Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Leata Moore

Hesperia

Summary

Dynamic Medical Office Manager with a proven track record at PURI ORTHOPEDIC CENTER, INC., excelling in medical coding and staff training. Achieved a 30% reduction in delinquencies through effective problem resolution and contract negotiation. Adept at ensuring document accuracy and fostering team leadership to enhance operational efficiency.

Overview

36
36
years of professional experience

Work History

Office Manager/Medical Coding and Billing Specialist

PURI ORTHOPEDIC CENTER, INC.
Victorville
04.2004 - 12.2024
  • Recruited and trained new employees to meet job requirements.
  • Negotiated contracts with vendors, securing favorable terms and cost savings.
  • Interpreted medical terminology and pharmacological information to translate information into coding system.
  • Verified patient information, including medical history and insurance coverage, to ensure accuracy of coding and billing.
  • Assigned appropriate codes using ICD-10-CM for diagnosis, CPT for procedures, HCPCS for supplies and modifiers as required by payers.
  • Proofread documents carefully to check accuracy and completeness of all paperwork.
  • Entered patient insurance, demographic and health information into software and confirmed records.
  • Educated healthcare staff on coding standards and changes in coding guidelines.
  • Negotiated and evaluated benefits of participation in HMOs and PPOs.
  • Prepared and submitted documentation for credentialing and re-credentialing for various plans and facilitie.

Medical Billing Supervisor

ARROWHEAD ORTHOPEDICS
Redlands
01.1999 - 03.2004
  • Coordinated with department managers regarding changes in reimbursement policies or procedure updates.
  • Maintained up-to-date knowledge of CPT and HCPCS codes, Medicare regulations, and other third-party requirements.
  • Reviewed employees' work to check adherence to quality standards and proper procedures.
  • Organized information for past-due accounts and transferred to collection agency.
  • Handled billing, waivers and claims for private and commercial clients.
  • Monitored accounts receivable reports on a weekly basis to ensure timely payments from insurers.
  • Delegated work to staff, setting priorities and goals.
  • Responded promptly to inquiries from patients or insurance companies regarding bills or payments.
  • Resolved any billing issues that arose in a timely manner.

Medical Office Manager/Collector

SOUTHERN CALIFORNIA ORTHOPEDICS
Anaheim
08.1997 - 12.1998
  • Promoted to Office Manager of the Temecula clinic after one year of successful collections efforts, in which delinquencies were reduced by 30 to 40 percent.
  • Supervise a staff of 5 in handling all front-office activities of this Orthopedic practice seeing an average of 60 patients daily. Primary function include: scheduling, billing, rooming patients, taking vital signs, record patient histories and coordinating tests with labs and radiology.
  • As the Collector, I became the first employee to exceed collection goals by recovering $160,000 per month for the Orthopedic and Physical Therapy practice. Worked mainly with workers' compensation accounts.

Medical Office Manager/Billing Manager

STEVE I. SUBOTNICK, D.P.M.
Hayward
05.1989 - 06.1997
  • Hired, scheduled and supervised 4-person medical support staff serving 50 to 60 patients per day.
  • Rapidly reversed negative financial trend through implementation of aggressive payment/collections policies and through accurate coding of diagnoses and cpt codes on insurance claims to maximize recoveries.
  • Demonstrated keen sense of judgment in evaluating financial status of patients to establish equitable credit arrangements. Negotiated discounted rates with medical facilities for low income patients.
  • Evaluated benefits of participation In HMOs and PPOs. Prepared and submitted documentation for credentialing and re-credentialling for various plans and facilities..

Education

High School Diploma -

Vaipouli College
Samoa
12-1973

GED -

Samoa College
Samoa

Skills

  • Medical coding
  • Contract negotiation
  • Insurance verification
  • Staff training
  • Document accuracy
  • Problem resolution
  • Patient interaction
  • Contract administration
  • Billing processes
  • Accounts receivable
  • Data entry
  • Team leadership
  • Staff management
  • Attention to detail
  • Verbal and written communication
  • Problem-solving abilities
  • Negotiation
  • Hiring and training

References

References available upon request.

Timeline

Office Manager/Medical Coding and Billing Specialist

PURI ORTHOPEDIC CENTER, INC.
04.2004 - 12.2024

Medical Billing Supervisor

ARROWHEAD ORTHOPEDICS
01.1999 - 03.2004

Medical Office Manager/Collector

SOUTHERN CALIFORNIA ORTHOPEDICS
08.1997 - 12.1998

Medical Office Manager/Billing Manager

STEVE I. SUBOTNICK, D.P.M.
05.1989 - 06.1997

High School Diploma -

Vaipouli College

GED -

Samoa College

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Leata Moore