Monica "Michelle" Moore

Provide claims management service by utilizing resources within ORION, LINIIS and ASK LNK database, policies, WAC's to ensure claims are reviewed timely and processed to make decisions for time loss, medical treatment. protest resolve and monitor claims for return to work. Continue communications with all parties of the claim to provide efficient claim management while building positive, trusting relationships to support claimants during challenging times.

Handling the stress of a fast paced environment while provided operational coordination, supervision and guidance of 20+ employees as part of the designated Hospital Access Monitoring program for COVID-19 symptom screenings. Assigned to act as a liaison between customers and multiple medical departments for direction for scheduled appointments, medical record requests, therapy and emergency services; greeting and assisting patients and families with customer service, addressing complaints for resolution, utilizing hospital values while upholding confidentiality; maintains purchasing and procurement for adequate personal protective equipment(PPE) with continual communications including multiple agencies and departments to devise and implement safety plans; management of the staffing schedule including absence coverage; managerial duties included hiring, employee training and evaluations, team building and referrals for disciplinary actions; monitors and ensures policies and procedures are followed and adhered to for optimal performance and compliance while continually meeting deadlines.

Administration of personal and professional networks to identify, acquire and manage new clients. Home care specialist for errands, housekeeping, answering phones, file organization, confidential document management, calendar appointment coordination, scheduling management for care services, Patient care to include administration of prescribed medications and hospice support.

• Customer service answering, delegating and transferring high traffic calls accordingly, addressing and resolving inquiries, searching the database, workflow entry for payment, pay log entries, spreadsheet creation and management tracking and review, assess and process completion of licensing renewals utilizing the HSQA database/ILRS system, refer questionable license renewals to Supervisor per policies, laws and regulations, consistent tracking and communication per phone, USPS mail or email as needed to acquire deficient detail to proceed for renewals for both doctors and physician assistants and filing.

• Obtaining and expanding on procurement solicitations from a wide variety of government agencies and design firms
• These duties included accurate input of bid information into online database, Freedom of Information Requests, answering multi-line phones, resolving client inquiries and concerns, coping, faxing, building and maintaining professional relationships in both private and government sectors, audit of data input, and training of clients on our systems
• In addition, my position was responsible for the creation of internal documents using Microsoft Office Programs, scheduling telephone conferences utilizing Microsoft outlook, online research regarding upcoming bids, opening and distributing daily mail, data-entry and coding, electronic scanning of company documents for use as backup documentation, records management and retention, supply maintenance and inventory.

• Communication with staff regarding provider orders, input of orders into our system for both record and billing purposes, faxing, copying, file management, answering multi-line phones, proof reading documents, resolving issues regarding our services, creation of internal documents using Microsoft Office Programs, opening and distribution of mail, data-entry and coding, electronic scanning of documents, scheduling room and equipment use, operation of office equipment and liaison for vendor personnel.

• Served as a rehabilitation inpatient care partner within the orthopedic neurological floor
• This position included providing patient care services for post-op patients that included vital sign and glucometer checks, response to patient lights, dietary tracking, Ekg's, bladder scans, foley catheter care and removal, feeding patients with swallowing issues, 1:1 supervision for patients with psychiatric issues or care of patients with orthopedic surgeries
• Duties required interactions with patients of all ages ranging from newborn to geriatric, answering phones, filing, input of Doctor's orders, scheduling for care coordination and entry of billing codes.