Tyhesia Moore
Customer Service Representative
Merrillville,IN
Summary
Proven track record in enhancing customer satisfaction at Edgewater Health, adept in insurance verification and excelling in high-pressure environments. Demonstrated ability to improve policy adherence through effective communication, showcasing a blend of top-notch customer service and data entry skills. Achieved significant improvements in patient confidentiality and service delivery.
Overview
12
12
years of professional experience
Work History
Healthcare Customer Service Representative
Edgewater Health
Gary, IN
06.2022 - Current
- Gathered information, assessed and fulfilled callers' needs and educated on important policies and procedures.
- Maintained confidential patient, employee and company information in compliance with company policies and regulatory requirements.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Cross-trained and backed up other customer service managers.
Denial Specialist
Edgewater Health
Gary, IN
06.2017 - 06.2022
- Documented medical claim actions by completing forms, reports, logs and records.
- Identified root cause of denials to provide plans for denial resolution.
- Conducted in-depth analysis of inquiries and complaints to compose appeal letters for clients.
- Contacted clients to collect information and communicate disposition of case, documenting interactions regarding eligibility, verification of benefits and claims payment status.
Medical Assistant/Medical Receptionist
Internal Medicine/Edgewater Health
Gary, IN
04.2012 - 06.2017
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Obtained client medical history, medication information, symptoms, and allergies.
- Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
- Performed medical records management, including filing, organizing and scanning documents.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Updated inventory, expiration and vaccine logs to maintain current tracking documentation.
- Answered phone calls and messages for 13-physician in Internal Medicine medical facility, scheduling appointments, and handling patient inquiries.
Education
No Degree - Real Estate Broker
Mccollys Real Estate
01.2024
No Degree - Medical Assistant
Everest College - Chicago
03.2008
GED -
Olive Harvey College
05.2005
Skills
- Insurance Verification
- Appointment Scheduling
- Policy Adherence
- Patient confidentiality
- Call center experience
- Data entry proficiency
- Patient check-in
- Customer Service
- Customer Satisfaction
- Patient Registration
- Insurance Company Knowledge
- Health Education
- Medical Terminology
- Call Screening
- Phone and Email Etiquette
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Healthcare Customer Service Representative
Edgewater Health
06.2022 - Current
Denial Specialist
Edgewater Health
06.2017 - 06.2022
Medical Assistant/Medical Receptionist
Internal Medicine/Edgewater Health
04.2012 - 06.2017
No Degree - Real Estate Broker
Mccollys Real Estate
No Degree - Medical Assistant
Everest College - Chicago
GED -
Olive Harvey College
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