DEMARIO MOORE
Princeton,TX
Summary
Self-starter with strong analytical skills, adept at problem-solving and information gathering. Proven team player and leader, ensuring alignment with project goals. Excellent research capabilities, committed to accuracy and thoroughness. Demonstrated customer service excellence through timely email responses and willingness to take on additional responsibilities for professional growth.
Overview
2026
2026
years of professional experience
Work History
Credentialing Analyst
Enhabit Home Health and Hospice
Dallas Tx
2024 - Current
- Ensured compliance with regulatory standards through thorough analysis of provider credentials.
- Enhanced accuracy of credentialing documentation by coordinating primary source verification processes.
- Optimized onboarding procedures for new medical staff in collaboration with healthcare teams.
- Created and maintained databases for efficient tracking of provider credentials and expirations.
- Streamlined credentialing workflows, significantly decreasing processing time for applications.
Coinsurance Specialist/ Account Payable
Stonegate Senior Living LLC
Lewisville, TX
05.2022 - 2024
- Submit claims and follow-up with insurance carriers on unpaid or rejected claims
- Analyzing cash reconciliation on each Skill Nursing Facility building
- Submits insurance claims to clearinghouse or individual insurance companies electronically or via paper CMS 1500 form.
- Provide necessary information to collection agencies for delinquent or past due accounts.
- Enters information necessary for insurance claims such as patient, insurance ID, diagnosis and treatment codes and modifiers, and provider information. Ensures claim information is complete and accurate.
- Follow HIPAA guidelines in handling patient information
- Prepares and submits secondary claims upon processing by primary insurer.
Billing Specialist
Foremost Family Health Center
Dallas, TX
01.2021 - 05.2022
- Verified patient demographics and reviewed case information for insurance coverage.
- Ensured accurate documentation and coding of charges for patient accounts.
- Conducted eligibility checks with TMHP for Texas Women’s Health patients to confirm coverage.
- Maintained complete records in Athena to ensure compliance with regulations.
Patient Access Representative
St Francis Hospital
Monroe, LA
12.2018 - 12.2020
- Registered inpatients, outpatients, and other ER patients.
- Verified insurance coverage for patients.
- Determined when patients may be eligible for financial assistance.
- Verified work-man’s compensation patients.
- Focused on satisfying the needs of patients.
Patient Access Representative
University Health
Monroe, LA
10.2016 - 12.2018
- Completed patient registration, insurance, and benefits verification.
- Authorized referral managements and patient liability collections.
- Interviewed patients and guarantors to obtain information to screen for financial counseling.
- Verified eligibility of benefit levels and obtained treatment authorizations.
Agent
Trubridge Medical Center
Monroe, LA
07.2015 - 10.2016
- Processed insurance payments on patient’s accounts.
- Processed credit card payments on patient’s accounts.
- Verified HIPPA with patients to know their rights.
- Completed the checkout process with patients to verify they have all details from the visit in package.
- Followed up with patients to make sure they were satisfied with treatment plan within 24 hours.
Assistant Manager
World Acceptance Corporation
Monroe, LA
07.2013 - 07.2015
- Utilized marketing strategies to increase revenue.
- Transported money and deposits to/from the bank.
- Assisted in preparing weekly progress reports.
- Signed checks for loans, branch expenses, and money remittances.
- Assisted in closing current renewal loans to meet standard goals.
- Ensured high quality scores by following policy and procedures.
Property Manager
Sunquest Properties
Monroe, LA
06.2009 - 07.2013
- Completed weekly reports.
- Performed monthly inspections.
- Managed weekly work orders.
- Collected tenant rental payments.
- Closed leases on rental properties.
Education
Medical Billing and Coding Certificate - undefined
DeVry University
Downers Grove, IL11.2018
Bachelor of Science - Business Admin.
Northwestern State University
Natchitoches, LA12.2008
Skills
- Proficient in office applications
- Expertise in marketing platforms
- Initiative and self-driven
- Data analytics skills
- Finance and billing experience
- Loan and mortgage expertise
- Collaborative team player
- Ability to multitask
- Experience with monthly closings
Timeline
Coinsurance Specialist/ Account Payable
Stonegate Senior Living LLC
05.2022 - 2024
Billing Specialist
Foremost Family Health Center
01.2021 - 05.2022
Patient Access Representative
St Francis Hospital
12.2018 - 12.2020
Patient Access Representative
University Health
10.2016 - 12.2018
Agent
Trubridge Medical Center
07.2015 - 10.2016
Assistant Manager
World Acceptance Corporation
07.2013 - 07.2015
Property Manager
Sunquest Properties
06.2009 - 07.2013
Medical Billing and Coding Certificate - undefined
DeVry University
Bachelor of Science - Business Admin.
Northwestern State University
Credentialing Analyst
Enhabit Home Health and Hospice
2024 - Current