Summary
Overview
Work History
Education
Skills
Certification
Assessments
Timeline
Generic

Tyhesia Moore

Merrillville,IN

Summary

Passionate about improving the quality of people's lifestyles through unsurpassed care and service, eager to leverage experience and studies of communication to empower customers within a people-driven organization to achieve their goals. Keen eye for detail and strong organizational skills dedicated to evaluating patient needs and progression, adapting plans as necessary to facilitate enhanced health and growth. Excels at establishing priorities and meeting challenges head-on, while also possessing exceptional listening and time management abilities. Level-headed professional remains calm and effective in extremely difficult and stressful situations.

Overview

14
14
years of professional experience
1
1
Certification

Work History

Denial Specialist

Edgewater Health-Gary, IN
06.2017 - Current
  • Identify trends in denials and implement measure
  • Create and maintain the Medicaid portal accounts for provider profiles throughout Edgewater health system
  • Correct and resubmit claims via electronic filing
  • Directly communicate with senior management to address claim issues
  • Work daily electronic billing file and submits insurance claims to third party payers
  • Review daily edit reports from the billing system and makes necessary corrections to allow electronic submission
  • Review error reports from electronic payers; identifies errors and makes appropriate corrections to ensure accurate claim submission
  • Review Payer status reports and ensure all claims have been accepted at the payer site
  • Process re-bills as requested by collectors.

Property Manager

Birchwood Apartment
04.2017 - 06.2020
  • Responsible for performing timely and accurate rent calculations for current or prospective clients with a Housing Assistance Payment (HAP) contract
  • Responsible for collecting and reviewing Housing Assistance Payment (HAP) documentation to determine its accuracy for program eligibility
  • Responsible for responding to any inquiries and resolving any calculation problems in a timely and efficient manner and consults with his/her supervisor, when needed
  • Fills in for other program staff, as needed
  • Works collaboratively with other Program staff and landlords to resolve any rent calculation issues
  • Knows and complies with the laws and regulations relevant to the position and services.

Medical Assistant/ Medical Receptionist

Internal Medicine-Gary, IN
04.2014 - 06.2017
  • Welcome patients and visitors by greeting patients in office or by telephone
  • Obtain revenue by recording and updating financial information
  • Maintain business office inventory and equipment by checking stock to determine inventory level
  • Help patients in distress by responding to emergencies immediately
  • Keep Patients appointments on schedule by notifying physicians of patient arrival.

Customer Service Representative

New Asurion (DIRECTV)
01.2014 - 02.2015
  • Operates computerized systems to record data, make corrections or complete required follow up
  • Applies company technical support policies and procedures to resolve routine issue
  • Sell our service and features to meet defined sales objectives/goals.

Medicaid Eligibility Specialist

Randstad (Maximus)-Chicago, IL
12.2012 - 12.2013
  • Initiate written correspondence and make outbound calls to liens to clarify obtain additional information
  • Utilizing knowledge understanding of state policies, and Medicaid programs while completing reviews of assign case within the required timeframes
  • Responding to phone calls, written and electronic inquires within required time frame.

Medical Assistant

Seby Medical Center-Chicago, IL
05.2010 - 12.2012
  • Room patients, gather vital signs, record medical history/symptoms /reason for visit for physicians
  • Confer with patient to explain treatment procedures, calm fears, gain cooperation
  • Prepare patients for examination; assist physicians with examination as needed
  • Follow standard patient identification procedures, process insurance claims, and backup's front desk
  • Process patient's payments through electronic records.

Education

Skills

  • Medical Receptionist
  • Property Management
  • EMR Systems
  • Insurance Verification
  • Medical Scheduling
  • Medical Billing
  • Medical Office Experience
  • Medical Records
  • HIPAA
  • Vital Signs
  • Technical Support
  • Phone Etiquette
  • Laboratory Experience
  • Accounting
  • Patient Care
  • Cold Calling
  • Data Entry
  • Front Desk
  • Medical Terminology
  • Medical Coding
  • Epic
  • Property Leasing
  • Transcription
  • Customer service
  • Computer skills
  • English
  • Filing
  • Clerical experience
  • Organizational skills
  • ICD coding

Certification

  • CPR Certification
  • Certified Medical Assistant

Assessments

  • Customer service, Proficient, 08/01/20, Identifying and resolving common customer issues
  • Sales skills, Proficient, 08/01/20, Influencing and negotiating with customers
  • Call center customer service, Proficient, 12/01/22, Demonstrating customer service skills in a call center setting
  • Work style: Conscientiousness, Proficient, 11/01/22, Tendency to be well-organized, rule-abiding, and hard-working
  • Customer focus & orientation, Proficient, 09/01/22, Responding to customer situations with sensitivity
  • Work style: Reliability, Proficient, 12/01/22, Tendency to be reliable, dependable, and act with integrity at work
  • Home health aide skills, Proficient, 09/01/20, Providing care to patients in a home setting

Timeline

Denial Specialist

Edgewater Health-Gary, IN
06.2017 - Current

Property Manager

Birchwood Apartment
04.2017 - 06.2020

Medical Assistant/ Medical Receptionist

Internal Medicine-Gary, IN
04.2014 - 06.2017

Customer Service Representative

New Asurion (DIRECTV)
01.2014 - 02.2015

Medicaid Eligibility Specialist

Randstad (Maximus)-Chicago, IL
12.2012 - 12.2013

Medical Assistant

Seby Medical Center-Chicago, IL
05.2010 - 12.2012

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Tyhesia Moore