Anne Moore
Bill Review and Compliance Specialist at Acrometis- Claim this Profile
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Bio
Credentials
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ACLS
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Experience
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APS
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United States
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Software Development
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1 - 100 Employee
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Bill Review and Compliance Specialist
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Sep 2015 - Present
- Utilization Review of Medical care and Pharmacy authorizations- Complete Medical Bill Review and Compliance- Account Management and Implementation Support- Identifying and Supporting Sales Efforts- Complete State Review and Legislative Regulation Implementation- Construct Managed Care Cost Containment - Utilization Review of Medical care and Pharmacy authorizations- Complete Medical Bill Review and Compliance- Account Management and Implementation Support- Identifying and Supporting Sales Efforts- Complete State Review and Legislative Regulation Implementation- Construct Managed Care Cost Containment
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Nurse Letter Coordinator and Transition Trainer
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Apr 2011 - Sep 2015
- Ensure compliance with corporate policies and process- Case management - Construct compliance review determination letters for client hospitals- Conduct webinars and training sessions regarding utilization of electronic databases- Conduct Use Acceptance Phase testing and training- Developed both Webinar and telephonic training program for international nurse reviewers - Lead support resource for incoming nurse reviewers- Perform quality assurance audits- Implementation Lead for company-wide electronic database
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Pump Support
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Jan 2010 - Apr 2011
Provided support on Animas Insulin Pumps to both healthcare professionals and patients - Provide guidance and direction to peers as well as be involved in the complaint handling process- Direct interface with patients and healthcare providers in the event of an adverse reaction- Utilized computer database system to track, document and close complaints in a timely manner- Provided patient instruction with exchanging infusion sets, site maintenance, skin care, and cartridge filling techniques- Assessed patient complaint information prior to escalation of the complaint to the FDA
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Phoenixville Hospital - Tower Health
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United States
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Hospitals and Health Care
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100 - 200 Employee
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Medical Surgical/Telemetry Nurse
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Nov 2008 - Jan 2010
Provided exceptional clinical care for cardiac and post-surgical patients- Provided exceptional clinical care for the large population of orthopedic patient’s pre and post operatively and properly handled all orthopedic medical devices- Managed nursing resources and maintained responsibility for night nurse staffing- Reviewed and maintained patient medical records in compliance with HIPAA regulations- Served as clinical liaison across therapeutic departments- Remained compliant with HIPAA and state nursing requirements- Telemetry trained and certified
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Education
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Villanova University
Bachelor of Science in Nursing, Nursing
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