Roman Moore
Greensboro,NC
Summary
Dynamic Administrative Healthcare Professional with over 10 years of experience managing diverse responsibilities in fast-paced environments. Skilled in customer service, time management, and team building, with a proven track record of enhancing patient satisfaction through effective problem-solving and relationship-building. Strong communicator with expertise in critical thinking and a commitment to staying current with industry trends and technologies to drive operational success.
Overview
13
13
years of professional experience
Work History
Office Manager
Corelife Novant Health
10.2022 - 07.2024
- Serve as the primary liaison with patients for the purpose of communicating, monitoring, documenting and evaluating patient challenges and successes while achieving and maintaining program consistency
- Communicate with patients, co-workers, administrators, and outside organizations for the purpose of providing administrative support and enhancing program awareness
- Enhances professional growth and development through participation in educational programs, current literature, in-service meetings, and workshops
- Oversees administrative staff meetings and attend other meetings, as assigned
- Responsible for personnel management in accordance with HR policies and procedures
- Ensures compliance to regulatory guidelines and the provision of quality patient care
- Maintains compliance with regulatory standards by monitoring operations and initiating changes where required
- Responsible for financial performance of the office
- Maintains expenses to ensure budget and revenue goals are met.
Patient Service Associate
Duke Health
08.2022 - 10.2022
- This role includes participation in a variety of duties associated with daily clinic preparation process, patient identification, patient check in/out, charge posting, cash management and patient appointment
- Prepare for clinic visits by reviewing next day patients and completing next day preparation activities, enter pre-visit orders and prepare new patient charts
- Obtain prior authorizations for general surgery and bariatric in-office procedures
- Check-in patient upon arrival in the practice according to established procedures; including, patient identification and verification in electronic health record and entering and editing information as Present and educate patients on required forms and obtain signature as required by policy and procedure, collect and post co-payments and balances on accounts due, copy, file and distribute insurance cards
- Coordinate all labs/procedures as requested.
Behavioral Health Advocate/ Project Coordinator
Aetna Inc.
01.2018 - 10.2021
- Utilized evidence-based decisions and advanced clinical skills to engage members via an Interdisciplinary Care Team (ICT)
- Provided expert behavioral health consultative guidance, assisting members and their families/caregivers with connections to appropriate psychiatric, medical, and psychosocial referrals and services
- Identified high-risk and co-morbid needs of members who have serious mental illness and developmental disabilities
- Identified and remove barriers to procurement, delivery, participation in and success of services.
Sr. Manager / Chat Specialist
Aetna Inc.
01.2012 - 01.2018
- Partner with designated external providers, programs and entities to address the needs, gaps in care, and recovery goals of complex and high-risk members
- Partner with internal clinical teams to coordinate a seamless transition for members from an inpatient setting to community-based services
- Assist in the development of a relevant and member-specific aftercare plan
- Comply with all policies, procedures and documentation standards in appropriate systems, tracking mechanisms and databases
- Ability to act as the privacy contact for the program, maintaining all required records, logs, and systems in compliance with Health Insurance Portability and Accountability Act (HIPAA) regulations
- Administration, coordination and functional assistance of behavioral health and medical benefits
- Processes prescription sales using the POS system
- Ability to create team environment and exhibit appropriate quality service behaviors in meeting and/or exceeding the needs of employees, customers, coworkers, and other.
Education
Master of Business Administration -
Walden University
01.2023
Bachelor of Science - Criminal Justice
Strayer University
01.2019
Skills
- Customer Service
- Time Management
- Team Building
- Effective Communication
- Problem Solving
- Relationship-building
- Critical thinking
Applications
- Microsoft Excel
- Microsoft PowerPoint
- Microsoft Outlook
- Microsoft Word
- Type 40+ WPM
Timeline
Office Manager
Corelife Novant Health
10.2022 - 07.2024
Patient Service Associate
Duke Health
08.2022 - 10.2022
Behavioral Health Advocate/ Project Coordinator
Aetna Inc.
01.2018 - 10.2021
Sr. Manager / Chat Specialist
Aetna Inc.
01.2012 - 01.2018
Master of Business Administration -
Walden University
Bachelor of Science - Criminal Justice
Strayer University
Similar Profiles
Jaleesa OsetJaleesa Oset
Nurse Practitioner at CoreLife Novant HealthNurse Practitioner at CoreLife Novant Health
Roman MooreRoman Moore
Operations Manager at Novant Health - CoreLifeOperations Manager at Novant Health - CoreLife
Rachel HesterRachel Hester
Family Nurse Practitioner at Novant Health-Employee Occupational Health and Corporate Health SolutionsFamily Nurse Practitioner at Novant Health-Employee Occupational Health and Corporate Health Solutions