Charnica Moorer
Florence,SC
Summary
Proven Care Management Associate at CVS Caremark, adept in policy compliance and enhancing patient care through effective discharge planning. Demonstrated ability to exceed service standards, ensuring HIPAA compliance while fostering empathetic client relationships. Achieved significant improvements in progress monitoring and client assessment, contributing to a dynamic healthcare environment.
Overview
12
12
years of professional experience
Work History
Care Management Associate
CVS Caremark
02.2024 - Current
- Coordinated referrals to specialists, hospitalizations, ER visits, ancillary testing, and other enabling services for patients.
- Worked with providers to define quality metrics and outcome reporting process.
- Interpreted regulations to identify patient care requirement criteria to be monitored and establish systems to achieve compliance.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Performed various administrative tasks by filing, copying and faxing documents.
- Registered and verified patient records before triage with most up-to-date information.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
Admitting Registrar
McLeod Regional Medical Center
05.2023 - 02.2024
- Handled admission processes and discharge procedures to transfer patients from hospital to home care, extended facility and self-care plans.
- Verified patient details and insurance coverage and collected co-pays.
- Arranged forms and charts for each patient.
- Calculated collectible amount due for procedures.
- Registered patients for labs, surgeries and radiology.
- Provided professional services and support in a dynamic work environment.
- Excellent communication skills, both verbal and written.
- Upheld HIPAA regulations and standards for protecting patient information.
- Performed regular quality and validation assessments on patient data to verify accuracy.
- Catalogued patient data in clinical databases and registries according to regulatory practices.
- Generated medical reports on patient admissions, treatment and discharge for disbursement to various departments.
Insurance Follow-Up Specialist
Annuity Health
06.2022 - 06.2023
- Developed highly empathetic client relationships and earned reputation for exceeding service standard goals.
- Enhanced productivity levels by anticipating needs and delivering outstanding support.
- Exhibited high energy and professionalism when dealing with clients and staff.
- Responded to customer requests, offering excellent support and tailored recommendations to address needs.
Office Specialist
Advanced Health Care Solutions,LLC
09.2019 - 06.2022
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Responded to inquiries from callers seeking information.
- Provided clerical support to company employees by copying, faxing, and filing documents.
- Prepared and edited documents to produce precise, accurate and professional communication.
- Coordinated and scheduled meetings and appointments.
- Reviewed files, records and other documents to obtain information to respond to requests.
- Purchased and maintained office supplies.
Patient Account Representative
Hope HealthCare Services
05.2013 - 09.2019
- Utilized computer programs to create invoices, letters, and other documents.
- Prepared reports detailing billing actions, flags, and other key information.
- Posted payments and processed refunds.
- Worked with outside entities to resolve issues with billing, claims, and payments.
- Reconciled statements with patient records.
- Contacted patients after insurance was calculated to obtain payments.
- Responded to customer inquiries and provided detailed account information.
Education
High School Diploma -
Wilson Senior High School
Florence, SC06-1998
Skills
- Policy compliance
- Progress monitoring
- Client assessment
- Healthcare
- Budgeting and finance
- HIPAA compliance
- Discharge planning
Timeline
Care Management Associate
CVS Caremark
02.2024 - Current
Admitting Registrar
McLeod Regional Medical Center
05.2023 - 02.2024
Insurance Follow-Up Specialist
Annuity Health
06.2022 - 06.2023
Office Specialist
Advanced Health Care Solutions,LLC
09.2019 - 06.2022
Patient Account Representative
Hope HealthCare Services
05.2013 - 09.2019
High School Diploma -
Wilson Senior High School
Similar Profiles
Cheri GianakosCheri Gianakos
Senior Product Development Manager at Aetna Healthcare, a CVS Caremark Co.Senior Product Development Manager at Aetna Healthcare, a CVS Caremark Co.
Liana BrownLiana Brown
Customer Service Representative at CVS CaremarkCustomer Service Representative at CVS Caremark
Ankita PatelAnkita Patel
Pharmacy Technician at CVS/caremarkPharmacy Technician at CVS/caremark