Anjanette Moore

ExperienceCHS Community Health Systems Cerner 8/2016- current

| Application Systems Analyst | Clinical IS|| Health Informatics and Information Management Scheduling Patient Access As an analyst my responsibilities are to learn Cerner Millennium Product inside out, after I have learned the product I :

• Test script and validate build, • Test every single appointment in the mock environment • Use Back Load calculator to estimate cost, manpower and time

need for project• Schedule meetings with Stakeholders to discuss design decisions

matrix (DDM)and data collections workbook (DCW) process • Create and meet Deadlines and Project Milestones• Create Charter and Scope documents• Collect all orderables / prep and guidelines to go along with

Registration/Scheduling workflow• Identify what rooms are used/ what procedure/ duration/ every

location/every CPT code/every Physician, Nurse Practitioner, MidWive and nurse/specialist, specialty /hours, availability/Preps and Post docs/

• Create Cerner Millennium Scheduling Bookshelf /Templates & Core Location

• Appointment Types Design Decisions Matrix (DDM)• Create orders (CPOE) to be integrated with the clinic

appointment types• Utilize “Visit Reason” on OEF/Accept Formats• Prefixes and nomenclature• Create Generic “Clinic” Appointment Types • Create more specific Appointment Types broken out by specialty

with less Visit Reasons• Decide if required information needed to schedule an

appointment from a provider’s perspective• Create Accept Format for all appointment types (could be CPOE

OEFs)for ambulatory • Design Decisions implementing the first round radiology OEFs

and Accept Format • Collect the site specific information to standardize and utilize

guidelines for the scheduler.• Create Policy and Procedures• Create Questionnaires for each procedure and appointment type• Work closely with each Facility and clinic to determine if the new

product implemented is working effectively and efficiently after Go-Live

• PowerChart, FirstNet, SurgiNet, RadNet, Millennium, Content 360

HIIM Health Informatics and Information Management• As a team to ensure that the Cerner Millennium build contains all elements

required in representing the full Legal Health Record (LHR) for both viewing and printing.

• The Master Patient Index (MPI) will contain all patients and data elements to meet the requirements for HIM.

• Product will provide for efficient coding and abstracting of records to facilitate the billing process.

• Utilize the system build to minimize the use of printed forms for efficiency, when printed forms are required encourage the use of Emprint Eforms.

• Establish CHS Best Practice Standards as it relates to the build and use of the system for the Legal Health Record (LHR), MPI, coding, abstracting, deficiency management, release of information (ROI) and forms.

• Fully evaluate and plan for the impact to HIM and the LHR from the new model, one patient one chart across all patient settings.

• Identify any changes in procedures, training models and documentation required to support this new model.

• Ensure all elements related to regulatory standards and requirements for HIM are identified and appropriately designed.

• Create Charter and Scope documents for e-Forms and Reg/Sched department

• Assist in providing a gap analysis for the reports DCW. • Gather sample reports needed for Cerner to complete this review activity.• Review CHS Standard for MPI rate

o Analyze Duplicate rate o Analyze each facility MPI and EMPI rateso Utilize Evrichart to run an analysis of EMPI fileso Provide results from Everichart analysis of current facilities to use as

model for future • Identify Risks:

o File sizeo Large duplicate rate; clean up prior to go liveo Timing of when data is pulled out creating additional MPI if it’s

pulled and data is not availableo Staggered approach has never been done, need to evaluate pros and

conso Patient search by Registrar – minimum search criteria to identify

patient• Organize and file company documents.• Confer with marketing executives, human resource reps, consultants, and

management staff to design and implement goals through documents.• Create and update forms .• Identifying Printers and Monitors (Waicom) • Analyze and revise rough copies of company forms.• Edit and proofread documents for grammar, correct spelling, and clarity.• Arrange and format company forms.

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• Create understandable, persuasive copy.• Interview staff members and consumers regarding existing documents.• Maintain proper records.• Provide backup copies of documents.• Coordinate disclosure of information with outside agencies and ensure that

responses are legally sufficient and timely.• Perform evaluations and document audits.• Ensure that all documents have no errors in filenames or submissions.• Effectively follow the company’s standard operating procedures in

submissions of documents.

Change Healthcare 02/2016 – 8/2016Revenue Cycle Analyst

Manage multiple hospital and clinic Business Office implementation projects concurrently for our existing Assistant clients who will be migrating from our legacy eligibility product to a web based application.

Key Emdeon/Change Healthcare contact throughout the migration process and their duties will range from conducting Kick Off calls, reviewing client custom legacy business logic and defining any additional enhancements, assisting with enrollment (if applicable) testing hospitals IT and Patient Access teams and provide training via WEB EX.

