Tricia Moss Email and Phone Number
pullman, washington, united states
Tricia Moss's Location
United States, United States
Tricia Moss's Contact Details
Tricia Moss work email
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Tricia Moss personal email
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Tricia Moss phone numbers
About Tricia Moss
Tricia Moss is a Medicare Specialist at Pullman Regional Hospital. She possess expertise in medicare, claims, analysis, revenue cycle.
Tricia Moss's Current Company Details
Pullman Regional Hospital
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Medicare Specialist
pullman, washington, united states
- Website:
- pullmanregional.org
- Employees:
- 238
Tricia Moss Work Experience Details
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Medicare SpecialistPullman Regional Hospital Sep 2024 - Present835 Se Bishop Blvd Pullman, Wa 99163-Analyze denials and determine the appropriate course of action for appeal or resubmission.-Prepare and submit appeals for denied claims, ensuring accuracy and compliance with regulatory requirements.-Collaborate with internal teams, including billing, coding, and clinical staff, to gather necessary information for appeals and resolve denial issues efficiently.-Maintain detailed records of denial cases, including appeals filed, communications with insurance representatives, and any additional documentation required.-Monitor the status of appealed claims and follow up with insurance representatives as needed to expedite resolution.-Generate and analyze reports on denials trends, identify root causes, and make recommendations for process improvements.Required Skills: -Ability to analyze denial reasons, identifies trends, and develops strategies for minimizing denials.-Excellent written and verbal communication skills, with the ability to effectively communicate with internal staff and insurance representatives.-Strong attention to detail and accuracy in documentation and appeals submissions.-Ability to collaborate effectively with multidisciplinary teams to achieve common goals.-Thorough understanding of billing regulations, coverage guidelines, and appeals process.
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Medicare Specialist -RemoteOptum Aug 2017 - Sep 20249900 Bren Road East Minnetonka Mn 553343- Demonstrates experience and knowledge of third party and governmental payers • Shows ability to interpret account information accurately and communicate variances relating to contractual/billing issues. • Shows ability to understand cash posting and other related transactions as it pertains to billing primary/secondary claims.• Demonstrates knowledge of UB/1500 and other requirements at the payer specific level• Demonstrates a knowledge of electronic billing software focus on ePremis• Demonstrate the ability to read, retain and assist in implementing billing guideline changes at payer specific levels• Show knowledge of CPT, HCPCS, Revenue Codes and ICD10 coding• Demonstrates experience/knowledge to accurately bill third party contracts/governmental payers to the specific requirements• Routinely sample accounts to determine if current documentation is leading in the avenue for a successful resolution, means will be by way of observation, NDC billing reports, internet, DDE, etc.• Ability to identify and communicate timely Third party/governmental billing guidelines and/or changes, keep the appropriate staff aware of said changes and make recommendations to enhance billing system/staff.• Demonstrates ability to quantify billing error trends and effect process change in supporting hospital systems by way of Charge Master loading/auditing/review,• Working knowledge of payer reimbursement and rules.• Possess effective time management skills to permit handling of large workload -
Interim Medicare ManagerPiedmont Atlanta Hospital Feb 2016 - Mar 2016Atlanta GaManaged and trained 1 Supervisor, 1 Lead, 3 Billers and 6 Follow-up Reps for Medicare, Medicare HMO and Tricare/ChampusVA receivables. -
Swat (Medicare) ConsultantJacobus Consulting Nov 2015 - Jan 2016Good Shepard Medical Center – Longview TxMentor and educate hospital staff, prepare and submit hospital claims, and be responsible for moving claims through the billing process to get them paid promptly and accurately. Perform Hospital AR & DNFB management as well as hospital billing and payment requirements, billing processes, collections processes, and denials management. Additionally, performs a high level of attention to detail, along with being responsible for identifying issues attributed to delinquent accounts and collecting payments accordingly. Expert in billing & payment regulations for Medicare receivable working in a hospital environment Reviews and monitors assigned accounts and all applicable collection reports. Travel weekly to client site. -
Interim Medicare TrainerBenefis Health System Oct 2015 - Nov 2015Great Falls, Montana AreaTrained 5 FTEs (2 Hospital Reps/3 Physician Reps) to bill Acute Care charges for Medicare. -
Medicare ConsultantWest Park Hospital Cody Wy- Critical Access Hospital Mar 2015 - Jul 2015Cody WyTrained Biller to bill all financial classes from DSG and trained 2 Reps to bill and collect Medicare receivables. Identify billing edits in DSG for all financial classes requiring updates or new ones to be added.
