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JOAN M. MOOREORGAN PEAK DRIVELAS CRUCES, NM 880121-575-556-9336 (Home)1-508-631-0728 (Cell)jmc03c50@westpost.net

HEALTHCARE FINANCE AND INSURANCE PROFILE

A conscientious, ambitious professional with extensive experience in management.Business operations experience, client and customer relations and training & d

evelopment. Built a reputation for getting the work/project done. Designed, developed and implemented policies and procedures regarding operations, training,and staffing. Improved work process and teamwork to improve firmas bottom line.Maximized delivery of superior services to clients and customers. Ability to interface with all levels of an organization. Skills to lead and to motivate, andto manage multiple projects simultaneously. A results-oriented, ethical problema"solver. Excellent interpersonal communication, organizational and strategic planning skills.

Expertise and knowledge: Business Management, Office Management, General Management, Process Analysis, Report Preparation, Operations, Client Relations, Writi

ng/Editing, Strategic Planning, Team Building, Change Management, Training and Development, and Human Resources.

PROFESSIONAL HISTORY

THE OUTSOURCE GROUP a" Wakefield, MA / Corporate Offices, St. Louis, MO2008 a" 2010Workers Compensation Claims and Reimbursement a" Outpatient Hospital Services.aTracked daily work, both new business and processed business.aMonitored workload of client to met clientas needs were supported.aPrioritized daily work processed per clientas needs and and type/status of clai

ms.aPerformed audits of outstanding and paid claims, recover and resolution of claims.aMaintained effective communication with fellow staff members of The Outsource Group and between The Outsource Group and the client via daily phone or email contact with hospital liaison and members of client hospital finance management staff.aManaged difficult or emotional injured workers enquiries and assisted and educated patients to understand hospital reimbursement for services rendered to themdue to their workersa compensation injury.aServed as informational source to injured workers and employers regarding states agencies involved in workersa compensation matters.aExercised judgment and acted appropriately within defined regulations, client r

equirements, and policies and procedures for properly handling issues and problems.aDaily contact with major insurance companies and their workersa compensation adjusters and claims representatives.aRoutine contact with legal professionals and their office staff during the litigation process.

LESLEY UNIVERSITY a" Cambridge, MA1999 a" 2002

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Student, School of Management, B.S. Degree Program

CLASS, INC., North Reading, MA.Headquarters a" Lawrence, MA1999 a" 2000A non-profit service organization for adults with developmental disabilities.Assistant to Facility DirectorSupported the opening operations and daily management of a new satellite facility. Facility grew from 5 employees serving 10 individuals to a facility with over20 employees serving 50+ individuals in first eighteen months of operation.aLiaised with government agencies, vendors, and inter-agency personnel.aTrained support staff in computer use, programs, and document generation.aPreparation of reports, special projects, and correspondence for Facility Director.aDeveloped and maintained effective information management systems.aCoordinated the hiring of staff from multiple temporary staffing agencies.aPerformed pre-employment screening of applicants, reference checks, processed employment applications, and CORI (Criminal Offense Record Information) forms tothe corporate office.aMaintained computerized databases of employee, clients, budgetary, and salary data.

LOMAR ASSOCIATES, North Reading, MA

1991 a" 1997Office Manager, Physician Medical Billing ServiceaSupervised and evaluated a team of six full-time medical billing and collectionemployees.aProvided managerial support to the owner of a Medical Billing Service.aManagerial contact person for hospital physicians, hospital personnel, patients, and vendors.aSupervised the electronic submission of claims, payment verification, reimbursement resolutions.aResolved technical software problems, prepared reports, and audited all accounts. .aPerformed pre-collection follow-up and processed accounts to credit and collection agency.

aTrained new employees on medical billing and accounting software.aAttended medical software seminars and reimbursement regulatory meetings.

THE CAMBRIDGE HOSPITAL, Cambridge, MAPrior to 1991Supervisor of Patient Accounts - Fiscal Services DepartmentDirect report to the Administrator of Fiscal Services at large urban hospital. Responsible for the collection of multiples of millions of dollars in revenue.aSpecial project assistant to the Administrator of Fiscal Services.aResponsible for training and development of Fiscal Services personnel.aSupervised the coding of charges and charge data from the Medical and Psychiatric Emergency Medicine Departments, Surgical Daycare Unit, and Outpatient Departm

ents.aInstructed staffed in reimbursement problem resolution, processed appeals and denials.aEnsure optimum reimbursement for medical services through accurate and timely reporting of all physician and ancillary services. Directed the timely submissionof all insurance claims.aSupervised all Accounts Receivable activity to ensure the Directed the development of regular business operations reports.aProvided patient financial counseling, approved Free Care Applications, and established payment plans for non-insured patients.

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aReviewed accounts for charge errors, bad debt processing and write-offs.aConducted claim audits for all commercial insurances, Medicaid and Medicare.aInteracted daily with medical professional staff from various hospital departments.aMember of Patient Account and Emergency Room Task Committee.aAttended training and reimbursement seminars, Medicare, Medicaid, BC/BS, Worker's Compensation, and Third Party Liability.aPrepared weekly and monthly production, financial, and statistical reports forthe Administrator of FiscalServices and Director of Emergency Medicine.

EDUCATION

Bachelor of Science, Business Management, Lesley University, School of Management, Cambridge, MACertification - Computerized Accounting Program, Computer-Ed Business Institute,Woburn, MAAssociate of Science, Medical Office Management, Bunker Hill Community College,Boston, MA

COMPUTER PROFICIENCIES

AS400 Web Based Business Software, SSI Claims Processing Solutions, Microsoft Of

fice: Word, Access, Excel, Power Point, Front Page, and Accounting Software: Integrated Accounting, Peachtree.