Shawntrice Moore
Inwood
Summary
Dynamic Registration Specialist at WVU Medicine with expertise in patient evaluations and claims documentation. Proven ability to enhance operational efficiency and deliver exceptional customer service. Skilled in machinery configuration and relationship building, ensuring compliance with HIPAA regulations while maintaining patient confidentiality. Committed to improving patient experiences and outcomes.
Overview
8
8
years of professional experience
Work History
Registration Specialist
WVU Medicine
Martinsburg
01.2025 - Current
- Conducted eligibility screenings for new patients according to established guidelines.
- Verified insurance coverage for incoming patients and ensured that all documents were accurate and up-to-date.
- Assisted in the management of patient information, including data entry and maintenance of medical records.
- Evaluated current practices within the department and recommended updates accordingly.
- Responded promptly to inquiries from staff members concerning patient accounts or payment issues.
- Provided excellent customer service to patients and their families regarding registration process.
- Maintained confidentiality of all protected health information as required by HIPAA regulations.
Government Customer Service Agent
Empower Ai/NCI INC.
Richmond
05.2022 - 12.2024
- As a Dual Agent I take inbound/outbound calls for a reviewer contractor for the Centers of Medicare and Medicaid Services (CMS) for the PERM program.
- During these calls I answer a variety of questions about Medicaid accounts, I research claims and provide callers with information pertaining to their claim status as well as other information they may inquire regarding their claims.
- As a Customer Service Representative, I provide excellent customer service by acknowledging concerns and showing empathy to all callers.
- I also handle post payment audits for Medicaid claims.
- We ensure the documentation is received to coincide with claims that were paid and processed.
Customer Service Agent
Maximus Federal
Chester
11.2021 - 05.2022
- Answer incoming phone calls on behalf of client; provide accurate and appropriate information to callers.
- Assist customers by researching issues, exploring answers, and providing information and alternative solutions.
- Place outbound customer service or customer satisfaction calls, as required by client.
- Complete call guides; gather and verify required information.
- Attend telephone skills and program information training sessions; adhere to established levels of service.
- Adhere to established customer service and documentation standards within required time frames.
- Adhere to contact center scheduling, ensures telephone coverage during contact center hours of operation.
- Perform clerical or administrative duties as assigned.
Dialysis Technician
Liberty Dialysis
Petersburg
03.2020 - 11.2021
- Responded promptly to emergency situations and delivered important care to stabilize patients.
- Assessed patients before, during, and after dialysis to track conditions and responses to treatment.
- Recorded treatment information, pertinent observations, and collected data into flow sheet.
- Set up, tested, and configured dialysis machinery for optimal therapies.
- Enforced facility and procedural policies to maintain safe and therapeutic environment.
- Observed patients to recognized complications and respond with appropriate interventions.
- Initiated, monitored, and discontinued hemodialysis and related patient care tasks for patients with conditions such as hypertension and fluid overload.
- Checked vitals, conducted physical examinations, and completed basic laboratory tests during routine visits.
- Educated members on disease process, medications, and positive lifestyle choices to improve wellbeing and overall health.
- Assessed acute and chronic concerns to determine root causes and develop treatment plans.
CNA
Encompass Health & Rehab
Petersburg
03.2018 - 05.2020
- Communicated with physicians, nurses, and other caregivers to exchange information about patient conditions, treatment plans, and activities.
- Worked alongside dining room personnel to ensure that patients received the correct meals and that all residents were able to eat.
- Monitored patient medications and encouraged them to take medications and nutritional supplements as prescribed.
- Supported patients with daily activities and attending to personal hygiene, transporting patients, and assisting them in walking and exercising.
- Worked with patients to assure that they participated in exercises and therapeutic activities.
- Monitored patient condition by recording vitals including blood pressure, respiration rates, and body temperature.
- Observed condition of patients by examining, including checking of existing conditions, such as open wounds or detecting blood in urine.
- Responded immediately to calls from patients for assistance or treatment and alerted medical staff to emergency situations.
- Responded appropriately to symptoms and behavior.
CNA
Right At Home Health Care
Winchester
05.2017 - 03.2018
- Supported patients with daily activities and attending to personal hygiene, transporting patients, and assisting them in walking and exercising.
- Performed light housekeeping, including cleaning patient rooms and changing sheets on beds.
Education
GED -
Millbrook High School
Winchester, VACertified Nursing Assistant -
Warren Memorial Hospital
Front Royal, VACCHT -
Nephrology Nursing Certification Commission
Richmond, VACertified Medical Assistant -
American Allied Health
04-2025
Skills
- Machinery configuration
- Patient observation
- Family education
- Emergency response
- Treatment documentation
- Condition assessment
- Laboratory testing
- Relationship building
- Prioritization
- Problem solving
- Vital signs monitoring
- Specimen collection
- Client documentation
- Patient evaluations
- Electronic charting
- Light housekeeping
- Medical equipment operation
- Mobility assistance
- Secure biohazards
- Sanitation and sterilization
- Sharps disposal
- Sitting for long periods of time
- faxing
- Multiple systems are up at a time
- HIPAA
- Detail-oriented
- Claims documentation
- Special projects
- Medical records
- Therapeutic phlebotomy
- Claims auditioning
- Medicare claims
- Medicaid/CHIP claims
- Provider verification
- Microsoft Office (all applications)
- Centers for Medicare and Medicaid Services (CMS)
- Federal government contractor
- Smerf systems (CMS systems)
- Clerical data entry
- PIV (government clearance)
- Vital signs
- Multitasking
References
References available upon request.
Timeline
Registration Specialist
WVU Medicine
01.2025 - Current
Government Customer Service Agent
Empower Ai/NCI INC.
05.2022 - 12.2024
Customer Service Agent
Maximus Federal
11.2021 - 05.2022
Dialysis Technician
Liberty Dialysis
03.2020 - 11.2021
CNA
Encompass Health & Rehab
03.2018 - 05.2020
CNA
Right At Home Health Care
05.2017 - 03.2018
GED -
Millbrook High School
Certified Nursing Assistant -
Warren Memorial Hospital
CCHT -
Nephrology Nursing Certification Commission
Certified Medical Assistant -
American Allied Health
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