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Medicare ConsultantBrookings Health Systems Brooking Sd Jan 2015 - Mar 2015Brooking SdBill/Collect Medicare Receivables. Other assigned duties (update billing edits and training)
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Remote Medicare SpecialistWallowa Memorial Hospital Nov 2014 - Jan 2015Enterprise OrRemote Bill/Collect Medicare Receivables
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Interim Medicare LeadMercy Hospital Portland Me Aug 2014 - Jan 2015Portland MeSupervised 4 FTE (3 Representative and 1 Biller) Trained FTE to bill and collect acute care claim for Medicare
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Remote Medicare SpecialistGuam Memorial Hospital Authority Tamuning Guam Jun 2014 - Oct 2014Tamuning GuamRemote Bill/Collect Medicare Receivables
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Business Office SpecialistGreeley County Health Services Apr 2013 - May 2014Tribune KsTrained Critical Access Facility Reps to bill and collect Swing Bed and Acute care for Medicare, Medicare HMO, Medicaid, Medicaid HMO and Commercial Insurance Carriers. -
Medicare Patient Accounting ConsultantHma Knoxville Regional Service Office Jul 2012 - Nov 2012Knoxville TnProvided classroom training and side by side training for Medicare Billing staff.
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Medicare Patient Accounting ConsultantHma Florida Regional Service Office May 2012 - Jul 2012Sarasota, FloridaBill and collect from Medicare FIs (First Coast and WPS)
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Interim Pfs SupervisorBenefis Health System Feb 2012 - May 2012Great Falls, MtShort-term assignments related to all Payors billing, claims resolution and analysis in accordance with payer contract methodology, and research and resolution of discrepancies hindering claim payment. Supervised 18 FTE.
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Interim Medicare ConsultantRenown Medical Center Dec 2011 - Jan 2012Reno, NvShort-term assignments related to Medicare billing, claims resolution and analysis in accordance with payer contract methodology, and research and resolution of discrepancies hindering claim payment.
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Interim Medicare Rep (National Revenue Cycle Consultant)Hospital Billing Collection Service (Hbcs) Sep 2011 - Dec 2011New Castle, DeShort-term term assignments related to Medicare billing, claims resolution and analysis in accordance with payer contract methodology, and research and resolution of discrepancies hindering claim payment.
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Medicare TeamleadAdena Health System Nov 2010 - Aug 2011Chillicothe OhDuties: Billed and collected for Medicare accounts. Managed 2 Biller and 4 Follow up Rep. -
Interium Biller/Follow Up TrainerExpeditive Jul 2010 - Oct 2010Lynn County Hospital District Tahoka TX Duties: Train 3 FTE Trained Critical Access Facility Reps to bill and collect Swing Bed and acute care for Medicare, Medicare HMO, Medicaid, Medicaid HMO and Commercial Insurance Carriers.
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Medicare ManagerMethodist Lebonheur Healthcare Feb 2009 - Mar 2010Duties: Managed 20 FTE (2 Supervisor)Trained Rep and Supervisor to bill and collect acute care, LTCH, psychiatric and SNF charges for Medicare and Medicare HMO. Average AR Gross total $125 M. Average AR days maintained 36 days. Average aging over 90 days 14%. Average monthly cash collected $25.6 M.
