Vanessa Moldovan, Crcr, Cpb, Cpc, Cppm, Cpma, Cpc-I Email & Phone Number

Mount Prospect, IL, US

Mount Prospect, IL, US

• At For the Love of Revenue Cycle®, we are dedicated to making impactful changes in the ever-evolving healthcare industry. We work to alleviate the challenges faced by patients, providers, and revenue cycle.
• Revenue Cycle Optimization: We provide in-depth reviews to improve efficiency and effectiveness, starting with denial management and preventive solutions. We also offer technology optimization to enhance or replace.
• Full Revenue Cycle Management: Our comprehensive services cover every aspect of the revenue cycle, from credentialing and coding to billing, collections, and denials. We focus on improving your financial outcomes by.
• Innovation and Automation Consulting: We partner with software companies to drive efficiency and standardization. By assisting with marketing, messaging, sales, and product development, we help companies understand.
• Education and Training: We empower RCM professionals with in-depth training, resources, and tools through virtual and in-person sessions, public speaking, webinars, and workshops on topics like denial resolution.

New York, NY, US

I partner with Covered as their Vice President of Revenue Cycle Management, leading initiatives to leverage cutting-edge technology in reversing unfairly denied claims for healthcare providers. Collaborating closely with cross-functional teams, I align revenue cycle objectives with broader business goals, driving sustainable growth and fostering positive.

Salt Lake City, Utah, US

I specialize in delivering engaging and effective online training to aspiring medical billing professionals who are seeking a CPB credential.

Louisville, Kentucky, US

In my role as the Insights Program Manager, I help to elevate overall industry and solution knowledge of the commercial organization by conducting win/loss analysis, creating educational resources, delivering internal training and external webinars, and collaborating with other departments to provide industry insight and perspective for optimal messaging.

Nashville, TN, US

• Managed the daily operations for the accounts receivable and medical coding teams for 7 ambulatory surgery centers throughout Utah, consistently exceeding the ASD Mountain Division KPIs.○ Reduced bad debt (over 120.
• Initiated and implemented productivity metrics and guidelines, resulting in budgetary approval to hire additional team members, objective and effective performance improvement plans and improved team morale

Chicago, Illinois, US

• Supported complex audits and prepared methodology for annual pricing review and coding changes to improve pricing transparency with patients.
• Provided significant contributions to annual CPT update audits through research, training, and education.

• Conducted thorough evaluation of trending revenue cycle reports including accounts receivable aging, days outstanding, denials, payment variance analyses, claim holds reports, and write-off trends, implementing.
• Performed E/M coding audit and presented feedback to the physicians for meeting documentation and compliance guidelines.

Beachwood, Ohio, US

• Performed complex medical documentation audit for a large substance abuse disorder facility, presenting findings to medical and support staff for quality assurance and compliance.
• Assisted in launching new revenue cycle clients by monitoring all processes within the initial 30 days and providing feedback
• Performed all revenue cycle functions for multiple specialties, including charge entry, claims submission, payment posting, AR followup and denial resolution while improving and maintaining organizational best practices.

• Performed several post-payment medical documentation/coding audits for family practice physicians.
• Audited medical documentation to verify correct the correct CPT/HCPCS had been billed to the payer.
• Submitted audit results for quality assurance and compliance through education and training

• Optimized key performance indicators of all clients as related to accounts receivable, which included percentage of collection, days in accounts receivable, and aging buckets through the following initiatives:○.
• Revised the physician encounter form to ensure strict compliance with ICD-10-CM guidelines.
• Functioned as part of the Compliance Committee, which entailed integrating processes and reviewing existing processes to ensure adherence to OSHA, HIPAA, OIG, and other regulatory guidelines

Chicago, Illinois, US

• Provided significant contributions to performance improvement initiatives, including PFS and other revenue cycle departments, which brought forth 4% decrease in the percentage of accounts receivable over 90 days
• Administered and engineered reports to efficiently oversee the health of the revenue cycle.
• Assumed responsibility in consolidating and processing data, including compiling data for a part of the monthly score card to display various KPIs for the organization.

Beachwood, Ohio, US

• Oversaw the highest grossing organization’s clients: One with $4M in AR and another with $6M in AR.
• Solely managed the operations of the revenue cycle encompassing client relationship, charge entry, payment entry, AR, customer service, along with daily, weekly, and month-end reporting, billing, and claims.
• Developed a competency exam and personality evaluations to supplement the employee interview and hiring process
• Collaborated with the company sales teams during prospective client meetings, answering inquiries related to revenue cycle operations

Mount Prospect, Illinois, US

I managed the entire billing department for Weil Foot and Ankle. I was responsible for monitoring the revenue cycle for the clinic and all of its locations throughout the Chicagoland area. I was also responsible for managing the personnel within the department.

Park Ridge, Illinois, US

• Promoted multiple times, eventually serving as department manager over 20 employees and daily submissions of 500+ electronic and paper claims. Performed periodic audits on registration and claims staff including annual.
• Handled monitoring of receipt, distribution and registration of 1,500+ encounters.
• Met deadline goals on 50+ department functions and productivity metrics.
• Earlier roles included Internal Auditor (Created and implemented an internal hold code process for paperless tracking of claims follow-up, paperless) and Reimbursement Specialist (Handled outgoing and incoming calls to.

Chesterfield, MO, US

I edited and billed claims. I began as a customer service representative which meant that I answered incoming patient calls and followed up on outstanding patient AR.