Emulate Super User system testing Possesses the ability to dive change and effectively manage communication

with internal and external clients Written and verbal skills, ability to multi task and quickly adjust priorities,

proficient in Excel, word and PowerPoint 5+ years of institutional hospital experience with patient registration,

verifying health insurance benefits and providing patient responsibility estimations.

Experience and knowledgeable of Patient Access workflows within hospital information systems. (i.e. Meditech, McKesson Series, CPSI, Cerner, etc.)

Comfortable with installing software.

Parallon HCA/TriStar Summit Hospital 02/2015 – 02/2016 Certified Application Counselor

Providing information on insurance affordability programs and coverage options

Helping individuals complete an application or renewal Gathering required documentation

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Submitting applications and renewals to the Medicaid/CHIP agencies Interacting with the agency on the status of such applications and renewals Assisting individuals with responding to any requests from Medicaid/CHIP

agencies Anticipate and troubleshoot logistic and compliance barriers Evaluate case files to determine issues and sufficiency of evidence or

documentation Analyzing Division of Healthcare Finance and Administration guidelines

and relevant regulations for applicability Prepare hearing briefs; assemble documentary evidence and exhibits to

represent the patient at local agency, State and Chief Hearing Officer Hearings for the purpose of reversing a negative decision with or without the patient.

Present patient case, examine and cross examine witness, and enter evidence into the case file at adjudication hearings to establish patients’ eligibility for Medicaid.

Review and monitor revisions in policy/regulations for all Medicaid programs on a regular basis to determine the effect of these revisions on pending applications

Systems used, EMR, McKesson, Meditech, EMD’s Artiva, MagInk OnBase, Host, Magellan, Passport, Tn.Gov, Healthcare.gov. Navicure

CGS Medicare 08/2014 – 12/2014 Claims Status Representative

Direct Provider contact for Medicare and Medicaid Educated Providers on HCPCS coding, modifiers and diagnostic codes Claim denials and Claims Status Provides eligibility for Medicare A, B and D MSP Medicare Secondary Payer Checks provider eligibility to determine responsibility of claim Assists with taking up to 80 inbound calls per day Systems used. MCSDT, HIMR, NPPES CMS.gov DelTek, THOR,Easy

Print,PECOS,Unity

Payment America Inc. 04/2011 – 05/2014Clients Include: Vanderbilt Medical Group, HCA Hospitals, CHS Hospitals Operations Administration 09/2011 – 05/2014

Validate the validity of the debt and respond to debtor and credit bureaus Review incoming correspondence of letter of representatives from

attorneys Type letters to the attorneys for motor vehicle accidents, workman comp,

and personal injury cases. 70% of the job duty Send Insurance billings to the clients every week Helping the Manager on special projects

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Checking for payments on insurance billings Running reports for the representatives Requesting Itemized Statements from Shared Service Updating files with new tags Handling various administrative details with initiative and good judgment. Providing general administrative support including typing, answering

multiple phone lines, indexing and filing documents, making copies, handling travel arrangements, completing expense reports and scheduling meetings.

Perform other duties as assignedMedical Collector Trainer 04/2011 – 09/2013

Assist new hirers with Medical Debt Collections Training Create policy and procedures Conducting New Hire orientation and training Responsible for training new and current employees

Training Medical Collections Assistant 04/2011– 09/2011

Review and locate account numbers of disputed medical debts Processed denials and corrected errors Negotiate settlement offers and payoffs Collected via Self-pay and private/commercial insurance claims

RMB Inc 09/2007 - 09/2011Clients Include: UT Hospital, St. Vincent’s Hospital/Physician OfficesMedical Collections Trainer

Medical Collector Purchase Debt Trainer (ACA certified) Followed up with commercial insurance providers for status on claims Researched and resolved issues with claims Negotiated payment arrangements and offered settlements Achieved monthly and daily goals with regard to amount settled/collected Train new and current employees effectively for duties of Medical

Collections

First Tennessee Bank 04/2007 - 09/2007Consumer Loan Collections Officer

Contacted consumers to follow up on late payment’s Performed Skip-tracing and negotiating payment arrangements

GMAC – Consumer Auto Loans 02/2003 - 09/2007Consumer Loan Collections Officer

Collected Auto Loan payments Negotiate payment arrangements Setup Balloon payments

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Education and CertificationsKnoxville College- Sociology 1996-1997Knoxville Business College -Computer Information Systems 1998 -1999King University - Healthcare Administration / Web Design 2012 – 2015Trevecca University –Computer Information Technology current

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