Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic
Simone Moultrie-Adams

Simone Moultrie-Adams

Decatur,MI

Summary

Enthusiastic about helping patients get necessary medical support by obtaining authorizations, scheduling procedures and coordinating paperwork. Detail-oriented and proactive with good relationship-building skills, a hardworking nature and an adaptable approach. Proficient in software systems Epic & CRM

Overview

13
13
years of professional experience
1
1
Certification

Work History

Customer Service Representative

Capital Rx
10.2022 - Current
  • Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
  • Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
  • Streamlined virtual support process for increased efficiency and improved response times.
  • Contributed to company growth by consistently meeting or exceeding performance benchmarks in key metrics.
  • Handled escalated issues skillfully, de-escalating situations and finding resolutions that satisfied both customer and company.

Indexer

Piedmont Hospital Atlanta
08.2022 - Current

Enhanced indexing efficiency by meticulously analyzing and organizing documents for easy retrieval.

  • Increased accuracy in indexing by thoroughly reviewing and editing entries before final submission.
  • Streamlined the indexing process with the use of advanced technology and software tools to improve productivity.
  • Classified files based on source, type or other details.
  • Identified and resolved filing discrepancies.
  • Indexed 85+ accounts daily
  • Trained new team members on proper indexing techniques, enhancing their overall skills and performance levels.

Medicare Representative

Humana
09.2021 - 10.2022
  • Documented all interactions accurately in CRM systems, maintaining transparency within the organization regarding case status updates.
  • Streamlined claim processing for quicker reimbursements, diligently reviewing submitted documentation.
  • Maintained strong working knowledge of Medicare regulations, ensuring accurate information dissemination to clients.
  • Consistently achieved performance metrics, contributing to the overall success of the department.

Patient Access Representative

Hollis Cobb Associates
07.2017 - 04.2020
  • Facilitated smooth billing processes by verifying insurance eligibility, obtaining authorizations, and accurately entering claim details into system.
  • Developed proficiency in various healthcare software programs for accurate documentation of patient encounters and streamlined workflows within department.
  • Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
  • Verified patient insurance eligibility and entered patient information into system.
  • Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
  • Trained new hires on department procedures, policies, and software systems, ensuring consistent quality service delivery from all team members.

PAR II

Cedar Sinai Medical Center
08.2011 - 07.2017
  • Skilled at working independently and collaboratively in team environment.
  • Excellent communication skills, both verbal and written.
  • Improved accuracy in documentation by diligently reviewing and verifying patient insurance information, demographics, and medical history.
  • Obtained payments from patients and scanned identification and insurance cards.
  • Insurance verification, TPL Screening, MediCal / MediCare eligibility screening, securing cash deposits ( co-pays, deductibles, cash packages)
  • Skilled at working independently and collaboratively in a team environment.
  • Worked effectively in fast-paced environments.

Education

Associate of Science - Health Information Technology

Georgia State University
Atlanta, GA
06.2025

Skills

    • Medicare Knowledge
    • Data Entry Proficiency
    • Computer Literacy
    • CRM Software
    • Salesforce CRM
    • Insurance Verification
      • Patient Registration
      • Medical Admissions Processes
      • EHR Software
      • Patient Eligibility Requirements
      • Patient Interviewing

Certification

Certified Professional Coder - AAPC

Certified Patient Accounts Rep - HFMA

Certified Healthcare Access Associate - NAHAM

Timeline

Customer Service Representative

Capital Rx
10.2022 - Current

Indexer

Piedmont Hospital Atlanta
08.2022 - Current

Medicare Representative

Humana
09.2021 - 10.2022

Patient Access Representative

Hollis Cobb Associates
07.2017 - 04.2020

PAR II

Cedar Sinai Medical Center
08.2011 - 07.2017

Associate of Science - Health Information Technology

Georgia State University
Simone Moultrie-Adams