Kimberly Moore
Sherman,TX
Summary
Forward-thinking Office Professional with in-depth knowledge of administrative and management processes. Over 10 years of managing successful relationships with associates, customers and vendors. Exceptional success driving financial improvements and revenue increases for specialty practices. Highly dependable, strong organizational, communication and relationship skills with a positive attitude. Enjoy working in a fast-paced environment. Able to handle multiple assignments and meet tight deadlines.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Practice Manager
Texoma Wellness Center
05.2023 - Current
- Manage overall medical office duties
- Manage and process payroll/finances through Quickbooks online. Monthly P&L
- Maintain credentialing and licensure's for physician and insurances
- Achieve optimal staffing levels for maximum productivity and client services
- Responsible for hiring and day-to-day management for the medical office
- Weekly stats sheets/budget assessment
- Review, purchase supplies and equipment, and manage inventory
- Responsible for ensuring that compliance requirements are monitored and that any issues are promptly addressed
- Oversee coding and diagnosis, billing
- Review and/or prepare accounts payable and receivables.
- Maintain patient eligibility and authorizations
- Provide/perform therapy plans with patients to improve ROM, flexibility and muscle function
- Perform new patient exams and x-rays
- Go over treatment plans with patient's
- Daily deposits
Administrative Assistant
Masterkey Ministries
04.2022 - Current
- Fundraising coordinator
- Develop and maintain filing systems
- Input receipts and pull reports with Quickbooks
- Record and prepare for board meetings
- Order office supplies
- Marketing
Scheduling Coordinator
Dr. Papaila
10.2020 - 05.2023
- Manage/coordinate all surgeries scheduled for the surgery center
- Obtains and enters all necessary information from surgeon requesting OR time
- Allows adequate time for each procedure
- Enter and generate charges
- Calculate price estimates, quotes and copays for all appointments
- Obtain authorizations/eligibility for all procedures
- Credentialing for new/current providers/techs
- Assist patients via phone and in office with appointments
- Working knowledge of CPT, ICD-10 codes
- FMLA processes
- Assist with patients(MA duties) on a as need basis.
Office Manager
McGrael Urology Associates
04.2018 - 10.2020
- Manage overall medical office duties
- Managed and processed payroll/finances through Quickbooks
- Maintain credentialing and licensures for physician and insurances
- Achieve optimal staffing levels for maximum productivity and client services
- Responsible for hiring and day-to-day management of 4 for the medical office
- Reviewed and purchased supplies and equipment, and managed inventory
- Maintained a close relationship with vendors
- Responsible for ensuring that compliance requirements were monitored and that any issues were promptly addressed
- Oversee coding and diagnosis, billing
- Reviewed and/or prepared accounts payable and receivables
- Implemented new EMR system
- Exceptional problem solving.
Sales Associate
Dillards
04.2015 - 05.2018
- Assisted customers/provided customer service
- Operated cash register
- Housekeeping
- End of day closing duties.
Billing Specialist
Home Hospice of Grayson County
05.2017 - 04.2018
- Process NOE claims daily
- Verify eligibility of patients
- Knowledge of electronic claims/payments, work rejections, process claims and bill through DDE
- UB-04 claims processing
- Palliative Care billing
- Credentialing of professional staff and contracts for hospice and Palliative Care
- Payroll processing.
Medical claims processor
Cigna
02.2017 - 05.2017
- Processed and denied medical claims for hospital, medical, CRU, COB
- EOB knowledge, able to successfully read and distinguish, ensure correct amounts from EOB’s are entered
- COB trained, determine primary and secondary insurance/payments
- UB-04 claims
- Knowledge of electronic claims/payments, rejections.
Billing/Financial Counselor
Texoma Medical Center
04.2011 - 02.2017
- Coding
- Processed new claims and rebilled claims by adjusting, managing, working, follow up
- Assist with billing inquiries via phone and in person with patients
- ECW cross-trained
- Posting monies/EOBS (patient and insurance) and denials following EOB’s
- Data entry
- Processed appeals (10-15 a week) with follow up
- Working with HCFA 1500’s
- Sent and worked denials every week
- Knowledge of insurance (Government, Commercial, State, Managed Care)
- Insurance verification
- Ability to follow and understand EOB’s
- Complete necessary forms for denials, adjusted claims and medical records
- Knowledge of electronic claims/payments, rejections.
Education
Bachelor of Science - Business Management
University of Phoenix
Tempe, AZ05.2017
Skills
- Policy and procedure development
- Marketing
- Referral management
- Electronic Health Records
- Workflow Management
- Continuous Improvement
- Regulatory Compliance
- Practice Management
- Budget Oversight
- Staff Development
- New Hire Training
- Bookkeeping
- Payroll Administration
- Employee performance
- Policy Implementation
- Strategic business planning
- Staff Management
Certification
- CPC - Certified Professional Coder
Timeline
Practice Manager
Texoma Wellness Center
05.2023 - Current
Administrative Assistant
Masterkey Ministries
04.2022 - Current
Scheduling Coordinator
Dr. Papaila
10.2020 - 05.2023
Office Manager
McGrael Urology Associates
04.2018 - 10.2020
Billing Specialist
Home Hospice of Grayson County
05.2017 - 04.2018
Medical claims processor
Cigna
02.2017 - 05.2017
Sales Associate
Dillards
04.2015 - 05.2018
Billing/Financial Counselor
Texoma Medical Center
04.2011 - 02.2017
Bachelor of Science - Business Management
University of Phoenix
Similar Profiles
Stephanie WheelerStephanie Wheeler
Full-time Physical Therapist for Acute Care Hospital at Texoma Medical CenterFull-time Physical Therapist for Acute Care Hospital at Texoma Medical Center
Jean RabbittJean Rabbitt
Director of Sales at Hilton Garden Inn Denison/Sherman/At Texoma Event CenterDirector of Sales at Hilton Garden Inn Denison/Sherman/At Texoma Event Center
Emily ClarkEmily Clark
Registered Nurse, Emergency Department at Texoma Medical CenterRegistered Nurse, Emergency Department at Texoma Medical Center
Joseph GingJoseph Ging
Quality Compliance Clerk at AltriaQuality Compliance Clerk at Altria
Melrenzo OrumMelrenzo Orum
Food Service Worker at AramarkFood Service Worker at Aramark