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Interim Patient Financial Services ManagerNational Healthcare Search Solution, Selma, Nc Mar 2008 - Nov 2008Lincoln Park Hospital Chicago IL Duties: Managed 7 FTE (1 Clerk/5 Reps/1 Supervisor)Trained Rep and Supervisor to bill and collect acute care, psychiatric and rehab charges for Medicare.Developed a collection process for all financial classes
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Interim Supervisor, Network Government CollectionsExpeditive, Llc, Princeton, Nj Aug 2007 - Mar 2008SSM HealthCare, St Louis, Duties: Managed 20 FTE (6 Medicare/14 Medicaid)Trained Hospital staff to follow up acute care charges for Medicare Collections and Medicaid CollectionsPrepare annual and monthly FTE evaluations.Transitioned new Supervisor into CBO
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Biller Follow Up RepBlackstone Resources, Tucker, Ga (Formerly Known As Meridian Healthcare Staffing, Lillian Kloock & A Apr 2007 - Aug 2007Shasta Regional Medical Center, Redding, CA Duties:Follow up acute care charges for Medicare ReimbursementTrained Hospital staff to bill and follow up acute care charges for Medicare Reimbursement.Accomplishments:Successful in making monthly goals. Employees developed a working knowledge of billing and collecting for Medicare Receivable.
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Interim Medicare SupervisorBlackstone Resources, Tucker, Ga (Formerly Known As Meridian Healthcare Staffing, Lillian Kloock & Feb 2006 - Feb 2007Boca Raton Community Hospital, Boca Raton, FL Duties: Follow up acute care charges for Medicare ReimbursementTrained Blackstone staff to bill and follow up acute care charges for Medicare Reimbursement.Accomplishments:Collected $600 million in outstanding Medicare with in one yearMarch’s Cash Goal obtained (1st time staff accomplishment)Staffed the Medicare Department with Blackstone Staff (6) to replace vacant FTE’sBilling backlog reduced by 90%/Increased year’s receivable by 85%Transitioned new Medicare Supervisor into Department. Trained new hospital employees to bill and follow up.
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Medicare Biller Follow Up RepBlackstone Resources, Tucker, Ga (Formerly Known As Meridian Healthcare Staffing, Lillian Kloock & A May 2004 - Dec 2005Tenet Patient Financial Services- RBO Alhambra, CA Duties:Billed and follow up acute care, rehab, psychiatric, and SNF hospital charges for six hospitals. Accomplishments:Facilities Medicare Receivables average increased from -40% to 74%.Identified billing regulation through RBO billing system (Healthlogic) with the Facilities.Dept. obtained cash and account resolutions goals set by Corporate.Trained Staff on billing procedures, account reconciliation and Medicare Mandates.
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Medicare Biller Follow Up RepResoultion Mar 2004 - Apr 2004Portneuf Medical Center, Pocatello, ID, Duties: Managed hospital receivables from Medicare for a 248-bed acute care facility.Accomplishment: Medicare Receivables increased weekly average.
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Assistant Business Office DirectorBlackstone Resources, Tucker, Ga (Formerly Known As Meridian Healthcare Staffing, Lillian Kloock & A May 2002 - Oct 2003Bolivar Medical Center, Cleveland, MS Duties: Managed acute care hospital receivables for a 100-bed hospital.Managed fifteen (15) FTE.Transitioned new Business Office Director into Hospital.Accomplishments:Medicare Receivables increased to a weekly average by $119,000.00.Identified billing regulation for timely filing; reducing AR days by 30%Placed aged accounts with off site agency for percentage of collection.Trained Staff on billing procedures and account reconciliation for all payers; including Medicare Mandates.
Tricia Moss Skills
Medicare
Claims
Analysis
Revenue Cycle
Tricia Moss Education Details
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Christian Brothers University, Memphis, TnBusiness Administration
Frequently Asked Questions about Tricia Moss
What company does Tricia Moss work for?
Tricia Moss works for Pullman Regional Hospital
What is Tricia Moss's role at the current company?
Tricia Moss's current role is Medicare Specialist.
What is Tricia Moss's email address?
Tricia Moss's email address is pa****@****ade.com
What is Tricia Moss's direct phone number?
Tricia Moss's direct phone number is +190156*****
What schools did Tricia Moss attend?
Tricia Moss attended Christian Brothers University, Memphis, Tn.
What skills is Tricia Moss known for?
Tricia Moss has skills like Medicare, Claims, Analysis, Revenue Cycle.
Who are Tricia Moss's colleagues?
Tricia Moss's colleagues are Donna Chatman, Desiree Ray, Marlene Stephens, Andrea Pink, Pat Wuestney, Corrine Phillips, Tina Amend.
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Ridgeland, Ms
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