Jill Moore
Mesa,AZ
Summary
Results-driven and execution-focused healthcare professional with a versatile background in high-level operations and management. Proven track record across the complete suite of client-facing responsibilities, program development, insurance billing, and executive-level positions.
Overview
6
6
years of professional experience
Work History
- Orchestrated the customization of multiple Electronic Health Record (EHR) systems to maximize operational efficiency for both providers and billing staff
- Cultivated strategic relationships with health plan provider representatives, actively participating in high-level provider meetings with all AHCCCS plans on a monthly basis
- Ensured consistent clean claim submission rates, minimizing outstanding patient balances quarterly, and securing timely payments from healthcare plans
- Proactively managed and maintained the CAQH profile, insurance policies, and credentialing for every provider within the organization
- Maintained compliance with over 30 health plans, overseeing the submission and processing of more than 2000 claims monthly.
- Spearheaded the creation of comprehensive administrative and clinical policies and procedures, successfully launching multiple community and hospital-based programs
- Implemented robust fiscal and production tracking systems for all grant and contract-funded programs, ensuring transparency and accountability in resource utilization
- Innovatively developed and implemented an onboarding process for new hires, resulting in an impressive 78% increase in employee satisfaction.
- Adhered to AHCCCS and Arizona Department of Health Services guidelines while effectively managing and documenting all patient grievances, ensuring compliance with regulatory standards
- Implemented a structured approach to patient satisfaction by executing quarterly surveys, providing valuable insights to optimize the company's responsiveness to patient needs across the entire practice
- Spearheaded the oversight of patient experiences, focusing on interactions between patients and team members, touchpoints, and methods of engagement
- This comprehensive approach contributed to the enhancement of overall patient satisfaction and engagement.
- Evaluated organizational performance through strategic metrics, leveraging insights to drive actionable improvements
- Successfully built a robust and resilient team by identifying and onboarding highly qualified candidates for key front-line and senior management positions
- Fostered team building and leader development initiatives, resulting in an impressive 82% increase in employee satisfaction within a one-year timeframe.
- Effectively managed a team of over 35 employees, concurrently serving as the lead in Human Resources, IT, and overseeing all day-to-day operational duties
- Ensured compliance with Arizona Department of Health Services licensure and met all Medicaid plan requirements, demonstrating a commitment to maintaining high standards in healthcare operations.
Director of Operations
Women’s Health Innovations of Arizona
09.2017 - Current
- Led and executed comprehensive healthcare programs, resulting in [specific outcome or achievement]
- Oversaw insurance billing operations, optimizing processes that led to [quantifiable improvement]
- Successfully managed a team of over 30 professionals, achieving [specific goal or accomplishment].
Education
Associate of Applied Science -
Harper College
Palatine, IL05.2021
Skills
- Operational Excellence: Adept at implementing and optimizing operational processes to enhance efficiency and achieve organizational goals
- Management Expertise: Proven ability to lead and manage teams effectively, fostering a collaborative and high-performance work environment
- Client-Facing Skills: Extensive experience in client interactions, ensuring exceptional service delivery and building lasting relationships
- Program Development: Successful track record in conceptualizing, developing, and implementing healthcare programs that meet both client and organizational needs
- Insurance Billing: Proficient in navigating the complexities of insurance billing, contributing to revenue maximization and financial sustainability
- Executive Leadership: Demonstrated capability in executive-level roles, providing strategic direction and contributing to the overall success of the organization
- Process Improvements
- Operations Oversight
- Operational Efficiency
- Policy Development
- Performance Measurement
- Performance Analysis
- Financial Reporting
- Project Management
Accomplishments
- Medical Billing and Insurance Department Creation
- Orchestrated the customization of multiple Electronic Health Record (EHR) systems to maximize operational efficiency for both providers and billing staff.
- Cultivated strategic relationships with health plan provider representatives, actively participating in high-level provider meetings with all AHCCCS plans on a monthly basis.
- Ensured consistent clean claim submission rates, minimizing outstanding patient balances quarterly, and securing timely payments from healthcare plans.
- Proactively managed and maintained the CAQH profile, insurance policies, and credentialing for every provider within the organization.
- Maintained compliance with over 30 health plans, overseeing the submission and processing of more than 2000 claims monthly.
- Program Development, Budgeting, and Tracking
- Spearheaded the creation of comprehensive administrative and clinical policies and procedures, successfully launching multiple community and hospital-based programs.
- Implemented robust fiscal and production tracking systems for all grant and contract-funded programs, ensuring transparency and accountability in resource utilization.
- Innovatively developed and implemented an onboarding process for new hires, resulting in an impressive 78% increase in employee satisfaction.
- Patient-Facing Experience
- Adhered to AHCCCS and Arizona Department of Health Services guidelines while effectively managing and documenting all patient grievances, ensuring compliance with regulatory standards.
- Implemented a structured approach to patient satisfaction by executing quarterly surveys, providing valuable insights to optimize the company's responsiveness to patient needs across the entire practice.
- Spearheaded the oversight of patient experiences, focusing on interactions between patients and team members, touchpoints, and methods of engagement. This comprehensive approach contributed to the enhancement of overall patient satisfaction and engagement.
- Management Excellence
- Evaluated organizational performance through strategic metrics, leveraging insights to drive actionable improvements.
- Successfully built a robust and resilient team by identifying and onboarding highly qualified candidates for key front-line and senior management positions.
- Fostered team building and leader development initiatives, resulting in an impressive 82% increase in employee satisfaction within a one-year timeframe.
Timeline
Director of Operations
Women’s Health Innovations of Arizona
09.2017 - Current
Associate of Applied Science -
Harper College