Summary
Overview
Work History
Education
Skills
Timeline
Generic

Shameke Moore

308 Troy Ave NE Roanoke,VA

Summary

Accomplished Healthcare Administrative Associate with over a decade of customer service excellence, including 5.5 years in call center environments, notably at Carilion Clinic. Expert in document management and medical insurance, complemented by a talent for building strong professional relationships. Demonstrated ability to enhance productivity and confidentiality compliance, leveraging exceptional verbal communication and quick learning skills for impactful results. Reliable and Dependable healthcare and customer service worker. Providing excellent patient care and customer service, while adopting to changing circumstances in a high-pressure work environment.

Overview

15
15
years of professional experience

Work History

Healthcare Administrative Associate

Carilion Clinic OBGYN
10.2023 - Current
  • Managed confidential documents, safeguarding company information while maintaining strict adherence to privacy protocols.
  • Enhanced team productivity with effective communication, collaboration, and problem-solving skills.
  • Provided exceptional customer service to both internal and external clients, fostering strong professional relationships.
  • Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
  • Checks patients in and out of their appointments, schedules return appointments and schedules mammograms and ultrasounds.
  • Receive and handle patient referrals.
  • Enter patient information, verify insurance coverage, enter patient disciplines and diagnosis code.
  • Run cash drawer and petty cash reports daily.
  • Evaluates/ examines the accuracy and validity of the documentation gathered.
  • Documents transactions to ensure a proper audit trail.
  • Communicate verbally and nonverbally in a way which

reflects positively upon the Hospital.

  • Works together with co-workers as part of a team to achieve a common goal.
  • Adaptable to changing circumstances and is able to work in a high-pressure environment.
  • Maintains system access.
  • Complies with all security and confidentiality requirements in accordance with the Privacy Act of 1974, HIPPA, and all other applicable laws and regulations, and practices.
  • Properly safeguards sensitive information and maintains discretion in discussing confidential matters pertaining to medical information.
  • Completes all mandatory training in a timely manner.
  • Performs other duties as assigned.

Patient Access Representative

Carilion Clinic General Surgery
04.2021 - 10.2023
  • Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
  • Stayed calm under pressure to and successfully dealt with difficult situations.
  • Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
  • Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
  • Managed confidential documents, safeguarding company information while maintaining strict adherence to privacy protocols.
  • Enhanced team productivity with effective communication, collaboration, and problem-solving skills.
  • Provided exceptional customer service to both internal and external clients, fostering strong professional relationships.
  • Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
  • Checks patients in and out of their appointments, schedules return appointments and schedules mammograms and ultrasounds.
  • Receive and handle patient referrals.
  • Enter patient information, verify insurance coverage, enter patient disciplines and diagnosis code.
  • Run cash drawer and petty cash reports daily.
  • Evaluates/ examines the accuracy and validity of the documentation gathered.
  • Documents transactions to ensure a proper audit trail.
  • Communicate verbally and nonverbally in a way which

reflects positively upon the Hospital.

  • Works together with co-workers as part of a team to achieve a common goal.
  • Adaptable to changing circumstances and is able to work in a high-pressure environment.
  • Maintains system access.
  • Complies with all security and confidentiality requirements in accordance with the Privacy Act of 1974, HIPPA, and all other applicable laws and regulations, and practices.
  • Properly safeguards sensitive information and maintains discretion in discussing confidential matters pertaining to medical information.
  • Completes all mandatory training in a timely manner.
  • Performs other duties as assigned.

Documentation Representative-Call Center

CCS Medical
04.2020 - 01.2021
  • Gathers patient information by collecting demographic information from a variety of sources; interacting with registration areas and physicians' offices; retrieving information from automated printer.
  • Maintains master patient index by completing assigned portion of daily audit trail; corrects and communicates problems according to established procedures.
  • Initiates the medical record by creating and processing the patient care record folder.
  • Maintains record availability by processing charts into the department; using chart mark-off procedures; facilitating chart location activities.
  • Retrieves medical records by following chart-out procedures; documenting reasons charts cannot be retrieved for statistical and follow-up purposes.
  • Keeps health care providers informed by communicating availability or unavailability of the record.
  • Maintains continuity of work operations by documenting and communicating actions, irregularities, and continuing needs.
  • Maintains patient confidence by keeping patient records information confidential.
  • Enhances medical records and hospital reputation by accepting ownership for accomplishing new and different requests, exploring opportunities to add value to job accomplishments.

Customer Service Representative

Anthem BCBS
09.2018 - 01.2020
  • Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
  • Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
  • Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
  • Responded to customer requests for products, services, and company information.
  • Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
  • Developed strong product knowledge to provide informed recommendations based on individual customer needs.
  • Developed rapport with customers through active listening skills, leading to higher retention rates and positive feedback from clients.
  • Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.
  • Collaborated with team members to develop best practices for consistent customer service delivery.
  • Provided coaching and mentoring to new hires, contributing to their successful integration into the team.
  • Exceeded performance metrics consistently, earning recognition as a top performer within the team.
  • Maintained detailed records of customer interactions, contributing to comprehensive database for future reference.
  • Addressed customer inquiries to ensure satisfaction and foster positive service experience.
  • Analyzed customer service metrics to identify trends and develop strategies for improvement.
  • Developed feedback system for customers to share their service experience, leading to actionable improvements.
  • Maintained detailed records of customer interactions and transactions, ensuring accurate documentation and follow-up.
  • Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
  • Exhibited high energy and professionalism when dealing with clients and staff.
  • Investigated and resolved customer inquiries and complaints quickly.
  • Delivered prompt service to prioritize customer needs.
  • Responded to customer requests, offering excellent support and tailored recommendations to address needs.
  • Maintained up-to-date knowledge of product and service changes.
  • Met customer call guidelines for service levels, handle time and productivity.
  • Provided excellent customer care by responding to requests, assisting with product selection and handling ordering functions.
  • Followed up with customers about resolved issues to maintain high standards of customer service.
  • Educated customers about billing, payment processing and support policies and procedures.
  • Responded proactively and positively to rapid change.
  • Promoted superior experience by addressing customer concerns, demonstrating empathy, and resolving problems swiftly.

