Venus Moran
Temple,GA
Summary
Dedicated and detail-oriented Healthcare Scheduler and Patient Access Representative with over 10 years of experience in healthcare administration, appointment scheduling, and front-office coordination. Skilled in medical billing and coding, including CPT/ICD-10, insurance verification, and EHR systems. Proven ability to handle high call volumes, multitask under pressure,
Patient Access Representative with background in managing patient admissions, insurance verification, and scheduling appointments. Possess strong communication skills to professionally interact with patients, families, and healthcare professionals. Demonstrated ability to maintain confidentiality while providing high-quality customer service and high call volume. Notable contributions include improving workflow efficiency and reducing patient wait times.
Overview
13
13
years of professional experience
1
1
year of post-secondary education
1
1
Certification
Work History
Patient Access Representative/Appointment Scheduler
Piedmont Healthcare
Atlanta, GA
02.2021 - 08.2025
- Schedule appointments for various specialties while verifying insurance and eligibility.
- Manage patient check-in/check-out process and ensure accuracy of demographic and billing info.
- Obtain authorizations and referrals for procedures and specialist visits using Epic.
- Maintain HIPAA compliance and deliver compassionate service in high-volume settings.
- Managed patient registration processes efficiently and accurately.
- Coordinated insurance verification with various providers.
- Assisted patients with appointment scheduling and rescheduling needs.
- Communicated effectively with patients regarding financial responsibilities.
- Collected co-pays and other payments from patients at time of service.
Medical Billing and Coding Assistant
Specialized Medical Billing and Coding
Decatur, GA
03.2017 - 05.2021
- Processed insurance claims and performed coding using ICD-10 and CPT guidelines.
- Resolved claim denials and coordinated with insurance providers for reimbursements.
- Posted payments, followed up on aging reports, and maintained billing records using Meditech.
- Supported front desk tasks including patient calls and appointment confirmations.
Insurance Verification Specialist/Inbound Call Center Representative
Kool Smiles
Marietta, GA
01.2013 - 02.2017
- Maintained insurance eligibility and benefits for over 100 patients daily using payer portals and EMR systems. Commercial Medicare, Medicaid.
- Communicated with insurance companies to confirm coverage and prior authorization requirements.
- Handled 50–70 inbound/outbound calls per day while maintaining professionalism.
- Worked with the billing team to ensure clean claims submission reducing denials by 20%.
- Updated patient records in EHR and ensured all authorizations were documented.
Education
RN Nursing B.A. -
South College
Atlanta, GA 08.2024 - 09.2025
Health Administration ASN Degree -
Ashford University
Chandler, AZCertification in Medical Billing and Coding -
Sanford Brown College
Atlanta, GAHigh School Diploma -
Towers High School
Decatur, GASkills
- Patient Scheduling & Registration
- Medical Billing & Coding (ICD-10, CPT)
- Availity
- Navinet
- Insurance Verification & Authorizations
- EMR/EHR Systems (eg, Epic, Cerner, Athena)
- Microsoft Office Suite (Excel, Outlook)
- Front Desk & Call Center Operations
- Clearinghouse for Claims Processing & Denials
- Customer Service & Patient Relations
- HIPAA compliance
- Insurance verification
- Patient registration
- Effective communication
- Appointment scheduling
- EMR updating
- Scheduling diagnostic procedures
Certification
- Certified Medical Billing & Coding Specialist (CMBC), 2012
- Certified Medical Administrative Assistant (CMAA)
- HIPAA Certification
Timeline
RN Nursing B.A. -
South College
08.2024 - 09.2025
Patient Access Representative/Appointment Scheduler
Piedmont Healthcare
02.2021 - 08.2025
Medical Billing and Coding Assistant
Specialized Medical Billing and Coding
03.2017 - 05.2021
Insurance Verification Specialist/Inbound Call Center Representative
Kool Smiles
01.2013 - 02.2017
Health Administration ASN Degree -
Ashford University
Certification in Medical Billing and Coding -
Sanford Brown College
High School Diploma -
Towers High School