Karla Moody
Customer Service Representative
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About
Extensive customer service and data entry skills in Medical and Health related office administration. Detail oriented with strong analytical and problem solving skills. Excellent written and articulate verbal communication skills. Team oriented and customer satisfaction driven.
Experience
Customer Service Representative at Ensemble Health Partners (2026-05 – Present)
- Handling inbound calls for patient accounts regarding billing
Cash Posting Specialist at Ensemble Health Partners (2019-06 – 2026-05)
- Posting remittance advices to patient accounts and posting guarantor payments in Epic System
- Balancing daily cash sheets
- Verifying and updating insurance information in patient accounts
- Obtaining remittances from various payor sites to manually post
- Requesting bank files from various payor sites
- Matching electronic remittance advices to insurance payments in Medrx Website
Shipping & Receiving Clerk 1 at Humana (2018-07 – 2019-04)
- Received goods, verified items against the record of shipment, and inspected condition
- Gathered, verified, and packed items for shipment according to specifications and the transportation method used
- Recorded, received, and shipped items according to established procedures
Order Entry Clerk at Humana (2015-11 – 2018-07)
- Processed orders in Fairfax OEP Productions, Electronic Prescription Queue, and HIPPA Verification Queue
- Verified member information in EPOST
- Conducted research in Customer Care Portal, Argus, and United States Postal Services sites as needed
- Registered members in Humana Web Registry as needed
Medical Payment Poster at Source Medical (2015-03 – 2015-08)
- Processed insurance and patient payments
- Processed adjustments on patient accounts
- Processed refunds
- Balanced cash sheet
Customer Care Representative II at WellPoint-Anthem (2014-06 – 2015-02)
- Processed prior authorization requests for Medicaid Division
- Updated prior authorizations on file as needed
- Handled inbound calls from providers, members, and pharmacies
- Resolved customer inquires
Accounts Receivable/Customer Service Representative at Express Scripts Inc. (2005-10 – 2014-01)
- Followed established procedures for processing payments
- Monitored customer account details for non-payments, delayed payments and other irregularities
- Investigated and resolved customer inquiries
- Updated detailed customer account information
- Managed customer accounts and processed prescription orders using company software: Therapeutic Management Workstation, eService Delivery, Rumba, and Microsoft Excel
- Handled inbound and outbound calling
Education
Bachelor of Technical Management in Health Services Management – DeVry University (2009)
Associate of Applied Science in Medical Office Technology – East Central Community College (2005)
