Christina Moon
York,PA
Summary
Ambitious individual with strong organizational and multitasking skills, as well as the ability to analyze data, develop strategies, and provide solutions to complex problems. Highly organized and detail-oriented worker, with a drive to exceed expectations. Seeking to leverage skills and knowledge to contribute to team success.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Senior Application Analyst
Wellspan Health
01.2019 - Current
- Spearheaded development and management of workflows for authorizations within Epic.
- Conducted investigations as issue arose.
- Oversaw review and data migration of content management tickets.
- Established and maintained vendor and place of service records, ensuring accurate linkage to provider records.
- Oversaw upgrade and monthly maintenance testing efforts.
- Managed the Transparency in Coverage Act regulation requirements and implementation of the cost calculator, member estimate and machine readable files.
- Designed and updated dashboards and reports to facilitate informed decision-making.
- Assessed the new appeals and grievance workspace to enhance efficiency on build efforts.
Senior Enrollment Edit Specialist
Lancaster General Hospital
10.2017 - 01.2019
- Managed development and enhancement of processes.
- Executed data crosswalk from the credentialing system to Epic, ensuring accuracy and integrity.
- Facilitated the uploading and mapping of payor applications.
- Developed and delivered comprehensive reports to support decision-making across various departments.
- Provided support to staff and stakeholders by addressing questions related to payor enrollment.
- Reviewed and approved submissions for new provider additions and demographic updates to ensure compliance with standards.
CVO Supervisor
WellSpan Health
05.2016 - 10.2017
- Oversaw supervision of 22 CVO staff, ensuring adherence to operation standards.
- Formulated and refined organizational policies and procedures.
- Facilitated comprehensive training sessions for staff with the CVO process.
- Managed staff and inquires regarding credentialing, payor enrollment and hospital privileges.
Credentialing Assistant
WellSpan Health
03.2012 - 05.2016
- Monitored and tracked enrollment status for providers across all WellSpan-participating plans.
- Generated and executed multiple reports and queries to fulfill departmental requests within WellSpan.
- Addressed inquiries from diverse health plans and internal departments within WellSpan.
- Developed and maintained comprehensive instructions for multiple CVO processes.
- Facilitated training sessions for CVO Staff to enhance operational efficiency.
- Executed provider enrollment modifications and updated terms efficiency.
- Managed various cleanup projects while ensuring document accuracy and currency within the system.
Claims Analyst
WellSpan Health
08.1999 - 03.2012
- Validated information on all submitted claims.
- Evaluated policies and member benefits to identify eligible reimbursement charges.
- Executed reconciliation of financial reports to ensure accuracy and compliance.
Education
High School -
William Penn Senior High School
York, PA01-1995
Skills
- Computer proficiency
- Dependable and willing to learn
- Team leadership qualities
- Project management expertise
- Expert problem solving
- Continuous improvement mindset
- Customer support excellence
- Analytical thinking
- Adaptability
- Attention to detail
- Teamwork and collaboration
Certification
- Referrals and Authorization
- Tapestry Utilization Management Administration
- Cogito
- Google Cybersecurity Professional Certificate V2
- Microsoft Work Smarter with Microsoft Excel Certificate
- AWS Skills Center AI Practitioner: Foundation Training Badge
Timeline
Senior Application Analyst
Wellspan Health
01.2019 - Current
Senior Enrollment Edit Specialist
Lancaster General Hospital
10.2017 - 01.2019
CVO Supervisor
WellSpan Health
05.2016 - 10.2017
Credentialing Assistant
WellSpan Health
03.2012 - 05.2016
Claims Analyst
WellSpan Health
08.1999 - 03.2012
High School -
William Penn Senior High School