Summary
Overview
Work History
Education
Skills
Timeline
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Lakesha Moore

Cordova,TN

Summary

High performing professional with over 10 years’ experience in healthcare including: Licensed practical nursing, claims processing, insurance verification and billing, and administrative duties. Thrives in a fast-paced setting, leveraging skills in time management, attention to detail with accuracy, leadership, and decision-making to drive results.

Overview

12
12
years of professional experience

Work History

Case Builder

Maximus / Veteran Evaluation Services
2023.07 - Current

• Read and comprehend the exam request sent by the VA, and process accordingly

• Draft and submit clarification inquiries to the VA to better understand the information contained, or resolve any inconsistencies that exist, within the exam request

• Enter information into the software for the doctor to be able to utilize during and after the appointment

• Ensure providers have the necessary documentation and medical records to properly evaluate Veterans

• Research medical conditions and new information when necessary

• Identify and include all relevant worksheets and diagnostics requested by the VA

• Communicate with other departments to share relevant information when necessary to best complete the case

Licensed Practical Nurse

Heritage at Irene Woods
2021.07 - 2023.03
  • Improved patient outcomes by administering medications, monitoring vital signs, and documenting relevant information.
  • Assisted with admissions, appointments, transfers, and discharges.
  • Collaborated with interdisciplinary healthcare teams to ensure continuous quality improvement in patient care delivery.
  • Documented accurate and complete patient information to address patient problems and expected outcomes.
  • Facilitated efficient communication between patients, families, and healthcare providers to promote continuity of care across settings.

Licensed Practical Nurse

Delta T Group
2022.01 - 2022.08
  • Investigated reported COVID-19 cases by interviewing 50+ infected individuals daily via phone to determine likely source of illness, close contacts, and potential for outbreak
  • Collected and recorded sensitive data into EHR systems with 95% accuracy out of 87% passing quality
  • Educated contacts with regulated information on isolation and quarantine procedures
  • Trained new employees on employee guidelines, processes, and 3 different systems to ensure a successful onboarding experience.

Eligibility Specialist

Cigna Healthcare
2021.04 - 2021.12
  • Contacted benefit providers via phone and email for insurance verification regarding policy benefits and limitations for medical and pharmacy coverage
  • Reviewed and determined appropriate ICD-10 and ICD-9 Coding for Rx processing
  • Provided exceptional customer service through prompt response times, clear communication channels, and diligent follow-up practices.
  • Established trust with clients by consistently demonstrating empathy, professionalism, and a commitment to their wellbeing.

Specialist II/Customer Service Representative

ALSAC/St. Jude Children's Research Hospital
2012.04 - 2019.04
  • Built and developed relationships and provided support to volunteer coordinators and donors through various communication channels, including 75-100 inbound/outbound phone calls daily, email, chat, and social media
  • Utilized in-depth knowledge of fundraising programs, online fundraising portals, customer service skills with a high degree of concentration to effectively and efficiently resolve problems, answer questions, and exceed donor needs
  • Negotiated and re-established commitment of donors as needed, including ensuring completion of scheduled fundraising events
  • Raised over $750,000 in completed event revenue for St. Jude
  • Assisted with marketing research by completing special projects, as necessary
  • Use of DMS, Microsoft Access, Microsoft Office Outlook, Microsoft Word and Excel

Education

Diploma - Practical Nursing

Tennessee College of Applied Technology
Memphis, TN
08.2020

Skills

  • Critical Thinking
  • Time Management.
  • Leadership
  • Teamwork and Collaboration
  • Excellent Communication
  • Microsoft Office/Excel/Access
  • Data Entry (50 WPM)

Timeline

Case Builder

Maximus / Veteran Evaluation Services
2023.07 - Current

Licensed Practical Nurse

Delta T Group
2022.01 - 2022.08

Licensed Practical Nurse

Heritage at Irene Woods
2021.07 - 2023.03

Eligibility Specialist

Cigna Healthcare
2021.04 - 2021.12

Specialist II/Customer Service Representative

ALSAC/St. Jude Children's Research Hospital
2012.04 - 2019.04

Diploma - Practical Nursing

Tennessee College of Applied Technology
Lakesha Moore