Diamond Moses
Birmingham,AL
Summary
Experienced with patient diagnosis, treatment planning, and clinical procedures. Utilizes evidence-based practices to ensure optimal patient outcomes. Knowledge of advanced medical technologies and therapeutics.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Medical Claims Specialist
Humana
02.2022 - 04.2026
- Proven ability to analyze and troubleshoot complex medical claims issues.
- Reviewed claim submissions for accuracy, identifying discrepancies and initiating corrective actions
- Maintained records of customer interactions, transactions, comments and complaints.
- Handled escalated customer service concerns to preserve customer satisfaction and maintain long-term business relationships.
- Met or exceeded call speed, accuracy and volume benchmarks on consistent basis.
Patient Care Technician
UAB Medicine
02.2020 - 02.2022
- Utilized knowledge of medical terminology and equipment to support healthcare team in delivering quality care.
- Performed EKGs, phlebotomy, and other laboratory tests as directed by physician or RN.
- Managed multiple tasks simultaneously while maintaining attention to detail.
- Provided direct patient care and assistance to healthcare team members.
- Assisted with patient admissions, discharges and transfers.
Certified Nursing Assistant
ResCare
09.2018 - 02.2020
- Administered medications as directed by registered nurse or physician.
- Assisted patients with activities of daily living such as bathing, grooming, and dressing.
- Participated in educational programs related to nursing assistant skills development.
- Observed patients for any changes in their physical or mental condition.
Shift Manager
McDonald's
08.2016 - 09.2018
- Inspected work areas regularly for cleanliness and organization standards.
- Assisted in resolving escalated customer service issues in a timely manner.
- Managed the scheduling of staff shifts to ensure adequate coverage at all times.
- Oversaw the training of new employees on customer service, product knowledge, and cash handling techniques.
Education
High School Diploma -
Wenonah High School
Birmingham, ALSkills
- HIPAA compliance
- Vital signs monitoring
- Direct patient care
- Reliable team player
- Claims processing
- Cultural Sensitivity
- Medicare expertise
- Clinical documentation
- Insurance verification
- Phlebotomy
- CPR
- EKG/ECG administration
Certification
- Medical Assistant Cert, Fortis Institute - Graduated 2022
- Certified Nursing Assistant, Dannon Project - Graduated 2021
- Patient Care Tech, Dannon Project - Graduated 2021
Timeline
Medical Claims Specialist
Humana
02.2022 - 04.2026
Patient Care Technician
UAB Medicine
02.2020 - 02.2022
Certified Nursing Assistant
ResCare
09.2018 - 02.2020
Shift Manager
McDonald's
08.2016 - 09.2018
High School Diploma -
Wenonah High School