Celeste Moore
Denton,TX
Summary
Dedicated professional with experience in several business areas of SaaS including product support, program and account management. Skilled in providing outstanding customer service for HCPs, patients, clients, and vendors. Focused and driven with the ability to thrive in a remote work setting.
Overview
20
20
years of professional experience
Work History
Program Manager
RxPx Health
08.2019 - Current
- Collaborate with internal stakeholders as well as Operations Team to identify product needs and requirements
- Anticipate needs from stakeholders and Operations Team proactively propose technology solutions that improve business outcomes and workflow
- Prioritize engineering work by defining and maintaining feature and bug backlog
- Serve as Subject Matter Expert for one or more business areas and software products
- Perform software and new feature demos
- Prepare release notes
- Triage and reproduce bugs/defects and log outcomes for engineers
- Perform end-to-end software and user testing
- Serve as an escalation point for production issues and bugs reported
- Continued integration of the CLP Leads roles into the workflow of the team and future projects
- Outlining and streamlining the workflow and daily responsibilities of CLP Lead Team
- Collaborating with our client’s field team members as well as the RxMx CLP team, product and development teams
- Management and outreach for resolution of escalated vendor complaint cases
- Provide bimonthly presentation of vendor complaint cases to client and vendors
- Provide overview/assist with QBR
- Gather feedback for improvement of portal and reports client needs and feedback to the RxMx leadership team, as needed
- Assist with the recruitment and retention of qualified CLP Leads, as required
- Onboarding and training of CLP Leads
- Conducting annual performance reviews for each CLP Lead team member
- Creating SOPs surrounding the work of CLP Lead team as defined by our quality and ISO guidelines
- Cover for the CLP team to provide extra capacity during peak workloads or if a direct report is on vacation
- Supervisory Responsibilities
- Manage all employees of the US CLP Lead team and is responsible for their performance management.
Practice Manager
Contemporary Women’s Care
04.2004 - 06.2019
- Responsible for daily operations of a busy Ob-Gyn office
- Manage clinical and business office teams
- Manage patient complaints and implement solutions to resolve issues
- Correspond regularly with outside billing service to resolve billing and coding discrepancies
- Processed payments
- Benefit verification
- Prior authorizations
- Medical records
- Accounts payable
- Accounts receivable
- Payroll
- Employee benefits enrollment
- Prepare month end profit and loss reports
- Perform software updates
- Staffing
- Performance reviews
- Physician credentialing
- Physician billing and coding
- Surgical billing and coding
- Claims submission and appeals
- Collections
- Prepared patient statements
- Prepared and handled bank deposits
- Performed software updates, minor technical support
- Developed and implemented office policies and procedures
- Staffing.
Business Office Manager
Rambling Oaks Courtyard
11.2016 - 01.2017
- Payroll
- Staffing
- Performed criminal history checks through The Texas Department of Public Safety
- Submitted staffing data to Payroll Based Journal for The Center for Medicare and Medicaid Services
- Submitted death reports to The Department of Aging and Disability Services
- Performed monthly exclusion checks on all employees through The Office of Inspector General
- Updated and maintained facility census and resident information
- Submitted daily, weekly, and monthly census reports to corporate and vendors
- Processed referrals
- Medical records
- Verified skilled nursing benefits through MyAbility for potential admits
- Processed and maintained patient financial records
- Provided exceptional customer service
- Greeted patients, families, and other visitors
- Conducted tours of facility for potential admits
- Reviewed and finalized admission contracts
- Answered phones
- Data entry
- Accounts receivables
- Prepared necessary reports for state surveys including census, staffing, admissions, discharges, and patient demographics.
Outpatient Clinic Manager
Integrity Transitional Hospital
08.2015 - 10.2016
- Responsible for daily operations of an outpatient wound care clinic
- Supervised multiple staff members including nurses and techs
- Scheduled appointments
- Answered phones
- Data entry
- Benefits verification
- Prior authorization or precertification for procedures
- Wound care billing and coding
- Claim submission and appeals
- Developed and implemented policies and procedures for the business office
- Managed patient complaints and implement solutions to improve patient care
- Medical records.
Education
Bachelor of General Studies - Business Administration And Health Studies
Texas Woman’s University
Denton, TX05.2013
Skills
- JIRA
- SaaS
- HCP/Patient Support
- Account Management
- FreshDesk
- HIPAA
- Pharmacovigilance
- Microsoft Office
References
- Chrystal Hughes, CLP Lead, RxPx Health, 972-489-7135
- Jesse Parente, Senior Director, Engineering, RxPx Health, 203-809-3696
- Pam Andrews, Patient Support Services Manager, Sanofi, 651-368-0994
- Elizabeth Hudson, Therapeutic Education Manager, Sanofi, 312-909-8464
Timeline
Program Manager
RxPx Health
08.2019 - Current
Business Office Manager
Rambling Oaks Courtyard
11.2016 - 01.2017
Outpatient Clinic Manager
Integrity Transitional Hospital
08.2015 - 10.2016
Practice Manager
Contemporary Women’s Care
04.2004 - 06.2019
Bachelor of General Studies - Business Administration And Health Studies
Texas Woman’s University
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