Moira Stotler
Coos Bay,OR
Summary
Extremely experienced Patient Financial Specialist adept at claims follow-up, denial resolution and achieving top-tier revenue rate of return. Excellent at expediting claims processing by resolving denials swiftly and enhancing reimbursement speeds. Experience collaborating with outside providers, external agencies, vendors and payers to support revenue cycle functions. Focused on identifying areas of improvement to achieve revenue cycle goals. Adept at facilitating the education and training of new staff.
Overview
20
20
years of professional experience
Work History
Patient Financial Specialist II
Bay Area Hospital
04.2016 - Current
- Expedited claim processing timeframes through proactive troubleshooting of claim denials or rejections, resulting in faster reimbursement for services rendered.
- Developed strong relationships with insurance companies, facilitating smooth communication regarding claim submissions and reimbursements.
- Trained new hires on company policies, software usage, and effective communication strategies to ensure consistent quality service across the team.
Patient Accounts Specialist
Cascade Medical Center
04.2015 - 04.2016
- Expedited claim resolutions by skillfully navigating complex insurance policies, regulations, and guidelines.
- Posted payments and processed refunds.
- Worked with outside entities to resolve issues with billing, claims, and payments.
- Responded to patient, family and external payer inquiries.
Practice Manager
Pro-Active Physical Therapy
08.2004 - 08.2014
- Evaluated practice workflows regularly to identify areas for improvement and implement necessary changes efficiently.
- Addressed patient concerns promptly and professionally, demonstrating empathy and excellent problem-solving skills.
- Oversaw accounting, budgeting, and financial reporting.
- Managed daily practice operations to optimize appointment scheduling, patient records management and billing functions.
- Facilitated communication between staff members, fostering a collaborative work environment that improved overall team performance.
Education
High School Diploma -
Del Norte High School
Crescent City, CANo Degree - Political Science And Government
College of The Siskiyous
Weed, CASkills
- Denial Management
- Medical Billing Expertise
- Time Management
- Excellent Communication
- Team Collaboration
- Organizational Skills
Additional Information
- Experience with both Facility and Professional billing and collections
- Experience working with all payer types
- Knowledge of regulatory requirements related to billing, compliance and the Health Insurance Portability and Accountability Act
- EPIC Super User
- Experience with Medisoft, Healthland, AS400, Experian
- Knowledge of CPT, HCPCS, modifiers, revenue codes and diagnosis codes
- Adept at Excel, Word and Teams
Timeline
Patient Financial Specialist II
Bay Area Hospital
04.2016 - Current
Patient Accounts Specialist
Cascade Medical Center
04.2015 - 04.2016
Practice Manager
Pro-Active Physical Therapy
08.2004 - 08.2014
High School Diploma -
Del Norte High School
No Degree - Political Science And Government
College of The Siskiyous