Josephine Moore
Stockton,CA
Summary
Dynamic professional with extensive experience in patient registration at Robert Half Inc., excelling in HIPAA compliance and customer service. Proven ability to enhance data accuracy and streamline processes, demonstrating strong analytical thinking and effective communication skills. Committed to delivering exceptional results and fostering positive stakeholder relationships. Results-driven individual with a solid track record in delivering quality work. Known for excellent communication and teamwork abilities, with a commitment to achieving company goals and delivering exceptional service. Passionate about continuous learning and professional development.
Overview
20
20
years of professional experience
Work History
Emergency Department Patient Registration
Robert Half inc.
02.2023 - Current
- Greeting patient upon arrival at a healthcare facility
- Collecting and verifying their demographic information; insurance details, medical history
- Accurately entering this data into the electronic medical record system
- Ensuring compliance with HIPAA regulations
- Providing excellent customer service
Night auditor
Home2Suites
12.2022 - Current
- Welcoming guests by greeting, answering questions, responding to requests
- Registering guests by obtaining or confirming room requirements, verifying pre-registration, assigning rooms, obtaining information and signatures, issuing guest room keys
- Establishing credit by verifying credit cards or obtaining cash
- Directing guests to rooms
- Conveying information to guests by receiving and transmitting messages, mail, facsimiles
- Providing concierge service
- Maintaining records by entering room and guest account data
- Collecting revenue by entering services and charges and collecting payments
- Making reservations by checking availability and confirming requirements
- Printing appropriate reports
- Printing and emailing folios
- Close out procedures; batching credit cards, ensuring systems balance
Product Quality Analyst
Blue Shield of California
02.2005 - Current
- Acting as subject matter expert for portfolio cycle and custom products
- Analyzing programming requirements from portfolio cycles, custom benefit summaries, single product matrices, and self-funded benefit matrices
- Developing test scenarios for product configuration
- Performing claims system quality assurance tests
- Participating in pre/post-implementation benefit audits with third party auditing firms
- Ensure that UAT of medical benefits are complete following a standard audit process
- Identify deficiencies from audit due to human error or documentation errors
- Implement corrective actions and process improvements on areas identified as potential risks
- Responded and resolved various member, provider and employer inquiries by telephone and written correspondence
- Resolved conflicts with eligibility, benefits and authorizations
- Responding to members written correspondence received via fax, mail or through the Blue Shield website
- Researching medical claims
- Verifying member eligibility and benefits
Education
High School Diploma -
WaShoe High School
Reno, NV05-1999
Skills
- Proficient in Microsoft applications
- Patient registration
- Insurance verification
- HIPAA compliance
- Customer service
- Data entry
- Quality assurance
- Time management
- Attention to detail
- Effective communication
- Dependable and responsible
- Computer skills
- Organization and time management
- Interpersonal communication
- Facets
- JIRA
- Custom View
- Documentum
- Argus
- DOFR
- POWR
- PRCard
- OCV
- 837
- RadMD
- CPT 4
- HCPC
- ICD-9 coding
- ShieldLink
- SQL
- Business Objects
- Service Management System
- Cerner
- Support Sales, Account Management
- Customer Engagement
- Effective Stakeholder Collaboration
- Efficient Skill Development
- Analytical Thinking
References
References available upon request.
Timeline
Emergency Department Patient Registration
Robert Half inc.
02.2023 - Current
Night auditor
Home2Suites
12.2022 - Current
Product Quality Analyst
Blue Shield of California
02.2005 - Current
High School Diploma -
WaShoe High School
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