KARLA J. MOODY
Fairfield,OH
Summary
Customer service representative with expertise in medical office administration. Skilled in resolving complex billing inquiries and improving customer satisfaction through effective collaboration and problem-solving. Proven ability to enhance operational efficiency and support team objectives.
Overview
21
21
years of professional experience
Work History
Customer Service Representative
Ensemble Health Partners
Blue Ash, OH
05.2026 - Current
- Provided exceptional support to clients, resolving inquiries and issues promptly.
- Managed inbound calls for patient billing inquiries, ensuring accurate resolution and customer satisfaction
- Assisted team members with complex customer concerns, fostering collaboration and knowledge sharing.
- Utilized customer relationship management software to track interactions and feedback effectively.
Cash Posting Specialist
Ensemble Health Partners
Blue Ash, OH
06.2019 - 05.2026
- Posting remittance advices to patient accounts and posting guarantor payments in Epic System
- Matched electronic remittance advices to insurance payments in Medrx Website to facilitate timely reconciliation
- Obtained remittances from various payor sites for manual posting to patient accounts
- Ensured accuracy of daily cash sheets to maintain financial integrity
- Verifying and updating insurance information in patient accounts
- Requested bank files from payors from various payor sites
Shipping & Receiving Clerk 1
Humana
West Chester, OH
07.2018 - 04.2019
- Gathered, verified, and packed items for shipment, aligning with specifications and transportation methods to facilitate timely delivery
- Received and verified goods against shipment records, inspecting condition to ensure quality control
- Recorded, received, and shipped items, adhering to established procedures to maintain inventory accuracy
Order Entry Clerk
Humana
Springdale, OH
11.2015 - 07.2018
- Processed orders in Fairfax OEP Productions, Electronic Prescription Queue, and HIPAA Verification Queue to ensure timely and accurate fulfillment.
- Verified member information in EPOST to maintain data integrity and support effective service delivery.
- Researched inquiries using Customer Care Portal, Argus, and United States Postal Service sites to resolve customer issues and provide accurate information.
- Registered new members in Humana Web Registry to ensure access to services.
Medical Payment Poster
Source Medical
West Chester, OH
03.2015 - 08.2015
- Processed insurance and patient payments
- Managed adjustments on patient accounts to ensure accuracy and compliance
- Coordinated customer refunds for transactions to enhance satisfaction
- Reconciled cash sheet to maintain financial integrity
Customer Care Representative II
WellPoint-Anthem
Mason, OH
06.2014 - 02.2015
- Handled inbound calls from providers, members, and pharmacies to resolve inquiries and provide support
- Addressed customer inquiries through effective communication
- Processed prior authorization requests for Medicaid Division, ensuring compliance with regulations
- Updated prior authorizations on file.
Accounts Receivable/Customer Service Representative
Express Scripts Inc.
Fairfield, OH
10.2005 - 01.2014
- Managed customer accounts and processed prescription orders using Therapeutic Management Workstation, eService Delivery, Rumba, and Microsoft Excel to ensure accurate and timely order fulfillment
- Monitored customer account details for non-payments and delayed payments to identify and address irregularities
- Investigated and resolved customer inquiries to enhance satisfaction and maintain strong relationships
- Managed incoming and outgoing calls to assist customers
- Followed established procedures for processing payments
- Updated detailed customer account information
Education
Bachelor of Technical Management - Health Services Management Concentration
DeVry University
Cincinnati, OH01-2009
Associate of Applied Science - Medical Office Technology
East Central Community College
Decatur, MS01-2005
Skills
- Customer service
- Patient billing
- Customer relationship management
- Analytical skills
- Office software proficiency
- Team collaboration
- Communication skills
Timeline
Customer Service Representative
Ensemble Health Partners
05.2026 - Current
Cash Posting Specialist
Ensemble Health Partners
06.2019 - 05.2026
Shipping & Receiving Clerk 1
Humana
07.2018 - 04.2019
Order Entry Clerk
Humana
11.2015 - 07.2018
Medical Payment Poster
Source Medical
03.2015 - 08.2015
Customer Care Representative II
WellPoint-Anthem
06.2014 - 02.2015
Accounts Receivable/Customer Service Representative
Express Scripts Inc.
10.2005 - 01.2014
Bachelor of Technical Management - Health Services Management Concentration
DeVry University
Associate of Applied Science - Medical Office Technology
East Central Community College