Precious Moyer
Rural Hall,NC
Summary
Detail-oriented healthcare administration and insurance professional with experience in workers' compensation claims adjusting, medical billing, accounts receivable, patient coordination, and clinical documentation. Skilled in reviewing medical records, investigating claim information, coordinating with injured workers and healthcare providers, processing invoices and payments, correcting rejected claims, and maintaining accurate confidential records. Known for strong communication, organization, sound judgment, and the ability to manage multiple priorities while supporting timely, accurate outcomes.
Overview
4
4
years of professional experience
Work History
Workers' Compensation Insurance Claims Adjuster
Sentry Insurance
03.2025 - 01.2026
- Promptly received and acknowledged new medical-only workers' compensation claims and initiated timely claim handling.
- Investigated injury and illness facts to determine work-relatedness and claim compensability.
- Communicated with injured workers, employers, medical providers, and witnesses to gather information and supporting documentation.
- Reviewed medical information, monitored treatment and recovery progress, and coordinated claim action plans.
- Set medical reserves and authorized payments within established authority limits.
- Reviewed and approved medical and miscellaneous invoices for accuracy and appropriateness; identified and negotiated disputed bills.
- Maintained complete claim documentation and closed claims in accordance with company standards and applicable requirements.
Office Administrator / Insurance Billing Specialist
Delaney Hearing Center
07.2024 - 04.2025
- Managed insurance claims, payment processing, and accounts receivable activities to support timely collection of fees.
- Corrected rejected claims and resubmitted them to support accurate reimbursement.
- Tracked payments and ensured accurate posting to patient accounts.
- Responded to patient billing questions, explained payment options, and coordinated issue resolution.
- Performed administrative duties including scanning, faxing, printing, mailing, and indexing documents.
- Maintained patient confidentiality and followed healthcare regulations and office policies.
- Provided responsive customer service and supported daily office operations.
Patient Care Coordinator
Piedmont Pediatrics
07.2023 - 05.2024
- Assisted new patients with understanding and completing appropriate paperwork.
- Indexed insurance information and verified that coverage was current and active.
- Welcomed patients upon arrival, communicated arrivals to the care team, and managed patient visit expectations.
- Verified insurance coverage for each patient prior to scheduling appointments.
- Addressed patient billing inquiries by liaising with the appropriate department.
- Developed professional relationships with local healthcare providers to improve coordination of care across multiple disciplines.
Certified Nursing Assistant
Kissito Healthcare
05.2022 - 07.2023
- Assisted patients with paperwork, insurance verification, and completion of required documentation.
- Verified insurance coverage and eligibility prior to scheduling appointments.
- Welcomed patients, communicated arrivals to the care team, and managed visit expectations.
- Addressed billing inquiries by coordinating with the appropriate department.
- Documented care actions, vital signs, orders, observations, interventions, and outcomes in electronic health records.
- Updated the Point of Care EHR with current treatments, medications, and observations.
- Collaborated with physicians and registered nurses while monitoring patient conditions and reporting concerns.
Education
Bachelor of Health Administration -
Virginia Commonwealth University
Richmond, VA01-2024
Skills
- Workers' Compensation Claims
- Medical Claims Review
- Insurance Billing & Appeals
- Accounts Receivable & Payment Posting
- Patient Scheduling & Coordination
- Healthcare Administration
- Medical Record Documentation
- Customer Service & Provider Relations
- Microsoft Office
- EHR Systems
Training
- Excel Statistics Training
- Big Data 101
- Introduction to Cloud
Timeline
Workers' Compensation Insurance Claims Adjuster
Sentry Insurance
03.2025 - 01.2026
Office Administrator / Insurance Billing Specialist
Delaney Hearing Center
07.2024 - 04.2025
Patient Care Coordinator
Piedmont Pediatrics
07.2023 - 05.2024
Certified Nursing Assistant
Kissito Healthcare
05.2022 - 07.2023
Bachelor of Health Administration -
Virginia Commonwealth University