Joseph Moore

• Make outbound calls.
• Inbound call depending on department needs.
• Using computer skills for data entry.
• Gathering and reviewing patient billing and medical information.
• Analyze complex problems or scenarios and provide expert solutions.
• Operating according to the guidelines of the Federal Health Care Program.
• Work with other team members or departments to provide insights and expertise as needed.
• Working with carriers to ensure coverage of medication on behalf of the patient

• Salary: 47,000.00 USD Per Year
• Hours per week: 40
• Duties and Related Skills:
• Program Manager, Subject Matter Expert, PERS-95 Medical Retention and Review.
• Responsible for managing and tracking, on average, 2000+ (annually) Medical Retention Review cases for Navy Reserve Officers and Enlisted personnel.
• Advised BUMED, NAVY RESERVES FORCE COMMAND, PERS 9 on Physical Risk Classification/Medical retention for Officer and Enlisted personnel.
• Reviewed medical record submissions for completeness and made recommendations to physicians based on findings.
• Received and resolved inquiries, complaints, and grievances from service members with their medical status, medical benefits, and early medical retirement request.
• Analyzed MEDHOLD / Medical Evaluation and Line of Duty requests to determine eligibility to retain Reserve Component members with chronic medical conditions on active duty status for continuation of care.
• Advised PERS 95 applying laws and regulations concerning benefits, separations, and entitlements as they pertain to enlisted, officer, reserve, active, and retired military members.
• Unsurpassed Customer Service relation with Medical Department Representatives (to include “mentoring”) and service members by utilizing extensive knowledge of military personnel rules and regulations.
• Received, processed, and tracked separations and retirement requests through PERS 91.
• Advised PERS 9 on accession and retention standards for Active Duty and Reserve personnel, and Inactive Ready Reserve personnel.
• Provided training to Reserve Command Components through briefs and on the job training to include each individual Naval Operational Support Center administrative personnel and medical department representatives.

• Salary: 60,000.00 USD Per Year
• Hours per week: 50
• Duties, Accomplishments and Related Skills:
• Subject matter expert for physical review and medical waivers. Sought out for extensive medical knowledge by senior personnel. Processed over 2700 medical waivers per year.
• Health Benefits Advisor (HBA) for Navy Recruiting Command. Assisted Recruiters and their family members with billing and coding issues, health benefits, and locating health care.
• Supervised (5 military and 2 civilians) personnel to include evaluation writing and established performance standards for civilian personnel.
• Customer Service Contact Representative.
• Created and prepared lesson plans and power point presentations, prepared briefs, and presented training pertaining for Navy Recruiting Command medical waivers policy and procedures onsite at many Recruiting Districts and NORU.
• Provided statistical analysis from Medical waivers (N3M) for Navy Recruiters.
• Retrieved data from various information sources, both manual and electronic for use in answering questions, responding to correspondence, or preparing reports for briefings. Forwards cases to the appropriate action officer for final review and decision.
• Assisted Inspector General with needed information for inquiries from Senators, Congress, and the White House.
• Ability to interpret and apply rules and regulations pertaining to correspondence and government directives in order to process written request.
• Excellent customer service skills
• Ability to review and analyze records.
• Responsible for training of over 300 officer and enlisted Navy recruiters Navy-wide resulting in direct increased understanding of Officer submission processes, policy, and procedures for medical waivers.

• Salary: 50,000.00 USD Per Year
• Hours per week: 80
• Duties, Accomplishments and Related Skills:
• Worked independently (onboard a ship) of a physician and made difficult medical decisions in stressful situations.
• Extensive knowledge of all facets of health care serving as a Non-Physician health care provider, Primary Care Manager.
• Supervised a crew of 240 Sailors and maintained their health care, morale, and well being.
• Health Benefits Adviser (HBA) for crew.
• Patient Contact/Customer Service Representative..
• Maintained and managed occupational health programs such as Heat Stress, Respiratory Protection, Sight Conservation, Asbestos Medical Surveillance, and waste water management.
• Achieved "zero deficiency" results on all Quality Assurance/Occupational Health programs and records during 2003 through 2005 audits.