company records.
- Analyzed customer accounts to determine if they met the requirements for specific benefits packages.
- Mastered state and Federal benefit laws Including ERISA, FMLA, COBRA, HIPPA and 401k administration.
Substitute Teacher/Pre K ECE IA
Jefferson County Public Schools
Louisville, KY
12.2017 - 06.2019
- Implemented lesson plans assigned by classroom teacher to educate students about key concepts.
- Created an environment conducive to learning while managing challenging behaviors.
- Supported special needs students by providing individual instruction as needed.
- Maintained accurate records of student performance, attendance, and behavior.
- Organized lesson plans and activities for students.
- Adapted teaching methods to accommodate diverse learning styles.
- Participated in professional development programs related to education topics.
- Utilized outlined grading procedures and assessment strategies to document and report on student growth, development and understanding.
Education
Exercise Science
University of Louisville
Louisville, KYMBA -
University of Louisville
Louisville, KYSkills
- Insurance Verification
- Appointment Scheduling
- Medical Billing
- Eligibility Determination
- HIPAA Compliance
- Medical Insurance
- Payment Collection
- Medical Terminology Knowledge
- Office Administration
Timeline
Patient Service Specialist
KORT Physical Therapy
02.2023 - Current
Medical Receptionist/VEVC
UofL Physicians, Neurosurgery
05.2021 - 02.2023
Data Entry Associate
Randstad (Contract Position)
03.2020 - 10.2020
Benefit Verification Specialist
Pionear Recruiting
11.2019 - 02.2020
Guest Service Representative
Robert Half Office Team (Contract Position)
07.2019 - 05.2021
Substitute Teacher/Pre K ECE IA
Jefferson County Public Schools
12.2017 - 06.2019
Exercise Science
University of Louisville
MBA -
University of Louisville
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