Linda Moua
Minneapolis
Summary
Strong work ethic and dependable who demonstrates excellent time management and goal-oriented skills. Self-motivated, fast learner and can work independently, Excellent prioritization and task oriented. Comfortable in a constant changing environment. Bi-lingual in Hmong and English
Overview
17
17
years of professional experience
Work History
Provider Install Representative
Optum Corporate
07.2023 - Current
- Reviewed submitted contracts and documents for completeness for the purpose of initiating the providers credentialing and approval process.
- Enter provider's demographics information onto database. Demographics include; Changes of locations, TIN, phone number, fax, internet, credentialing contact and health plans.
- Verify and update license for each State.
- Knowledgeable in: NMDB, Commlog, IRS website, NPI website, Support Clinican, Docu-sign, USPS website and Sharepoint.
Mailroom Clerk
Walman Optical
06.2023 - 08.2024
- Invoice orders using the DVI software and successfully invoice around 2000 orders per day as a team.
- Multitasked effectively in a fast-paced environment, prioritizing tasks appropriately to meet daily deadlines consistently.
- Reliable and communicate with team members and supervisor to ensure shipping times and process line up with amount of workflow.
Credentialing Specialist
Optum Corporate
07.2017 - 07.2023
- Collaborated with healthcare providers to gather necessary information for accurate credentialing decisions.
- Managed multiple priorities effectively, resulting in the on-time completion of credentialing tasks for numerous providers simultaneously.
- Conducted audits of provider files, ensuring all necessary documents were up-to-date and compliant with regulatory requirements.
- Enrolled providers and Medicaid, Medicare, and private insurance plans.
- Conducted primary source verifications such as background checks and board certifications.
- Received and evaluated applications to look for missing and inaccurate information.
- knowledgeable in: Accent, Adobe PRO, NPI Registy, CAQH
Medical Technologist
Caterpillar
02.2020 - 12.2021
- Use an infra-red thermometer to obtain a temperature reading all individuals entering the facility.
- Follow the CDC Covid-19 guidance to determine if an individual is clear to enter the facility.
- Report of critical results to healthcare providers,
Senior Data Entry Specialist
United Healthcare
05.2016 - 07.2017
- Worked with United Healthcare members personal records, verifications of health plans, and medication reconciliation, and Medication Recertification
- Conducted regular audits of entered data, identifying discrepancies and correcting errors promptly.
- Trained a team of 20+ and Served as a mentor to new hires
- Completed data entry tasks with accuracy and efficiency.
- Scanned documents and saved in database to keep records of essential organizational information.
- Updated and maintained customer information, documents and records.
- Followed data entry protocols, rules and regulations.
- Created spreadsheets for more efficient recordkeeping.
- Knowledgeable in: CareOne, Healthstar, Sharepoint, Icue/Doc Viewer/Databases/Virtual Contact Center
Customer Service Representative
Target Corporation
01.2015 - 08.2016
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts regarding orders on Target.com
- 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.
- Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.
- knowledgeable in: Sterling, Sales Center, Salesforce, Trails and Base 24
Reimbursement Coordinator
Magellan Medical Technology
08.2015 - 02.2016
- Retrieved data from insurance coding portal. Verified members record files. Contact Clinics and Hospitals to obtain ICD-10 diagnoses and submit to billing.
- Managed high-volume workloads through effective prioritization and organization, consistently meeting deadlines while maintaining accurate records.
- Developed comprehensive reports for management that tracked key performance indicators related to reimbursement activities.
Personal Care Worker
Clear Water Home Care, LLC
01.2008 - 04.2014
- Assisted clients with daily living needs to maintain self-esteem and general wellness.
- Provided assistance in daily living activities by dressing, grooming, bathing, toileting patients and medication.
- Facilitated transportation for clients to attend appointments, social events, or run errands as needed.
- Recorded temperature, blood pressure, pulse, or respiration rate as directed by medical or nursing staff.
Education
Certification - Health Information Clerk
Chippewa Valley Technical College
Eau Claire, WI12.2014
Phlebotomy
Chippewa Valley Technical College
Eau Claire, WI12.2014
Life & Health, Property & Casualty
Insurance
Eau Claire, WI08.2010
High School Diploma -
Edison High School
Minneapolis, MN06.2001
Skills
- Customer Support
- Goal-oriented mindset
- Customer Relations
- Data entry proficiency
- Records Management
- Market Research
- Excellent Communication
- Multitasking Abilities
- Teamwork and Collaboration
- Multitasking
- Attention to Detail
- Organizational Skills
- Time Management
- Problem-Solving
- Analytical Thinking
- Decision-Making
- Interpersonal Communication
- Active Listening
- Written Communication
- Project Planning
- Audit reporting
- Problem-solving abilities
- Self Motivation
- Goal Setting
Timeline
Provider Install Representative
Optum Corporate
07.2023 - Current
Mailroom Clerk
Walman Optical
06.2023 - 08.2024
Medical Technologist
Caterpillar
02.2020 - 12.2021
Credentialing Specialist
Optum Corporate
07.2017 - 07.2023
Senior Data Entry Specialist
United Healthcare
05.2016 - 07.2017
Reimbursement Coordinator
Magellan Medical Technology
08.2015 - 02.2016
Customer Service Representative
Target Corporation
01.2015 - 08.2016
Personal Care Worker
Clear Water Home Care, LLC
01.2008 - 04.2014
Certification - Health Information Clerk
Chippewa Valley Technical College
Phlebotomy
Chippewa Valley Technical College
Life & Health, Property & Casualty
Insurance
High School Diploma -
Edison High School
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