Dawn D. Moore
Parkville,Md.
Summary
Dynamic and results-oriented professional with a strong foundation in [specific field or industry], combining practical experience with academic knowledge. Proven ability to leverage skills in [specific skills or areas of expertise] to drive organizational success and promote personal growth. Committed to contributing effectively to team objectives while actively pursuing opportunities for professional development. Eager to collaborate in a challenging environment that values innovation and excellence.
Overview
23
23
years of professional experience
Work History
Accounts Receivable Specialist
Mercy Medical Center
09.2011 - Current
- Receive, review and process all applications in compliance grant funding from patients requesting financial assistance for Health care bills in a timely manner according to federal guidelines
- Demonstrate interpretation and accuracy in providing information to the patient about receiving grant funding
- Respond to all billing inquiries in the customer Call Center environment
- Orally communicate open balance due or explain process & procedures in how the pt. can get financial assistance to resolve their billing; offer payment plans; document all actions or discussions made on every call.
- Performs follow-up and resolution for issues by communication both electronically and paper for Professional\ And Facility billing
- Respond to all Attorney Requests (for hospital billing stmts) for litigation purposes.
Provider/Member Specialist
Aero-Tek
01.2010 - 08.2010
- Acted as liaison for Advantage plan and the facility provider in communication of various coding issues for Resolution of claim being paid.
- Provided Medicare Advantage plan information to inquiries for the purpose of enrollment, or claims payment
- Provided Administrative support to claims dept through investigation and timely completion of insurance
- Corrections of rejected claims and follow-ups on client telephone inquiries
- Researched and documented all issues pertaining to the claims dept for reconsideration of payment on a claim
- Provided member’s information on requirements of particular medications that covered on their plan
Customer Service Specialist
Computer Science Corp.
06.2007 - 10.2008
- Effectively communicate new policy to Medicare Prescription plan enrollees and members according to
- Medicare guidelines for the prescription plan benefits and eligibility in a timely manner
- Interacted with Providers and beneficiaries providing solutions for pending claim issues
- Adhered to HIPPA Guidelines with all inquiries pertaining to beneficiary accounts
- Documented all calls and notated changes given by the member as it pertained to their account along with A resolution
- Communicated to Govt. agencies for correction and discrepancy purposes
Receptionist
Comcast Cablevision
08.2004 - 06.2007
- Greeted all visitors in main Lobby area
- Managed main switchboard directing all calls to proper department
- Coordinated switchboard coverage and provided training
- Effectively communicated all elevated customer service grievance issues to appropriate staffing for resolution
- Managed all incoming and outgoing mail
- Provided administrative support Human Resources for recruiting and benefits purposes
- Maintained employee directory
- Coordinated company blood drives (bi-annually)
Communications Assistant
AT&T Maryland Relay
01.2004 - 07.2004
- Translated all communications via inbound call center for the Hearing and Speech impaired in a timely manner
- Analyzed departmental workflow and develop process and procedural improvements
Administrative Specialist
Colin Services
03.2003 - 01.2004
- Provided HR admin support to General Manager
- Intake process of applications, performed employment background investigations
- Reviewed and input hiring documents onto database
- Processed employee-id cards and folders
- Processed weekly payroll
Education
High School Diploma -
Northeast High School
Pasadena, Md.01.1982
Skills
Over 15 years in administrative support
Timeline
Accounts Receivable Specialist
Mercy Medical Center
09.2011 - Current
Provider/Member Specialist
Aero-Tek
01.2010 - 08.2010
Customer Service Specialist
Computer Science Corp.
06.2007 - 10.2008
Receptionist
Comcast Cablevision
08.2004 - 06.2007
Communications Assistant
AT&T Maryland Relay
01.2004 - 07.2004
Administrative Specialist
Colin Services
03.2003 - 01.2004
High School Diploma -
Northeast High School
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