Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Christena Moore

Rogers,TX

Summary

Energetic, detail-oriented, and ambitious individual dedicated to giving every customer positive experiences to promote loyalty and repeat business. Seeking a position where these skills can be well utilized and continued growth.

Overview

12
12
years of professional experience
1
1
Certification

Work History

Reimbursement Supervisor

WellSky
01.2024 - Current
  • Work with clients to meet end-of-month closing deadlines and ensures all reports and reconciliations are complete and verifies all outstanding visits have been locked.
  • Performs all job related training for offshore and local staff
  • Meet with staff weekly as a group and monthly on an individual basis, and provide performance feedback as applicable
  • Receive, review, approve, and /or deny incoming revenue adjustments under $250.00 or as designated by the client
  • Receive, review, approve, and/or deny incoming time off requests and timesheets from staff via Workday. Track daily attendance and manage work shifts due to absences from offshore staff.
  • Coordinate month-end process and complete it on or before the deadline dates assigned.
  • Analyze weekly/monthly reports such as denial and transaction reports.
  • Perform other job duties as assigned

Reimbursement Coordinator

Comprehensive Healthcare Revenue Management
08.2022 - 12.2023


  • Obtain billing information from clients to generate claims
  • Perform QA of charges received from the clients and make modifications/changes as required to produce a clean claim
  • Review contract/details of new payers before billing
  • Track pending claims
  • Submit claims to insurance companies in a timely fashion and within the individual insurance company’s timely filing period
  • Prepare and/or print all secondary claims that do not automatically cross over from Medicare or other primary payer
  • Follow up on patient balances within established timeframes
  • Obtain claim’s status by calling the payer and/or using an on-line claims status system
  • Utilize reports to determine tasks that require follow up
  • Take appropriate action for escalating claims not paid within 60 days or for denied appeals
  • Prepare write-off form when bad debt is identified and document description of the reason for the write-off
  • Research claim payments, partial payments, over payments
  • Perform other job duties as assigned

Practice Manager

Belton Eye Care Center
12.2017 - 08.2022
  • Responsible for day to day operations of the office, ensuring that established policies and procedures are being consistently followed
  • Evaluates and counsels all staff members
  • Cross trains among all areas in office to supervise and provide adequate coverage at all times
  • Analyzes administrative and operational functions
  • Implements appropriate changes and improvements
  • Strong insurance knowledge base
  • Execute bi-weekly payroll and maintains accurate payroll records
  • Manages and controls expenditures within budget
  • Attends job-related training and courses as appropriate to job responsibilities
  • Prepares analysis of tax expenses for month-end accounting review
  • Maintains daily bookkeeping report
  • Reconciles account information and reported figures in general ledger by comparing to bank account statement each month
  • Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
  • Developed policies and procedures for effective practice management.
  • Processed and recorded new Insurance policies and claims.
  • Maintained strong knowledge of basic medical terminology to better understand services and procedures.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
  • Posted payments to accounts and maintained records.
  • Prepared insurance claim forms or related documents and reviewed for completeness.

Optometric Technician

Hutto Family Eye Care
07.2017 - 12.2017
  • Checked in patients and prepped charts for Doctor
  • Answered phones and greeted incoming patients
  • Made appointments and verified insurance for all patients
  • Obtained medical history from patients
  • Conducted preliminary screening examinations including external examination, central and peripheral visual fields and color vision tests
  • Conducted visual field tests to measure field of vision
  • Used Retinal Camera to take pictures of patients' eyes
  • Used iCare to measure and record patients' pressures
  • Educated patients about proper contact lens care, visual hygiene and safety
  • Trained patients to safely insert and remove contact lenses
  • Meticulously cleaned and sterilized ophthalmic and surgical instruments
  • Used Lensometer to measure and record patients' lens power
  • Used dilating drops to dilate patients
  • Assisted Doctor in getting ready for medical procedures
  • Managed patients' primary eye care health with professionalism and skill

