THERESA M. MORAN - CPC
Davenport,FL
Summary
Medical Billing and Coding Specialist providing administrative and patient support in hospital and medical office settings. Advanced knowledge of private insurance processes and codes. Well-versed in checking coverage, obtaining authorizations and collecting payments. Organized and dedicated Administrative Assistant with proven track record of providing exceptional customer service in fast-paced environments. Offering keen attention to detail and strong decision-making skills to manage multiple, concurrent tasks. Self-motivated work ethic to perform effectively in independent or team environments.
Overview
32
32
years of professional experience
Work History
Surgery Scheduler
Celebration Obstetrics And Gynecology
06.2022 - Current
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records
- Expertly managed planning, scheduling, and coordination of outpatient procedures
- Coordinates with facilities to set up surgeries for 5 Obstetrics and Gynecology surgeons
- Ensures patient is aware of expectations of surgery; schedules follow ups with patients and completes full cycle with ensuring surgical claim is filed and paid to physician, with appropriate CPT coding.
- Checks out patients, schedules next appointments all while providing exceptional customer service skills to patients
- Verified insurance coverage and obtained pre-authorizations
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others
- Communicated with insurance companies to research and resolved coding discrepancies
Salon CG Manager
Champions Gate
01.2019 - 12.2021
- Handled employee scheduling and coverage needs during business hours.
- Cross-sold and up-sold new haircare products, increasing earnings 20% per month.
- Controlled inventory by tracking expenses, purchases, and shelf stock.
- Sourced high-quality and trending hair care products for salon, placing orders with suppliers.
- Promoted business through marketing initiatives and use of social media.
- Worked to continuously increase salon business through effective sales, service, and operations policies.
- Demonstrated a high level of initiative and creativity while tackling difficult tasks.
Community Readiness Consultant
09.2015 - 04.2018
- Interviewed and assessed clients’ needs and concern (e.g., family separation, parenting, personal financial management, child care elder care)
- Used interview data and changing Air Force demographics, developed family profiles and addressed family issues
- Assisted families with retiree death cases; provided immediate assistance to retirees/family members; resolved casualty benefit discrepancies; and recovered $718K for survivors
- Excellent communicator; briefed several leadership courses; first-rate tact and diplomacy in interactions with leadership of organizations and unit officials
- Expertly assisted 235 Airmen during financial emergencies; Key to Tyndall Airmen receiving over $120,000 AFAS assistance for 2016; processed 20 AFAS cases for 2017
- Governmental Affairs
VP, Governmental Affairs
Bay County Chamber of Commerce
08.2013 - 08.2015
- Monitored activities of Panama City, Bay County, Florida and U.S governmental agencies and enhanced working relationship between entities & community leaders to ensure business-friendly environment
- Authored local position papers for Chamber on legislative priorities
- Wrote articles for electronic newsletter and quarterly published magazine
- Composed monthly meeting minutes, agendas and governmental “Alerts and Updates” to chamber membership to spread awareness about local/state/national government issues
- Established monthly PowerPoint slide show for Chamber “First Friday” event for over 350 members
- Coordinated with community leaders on governmental issues, identifies trends, issues and concerns and compiled information into annual Chamber agenda
- Composed monthly Military Affairs Committee (MAC) newsletters, establishing community partnership with Tyndall AFB and community leaders.
- Resolved issues and recommended actions based on production and compliance reports
Superintendent, Project Manager
United States Air Force, Multiple Air Force Bases
02.1991 - 06.2013
- Dynamic, goal oriented Airman and Family Readiness Superintendent who directed Emergency Family Assistance Center
- Flight resource manager for annual $326,000 budget and equipment custodian for flights communications property valued at $110,000
- Led squadron in communications upgrade projects and issued guidance for base communication operations
- Managed $650M portfolio of 23 large-scale computer, radio, network, telephone and airfield systems projects
Education
AAPC Certified Professional Coder -
A.A - Medical Billing
Coding Keiser University
B.S - Psychology
Columbia Southern University
2013
A.A - Information Resources Management
Community College of Air Force
2005
A.A - Information Systems Management
Community College of Air Force
2002
A.A - Drafting Technology Okaloosa
Walton Community College
1990
Skills
- Extremely organized, excellent attention to detail and customer service-oriented expert
- Microsoft (MS) Word, MS Excel, MS Outlook, and MS Power Point
- Insurance Verification/Pre-Authorization Management
- EHR Systems Expertise
- Process patient referral to completion with precision, detail and accuracy
- Availity® Expertise
- CPT Coding, ICD 10, CPTS, HPCCS
- Eligibility Determinations
- Medical Terminology
- Records Management
- CPT Code Modifiers/Code Assignment Research
- EMR Systems
Additional Information
- Performs on-going chart reviews and abstracts diagnosis codes The purpose of this position is to review medical records documentation to select and sequence the appropriate ICD-10-CM diagnosis codes, verify the correct CPT-4/HCPCS procedure codes are attached and to capture charges for laboratory, radiology, supplies and medical procedures within the following types of records: Emergency Facilities, Inpatient, Observation and Ancillary services. Abstract and code diagnoses and procedures from health records by using appropriate classification systems
Timeline
Surgery Scheduler
Celebration Obstetrics And Gynecology
06.2022 - Current
Salon CG Manager
Champions Gate
01.2019 - 12.2021
Community Readiness Consultant
09.2015 - 04.2018
VP, Governmental Affairs
Bay County Chamber of Commerce
08.2013 - 08.2015
Superintendent, Project Manager
United States Air Force, Multiple Air Force Bases
02.1991 - 06.2013
AAPC Certified Professional Coder -
A.A - Medical Billing
Coding Keiser University
B.S - Psychology
Columbia Southern University
A.A - Information Resources Management
Community College of Air Force
A.A - Information Systems Management
Community College of Air Force
A.A - Drafting Technology Okaloosa
Walton Community College
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