Andrea Moreno is seeking an administrative or clinical position in the medical field. She has over 20 years of experience in customer service, medical administration, and clinical roles. Her skills include insurance verification, medical billing and coding, EMR systems like Epic and Misys, HIPAA compliance, and front office duties. Most recently, she worked as a patient services specialist coordinating workers' compensation cases.

1. Andrea Moreno
8706 El Manor Ave/ Los Angeles, CA 90045/ 310.402.8350/ agarcia2766@gmail.com
❖ Objective:
Seeking a job in the Medical field, in an Administrative or Clinical position, that will enable me to grow as a knowledgeable
professional while enhancing my current skills.
❖ Professional Skills:
General Administrative Core Competencies:
Ability to operate multi line phone system Experienced in handling escalated phone calls
Front Office knowledge/faxing, email, scanning,data entry and Excellent telephone etiquette
opening/distribution of mail Trained in monitoring and supervisory skills
Proficient in scheduling appointments/ Collecting Copays Ability to multi task and work well under pressure
Extensive experience verifying insurance eligibility (both PPO Customer Service Management and Quality
and Workers’ Comp) for referrals, authorizations, and Assurance experience for multiple companies
pre-certifications Experience in Epic and Misys (EMR system)
Prepares charts and other documentation/paperwork (including Understands and adheres to HIPPA requiremen ts
correct documentation forms for patients condition) Awareness of what constitutes Protected Healt Info
Distributes forms, supplies and other materials to meet patient and (PHI-ensuring patient confidentiality)
therapist needs (i.e charge sheets,work/school notes ,progress notes,etc)
Knowledge of medical terminology, medical billing coding
❖ Experience:
Select Physical Therapy Los Angeles, Ca 12/2014 - Present
Patient Services Specialist/ Workers’ Compensation Coordinator
In addition to General Administrative above:
● Performs clinic opening and/orclosing procedures (i.e printing schedules,sign-in sheets,preparing for next
day, reconciling monetary reports from copays/supplies)
● Possessesup to date knowledge of, and complies with, regulatory requirements for Medicare and other
government sponsored insurances
● Responsible for all Workers Comp authorizations for physical and occupational therapy.
● Acts as a liaison between the office staff/therapists/ and insurance adjusters
including working w/Case Managers and Dept of Labor to help coordinate care for the office.
● Working with Adjusters,Nurse Case Managers,and Insurance companies for clarification, modification,
expiration extension requests,and general patient information needed by either company
● Reviewing and educating patients regarding insurance benefits and/orworkers compensation benefits
● Considerable internal and external contacts,experience with difficult non-routine tasks and confidential
information
Southland Renal Medical Group Long Beach, Ca 02/2013 - 12/2014
Lead Front Office 02/2014 - 12/2014
Front Office 02/2013 – 02/2014
In addition to General Administrative above:
● Medical Records (copied) for Insurance,Social Security, etc
● Keeps Meeting Schedules for Physicians – works as liaison between outside reps and doctors
● Inputting Continuous Quality Improvement Plans for Southland Management Group and making monthly reports for
Senior Management and various hospitals
● Contact Answering Service for Physician’s Hospital Coverage After Hours and Weekends
● Insurance Verification for referrals, such as specialty prescription drugs administered by Physician
● Manage office calendar (lunch schedules/ travelschedules/ time off)
● Clinical Operations, included but not limited to: medication refills, rooming patients (taking vitals), prepping for Physician
visit, lab entry and injections (I.M./ S.C.)
Princess Cruise Line/Cunard Cruise Line Valencia, Ca 12/1994- 01/2012
Customer Relations, Supervisor – Loyalty Department / Passenger Relations 2005 - 2012

2. o Supervised team of 12 Phone Agents + 2 Telecommuters for the Loyalty Department (Captains Circle and Cunard World
Club/ 2007-2012) and 25 Customer Service Writers and Clerks for PassengerRelations (2005-2007)
o Was accountable for the employment (hiring), performance management, discipline and training of personnel
o Prepared and analyzed daily reports for Senior Management, including Quality Management for the department
o Monitored, researched, and resolved customer and/or travel agent conflicts/ escalated issues.
Various Departments in Customer Service/ Relations 1994 – 2005
o Writer: Handling of post cruise issues for customers onboard and shore side that required investigation and formal
written/verbal responses
o Onboard Services: coordinated group dining/meeting space/cocktail parties/ meetings for Incentive groups
o Groups Department: handling new contracts,reservations,payments/collections and finalizing unsold/sold space
❖ Certificates Skills:
West L.A College Medical Billing and Coding Diploma 2013 Proficient Knowledge of: EMR’s:Epic and Misys,
Downey Adult School Medical Assisting Diploma 2013 Rehab Toolkit Billing/Accounting, Therapy Source
HIPAA/ OSHA Diploma 2013 Scheduling, Polycom Multi-Line Phone System,
BLS through AHA Excel, Word/PowerPoint/Outlook , AVAYA,
Performance+ Quality Monitoring System
,Siebel,
Business Object, and 10 key by touch
❖ References: References are available upon request