Front Office Coordinator/Ophthalmic Technician

Bella Vista Eye Care Associates
10.2016 - 07.2017
  • Checked in patients and prepped charts for Doctor
  • Answered phones and greeted incoming patients
  • Made appointments and verified insurance for all patients
  • Obtained medical history from patients
  • Conducted preliminary screening examinations including external examination, central and peripheral visual fields and color vision tests
  • Conducted visual field tests to measure field of vision
  • Used Retinal Camera to take pictures of patients' eyes
  • Used iCare to measure and record patients' pressures
  • Educated patients about proper contact lens care, visual hygiene and safety
  • Trained patients to safely insert and remove contact lenses
  • Meticulously cleaned and sterilized ophthalmic and surgical instruments
  • Used lensometer to measure and record patients' lens power
  • Used dilating drops to dilate patients
  • Assisted Doctor in getting ready for medical procedures
  • Managed patients' primary eye care health with professionalism and skill
  • Verified insurance for all upcoming appointments for all incoming patients

Optical Manager

Belton Eye Care Center
11.2012 - 10.2016
  • Greeted patients upon arrival and collected all necessary information from patients prior to their appointments
  • Answered phones and scheduled all appointments in a busy two doctor optometry office for new and established patients as well as any follow-up appointments that were needed
  • Performed all check out procedures for patients
  • Verified all insurances for incoming patients prior to their scheduled appointments
  • Filed all insurance claims for patients in a timely manner for each procedure. Both Services and Materials
  • Proficient in medical records software programs including Revolution EHR and OfficeMate
  • Fitted and adjusted eyeglasses and contact lenses
  • Trained patients to safely insert and remove contact lenses and educated patients about proper contact lens care, visual hygiene and safety
  • Meticulously cleaned and sterilized ophthalmic and surgical instruments
  • UsedLlensometers to measure and record patients' lens power
  • Performed minor repairs on frames
  • Accurately measured bridge and eye size, vertex distance, temple length, pupillary distance and optical centers of eyes
  • Fabricated lenses to meet prescription specifications and recommended lenses, lens coating, and frames to suit each patient needs
  • Edged lenses to fit into patient frames
  • Reviewed quality of ophthalmic materials prior to patient dispensing
  • Managed patients' primary eye care health with professionalism and skill
  • Cross-trained as an Optometric Technician to assist Doctors with all of preliminary tests prior to each patients exam which included using Optometry equipment on these patients and gathering all medical history from these patients
  • Promoted to Optical Manager within three years of employment
  • Responsibilities included managing showroom, all customer service related events, optician employee schedule, reviewed and approved all returns, and managed all optical lab operations
  • Handled all frame buying for Optical Department and met directly with all major frame line vendors
  • Trained all employees upon their hire date for their specific job title and specification
  • Maintained effective and professional office environment while managing workflow

Education

Some College (No Degree) - Education

Temple College
Temple, Tx

High School Diploma -

Belton High School
Belton, Tx
2013

Skills

  • Quick Learner
  • Excellent knowledge of HIPAA
  • Promotes positive behavior
  • Independent judgement and decision making
  • Great customer support
  • Exceptional ability to multi-task within busy environments
  • Skilled and proficient in insurance benefits and claims
  • Microsoft Office including Excel, Word, Outlook, and Power Point
  • Experienced in Quickbooks
  • Proficient in multiple EHR systems
  • Vast knowledge of ICD-10 codes

Certification

  • CPO Certification

Timeline

Reimbursement Supervisor

WellSky
01.2024 - Current

Reimbursement Coordinator

Comprehensive Healthcare Revenue Management
08.2022 - 12.2023

Practice Manager

Belton Eye Care Center
12.2017 - 08.2022

Optometric Technician

Hutto Family Eye Care
07.2017 - 12.2017

Front Office Coordinator/Ophthalmic Technician

Bella Vista Eye Care Associates
10.2016 - 07.2017

Optical Manager

Belton Eye Care Center
11.2012 - 10.2016

Some College (No Degree) - Education

Temple College

High School Diploma -

Belton High School

Similar Profiles

CREATE PROFILE
Christena Moore