Colette Moore Email & Phone Number

Jacksonville, Florida, United States

Tampa/St. Petersburg, Florida Area

Jacksonville, Florida Area

• Manages a team of 6 –8, Surgical Specialist, facilitated pre-surgical authorization and recovery resolution of invalidated client coverage benefits. Lead and managed multiple tasks and coordinate / pre-plan scheduling.
• Possess the ability to motivate, direct and personally support a team with a consistently high work volume, assists in overseeing the daily operations of the Precertification Department, serves as a point of contact.
• Attends meetings with Supervisor and represents the Precertification department as needed, ensures adequate staff coverage; coordinates work load and keeps Supervisor abreast of all Pre-cert patient service issues.
• Provides direction to all staff to ensure the daily workflow and objectives are met, serves as point of contact for Process Improvement and review incoming Pre-cert requests, clinical data for authorization retrieval.
• Notify physician office/hospital of coverage issues, denials due to procedures not medically necessary, or if insurance carrier requires additional clinical information and/or peer to peer requests. Prioritize daily.
• Work on complex medical cases that are in pending status until cases are complete, ability to convert common diagnosis descriptions to numeric ICD 10 or CPT code and process pre-cert request for scheduled admissions.

Jacksonville, Florida Area

• Obtain eligibility, benefits & authorization for scheduled surgeries.
• Obtain authorizations for Pain Management procedures
• Knowledge of medical practice procedures and functions preferred
• Knowledge of insurance and billing procedures including Medicare and Managed Care Plans
• Knowledge of medical records policies including state and federal compliance
• Good oral and written communication skills

Jacksonville, Florida Area

• Check patient benefits for outpatient and inpatient surgery for Clients physician fees.
• Research and resolves next level processing edits; obtains additional information from corporate office to resolve pending claims.
• Review all outstanding patient balances within Phreesia for patients seen in assigned clinic locations.
• Flag accounts that require discussions with patients regarding payment options and communicating that information to the Check-In/Check-Out staff.
• Communicate with front desk staff regarding patient issues that require your attention.
• Set budget plans within Phreesia and Nextgen

Jacksonville, Florida Area

• Assist with overseeing the daily front and back office operations, prepare weekly and daily reports such as daily collections, staff work schedules, assists the manager with staff training and implementing clinic.
• Oversaw finances including cash flow, charge entry and co-payments.
• Trained and hired personnel.
• Ensured the practice met current medical laws, regulations and ethics.

Jacksonville, Florida Area

• Collected all co-pays and balances, scheduled follow-up appointments.
• Verified patient insurance coverage.
• Check in /out patients and scheduled appointments.
• Greet and check-in patients, and collect personal, medical, and insurance information.
• Gathered new patient information visit by having them fill out forms and handled all incoming and outgoing mail.
• Facilitated patient flow by notifying the provider of patient arrival, delays, and communicating with patients and clinical staff.

Jacksonville, Florida Area

• Schedule, reschedule, and verify patient appointments; schedule appointments with secondary care providers.
• Coordinate physician schedules and maintain patient flow by communicating patient arrivals or delays.
• Answer all incoming calls.
• Take consults from doctor’s offices, hospitals; text, email and/or fax to patient information to the appropriate provider.

• Frontline customer contact without being in a branch location.
• Assisting customers in an inbound call center via phone.
• Completed the online banking account set-up process.
• Help with customer needs with a focus on our Online solutions including, bill payment research, and technical troubleshooting.
• Referred customers to the appropriate line of business for those products and services not directly supported

Medical Insurance Coding Specialist/Coder

High School Diploma

Activities and Societies: Marching Band and Anchor Club