Tanesha Moore
Atlanta
Summary
Seasoned Healthcare Administrator known for high productivity and efficient task completion. Specialize in the revenue cycle, recruiting, operational management, and strategic planning. Excel in communication, leadership, and problem-solving to navigate complex healthcare environments and drive improvements.
Overview
18
18
years of professional experience
Work History
HEALTHCARE PRE-CERTIFICATION SPECIALIST/TRAINER
WELLSTAR HEALTH SYSTEM
12.2018 - Current
- Effectively communicate to advanced providers for approved, pending, denied cases
- Resolve any issues or discrepancies related to authorization requests.
- Monitored daily workflow queues within the department ensuring all tasks are completed accurately and timely.
- Explained reasons behind application denials and recommended further action.
- Participated in new hire training and development tasks.
- Reviewed authorization requests for accuracy and completeness.
- Tracked authorization statuses using electronic databases or manual filing systems.
- Processed prior authorization requests in accordance with departmental guidelines.
- Maintained current knowledge of applicable regulations, laws, and standards.
- Analyzed denials received from third party payers to identify trends in denials and develop proactive measures for resolution.
- Created spreadsheets utilizing Microsoft Excel for tracking authorization status updates from payers.
- Coordinated communication between providers, patients, payers, and other departments as needed.
- Identified areas where process improvements can be made within the revenue cycle.
OPERATIONS MANAGER/RECRUITER
SODEXO
03.2014 - 11.2018
- Conduct initial phone screenings and pre-screens to assess potential candidates
- Identify hiring needs, Developing recruitment strategies, implementing effective recruitment plans, & onboard new hires
- Supervised team members, deescalated and resolved customer issues, and handled administrative tasks.
- Conducted initial phone screens and coordinated interview schedules with hiring managers.
- Scheduled or conducted new employee orientations.
- Participated in local job fairs and recruitment events for prospective hiring.
- Interviewed job applicants to obtain information on work history, education or job skills.
- Trained and mentored newer recruiters in successful strategies for interviewing and qualifying candidates.
- Coordinated background checks on successful candidates prior to offer acceptance.
- Selected qualified job applicants or referred to managers to make hiring recommendations
- Recruited, hired and trained crew members on application of projects, customer relations, and customer service.
- Delegated work to staff, setting priorities and goals.
CUSTOMER SERVICE MANAGER
ARG
09.2007 - 03.2014
- Resolved customer inquiries and complaints requiring management-level escalation.
- Organized shift assignments to meet expected coverage demands by factoring in typical loads and upcoming changes.
- Delegated work to staff, setting priorities and goals.
- Evaluated and authenticated returns, exchanges and voids.
- Conducted research and reviewed findings to solve customer issues.
- Developed and implemented strategies for providing excellent customer service experience.
- Planned and delivered training sessions to improve employee effectiveness and address areas of weakness.
- Mediated conflicts between employees and facilitated effective resolutions to disputes.
- Conducted training and offered staff development opportunities to decrease process lags.
- Established positive rapport with customers, managers and customer service team members to maintain positive and successful work environment.
- Provided exceptional customer service to ensure customer satisfaction.
Education
Bachelor of Arts - Communications
University of Arizona Global Campus
Chandler, AZ03-2024
Skills
- Epic Expert
- Efficient in Microsoft Word
- Effective Communication
- Expertise in Insurance Payors
- Subject Matter Expert
- Detail-Oriented
- Time Management
- Critical thinking Skills
- Leadership Skills
- Quality Assurance
- Critical thinking
- Organizational skills
- Problem-solving
- Strategic planning
- Professionalism
- Microsoft Excel
Timeline
HEALTHCARE PRE-CERTIFICATION SPECIALIST/TRAINER
WELLSTAR HEALTH SYSTEM
12.2018 - Current
OPERATIONS MANAGER/RECRUITER
SODEXO
03.2014 - 11.2018
CUSTOMER SERVICE MANAGER
ARG
09.2007 - 03.2014
Bachelor of Arts - Communications
University of Arizona Global Campus