Customer Service Representative

Advance Auto Parts Support Center
01.2011 - 08.2018
  • Managed a high volume of calls daily, maintaining composure under pressure while providing exceptional service.
  • Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
  • Demonstrated excellent multitasking abilities by simultaneously handling multiple tasks such as navigating systems, taking notes on calls, and answering inquiries from clients.
  • Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
  • Handled escalated customer complaints effectively, leading to satisfactory resolutions for both the client and the company.
  • Adhered to company policies and scripts to consistently achieve call-time and quality standards.
  • Reduced call resolution time through efficient problem-solving and communication skills.
  • Provided empathetic support for customers experiencing personal difficulties, building rapport and trust in our brand.
  • Consistently met or exceeded performance goals, contributing to the overall success of the call center.
  • Documented and detailed calls and complaints using call center's CRM database.
  • Adapted quickly to new technologies introduced into the call center environment, utilizing tools effectively during customer interactions.
  • Enhanced customer satisfaction by resolving complex issues promptly and professionally.
  • Exceeded first-call resolution targets by actively listening to customers'' concerns and addressing them thoroughly.
  • Placed outbound customer service or customer satisfaction calls to follow up on issues.
  • Addressed customer account discrepancies and concerns.
  • Collaborated with other departments when necessary, ensuring seamless support for customers across multiple areas.
  • Maintained a thorough knowledge of products and services to provide accurate information to customers.
  • Achieved high-quality service by adhering to company policies and procedures during each interaction.
  • Detailed payment options and explained price, receipt and billing details to customers.
  • Utilized CRM software efficiently, updating customer profiles accurately during each interaction.
  • Retained customers considering cancellation by addressing their concerns, offering alternative solutions, and showcasing the value of our products and services.
  • Met customer call guidelines for service levels, handle time and productivity.
  • Identified potential sales opportunities during interactions, up-selling products or services when appropriate.

Education

Some College (No Degree) - General Studies

Virginia Western Community College
Roanoke, VA

High School Diploma -

Christiansburg High School
Christiansburg, VA
06.2008

Skills

  • Customer Service
  • Verbal Communication
  • File Organization
  • Relationship Building
  • Office procedures
  • Medical insurance
  • Scheduling appointments
  • Maintaining records
  • Document Management
  • 10 years' experience in customer service
  • 5 1/2 year of call center experience
  • Excellent speaking to customers
  • Great personality
  • Quick Learner
  • Strong and Hard Worker
  • Computer Skills
  • Decision Making
  • Oral Communication
  • Reasoning
  • Written Communication
  • Customer service
  • Verbal communication
  • File organization
  • Relationship building
  • Strategic planning
  • Records retention
  • Document management
  • Data analysis
  • Data processing
  • Records management
  • Excel
  • Proofreading
  • Clerical support
  • Presentation preparation
  • Confidentiality
  • Teamwork
  • Multitasking and time management
  • Teamwork and collaboration
  • Fast learner
  • Problem-solving
  • Accounting and bookkeeping
  • Time management
  • Attention to detail
  • Problem-solving abilities
  • Cleaning and sanitizing
  • Multitasking
  • Multitasking Abilities
  • Reliability
  • Excellent communication
  • Critical thinking
  • Clear communication
  • Organizational skills
  • Telephone and email etiquette
  • Team collaboration
  • Active listening
  • Effective communication
  • Adaptability and flexibility
  • Customer and client relations
  • Verbal and written communication
  • Document and file management
  • Customer relations and communications
  • Decision-making
  • Office administration
  • Organizational management
  • Microsoft office
  • Writing and editing
  • Documentation and recordkeeping
  • Team building
  • Data entry
  • Task prioritization
  • Confidentiality and data protection
  • Office management
  • Self motivation
  • Database entry
  • Excel spreadsheets
  • Interpersonal skills
  • Client relations
  • Goal setting
  • Appointment scheduling
  • Professionalism
  • Employee communications
  • Scheduling
  • Editing and proofreading
  • Record keeping
  • Time management abilities
  • Written communication
  • Microsoft Office Suite
  • Organizing and categorizing data

Timeline

Healthcare Administrative Associate

Carilion Clinic OBGYN
10.2023 - Current

Patient Access Representative

Carilion Clinic General Surgery
04.2021 - 10.2023

Documentation Representative-Call Center

CCS Medical
04.2020 - 01.2021

Customer Service Representative

Anthem BCBS
09.2018 - 01.2020

Customer Service Representative

Advance Auto Parts Support Center
01.2011 - 08.2018

Some College (No Degree) - General Studies

Virginia Western Community College

High School Diploma -

Christiansburg High School
Shameke Moore