Latasia Moses
McKees Rocks,PA
Summary
Achieved high customer satisfaction by providing expert support to patients and hospital staff. Delivered efficient call management, successfully handling multiple inbound and outbound lines while documenting all communications. Improved accuracy in data entry and tracking, resulting in detailed customer interaction histories. Streamlined benefits verification and prior authorization processes, contributing to timely approvals. Utilized knowledge of Epic systems and coding standards to optimize service delivery. Enhanced billing processes and prescription drug program knowledge, leading to improved operational outcomes. Demonstrated strong understanding of Medicare and adverse event reporting protocols. Contributed to patient care excellence through effective medication administration and onboarding practices. Open to relocation and authorized to work in the US for any employer.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Intake Specialist
Zoll Medical Corporation
Pittsburgh, PA
02.2023 - Current
- Timely handling of new medical orders from hospitals and physician offices
- Responsible for front-end functions of the order fulfillment process
- Work with numerous insurance types in reviewing medical orders and clinical documentation to determine benefit and clinical eligibility for the LifeVest
- Responsible for creating and maintaining relationships with insurance companies, sales reps, and other internal departments
- Creation of patient record
- Verification of benefits
- Triage, work and resolve intake orders
- Obtain necessary documentation (medical order, clinical notes, testing) and submit to insurance carrier for coverage determination
- Obtain authorizations as required by payer
- Identify qualifying diagnosis based on payer requirements
- Triage fax documents for timely review
Claims Representative
J. Croyle & Associates, Inc
Pittsburgh, PA
06.2022 - 12.2022
- Review and processed personal injury, workers compensation, and automotive claims to establish reasonable and necessary treatment using Medical Codes and Procedures Guide.
- Review claim submissions, obtain and verify information, correspond with insurance agents and beneficiaries, and process claim payment.
- Resolve medical claims by approving or denying documentation, calculating benefits due, initiating a payment or composing denial letter.
Intake Specialist
New York Life
Pittsburgh, PA
01.2022 - 06.2022
- Handle inbound calls assisting customers with setting up disability claims, FMLA, and Military Leaves while providing excellent customer service.
- Obtain personal details, medical history, insurance information, and other relevant data, often through phone calls and e-mail.
- Maintain accurate and up-to-date records of client/patient information.
- Made referrals to other departments as needed, and coordinate with other staff members.
- Input information into electronic health records.
Customer Service Representative
UPMC Health Plan Insurance Services Division
06.2019 - 12.2021
- Handle inbound and outbound calls from customers in a fast-paced environment from multiple lines.
- Utilize good judgment to direct customers to proper resources while understanding process and procedures to make decisions to resolve customer issues and complaints.
- Triaging calls, appointment and transportation set-up and reminders.
- Appointment scheduling and verifying customer insurance eligibility needed for authorizations.
- Navigate, enter data, accurately track and document all communications with customers to provide a detailed history of previous calls and mail sent to the customers.
- Provide direction and instruction to help team members complete their tasks
- Trained new employees and provided ongoing training and education
- Distribute information to team members and management, while also communicating grievances from team members to management
PCT (Patient Care Technician)
UPMC Mercy Hospital
Pittsburgh, PA
12.2016 - 06.2019
- Vital signs, bathing, transferring, feeding, specimen collection, straight catching, bowl training, and brief changes.
- Along with assisting in physical therapy, completing EKG’s, applying heart monitors, and monitoring both the heart rate and rhythm.
- Frequently switched roles as a sitter applying restraint and monitoring suicidal and high risk patients.
Patient Care Technician (PCT)
UPMC Magee Women's Hospital
Pittsburgh, PA
12.2015 - 09.2016
- Blood draws, vital taking, dressing assistance, transfer and walking assistance, specimen collection and applied heart monitors, while monitoring the heart rate and rhythm.
- Provided companionship and switched roles as a sitter to protect and assist high risk patients.
Lead Personal Care Assistant
Country Meadows Retirement Communities
Bridgeville, PA
05.2015 - 11.2015
- Bathing and dressing assistance, transferring, laundry, and assisting with everyday activities.
- Decision making, problem solving, goal setting, and relationship building.
- Assigned assignments according to shift needs.
Manager
Party City Corporation
Monaca, PA
01.2013 - 01.2015
- Manage store operations, including inventory, sales, and customer service.
- Oversee merchandise displays and inventory management to ensure the best product presentation and availability.
- Hire, train, and coach team members to achieve company goals and provide exceptional customer service.
- Create work schedules and delegate tasks to ensure the most efficient store operations.
- Communicate effectively with team members, management, and weekly vendors.
- Foster a positive shopping experience for customers and work experience for staff, while addressing any concerns or complaints.
McDonalds Team Lead
McDonald's
01.2011 - 01.2015
- Leads shifts to ensure efficient and customer-friendly restaurant operations.
- Manage and support crew members, maintain standards, and contribute to sales and profitability goals.
- Motivating and supporting crew members, providing guidance and training, and resolving team-related issues.
- Responsibilities include planning shifts, monitoring performance, addressing operational issues, and ensuring food safety and security.
Education
None - undefined
Penn State University
White Oak, PA01.2017
High school diploma - undefined
Sto-
McKees Rocks, PA01.2013
Skills
- Medical office experience
HIPAA
Cerner
Medical Scheduling
Hospital Experience
Data Entry
Direct support
ICD-10
Computer Operation
Specimen collection / processing
Quality Assurance
Patient Care
Employee Orientation
Laboratory Experience
Triage
Vital Signs
Medical Terminology
Insurance Verification
Medical records
Phlebotomy
Medical office experience
Certification
- Certified Medication Technician October 2023 to February 2026
- First Aid and CPR May 2022 to May 2024
Timeline
Intake Specialist
Zoll Medical Corporation
02.2023 - Current
Claims Representative
J. Croyle & Associates, Inc
06.2022 - 12.2022
Intake Specialist
New York Life
01.2022 - 06.2022
Customer Service Representative
UPMC Health Plan Insurance Services Division
06.2019 - 12.2021
PCT (Patient Care Technician)
UPMC Mercy Hospital
12.2016 - 06.2019
Patient Care Technician (PCT)
UPMC Magee Women's Hospital
12.2015 - 09.2016
Lead Personal Care Assistant
Country Meadows Retirement Communities
05.2015 - 11.2015
Manager
Party City Corporation
01.2013 - 01.2015
McDonalds Team Lead
McDonald's
01.2011 - 01.2015
None - undefined
Penn State University
High school diploma - undefined
Sto-