VANESSA MOLDOVAN—CPC, CPPM 249 Marshall Drive Des Plaines, Illinois 60016 847.873.9231 themoldovans2001@gmail.com

Q U A L I F I C A T I O N S P R O F I L E Methodical, performance-driven, and results-oriented professional, with extensive experience in all aspects of physician revenue cycle management, continuous process improvement, and finance operations. Armed with in-depth experience in accounts receivable, client development, data gathering and analytics, as well as project management. Hands-on leader, able to develop and implement tactical programs and initiatives to improve operational productivity and efficiency. Expert at building and maintaining strategic and long-term relationships with key individuals such as patients, clients, and physicians through bilingual fluency in English and Romanian.

A R E A S O F E X P E R T I S E

Staff Development | Revenue Cycle Assessment | Account Management | Metric Reporting Strategic Planning and Implementation | Billing Account Management | Contract Management

T E C H N I C A L A C U M E N Microsoft Office (Outlook, Word, Excel, and PowerPoint) | Healthpac Centricity AdvancedMD iSalus

Allscripts Epic | MicroMD | athenaHealth | Star Valetude Metabase | Meditech | AS400 P R O F E S S I O N A L E X P E R I E N C E

Practice Management, LLC, Arlington Heights, IL REVENUE CYCLE MANAGER Mar 2016–Nov 2016

Led the overall financial revenue cycle operations and oversaw activities of staff, accountable for preauthorization, charge capture, coding, charge entry, insurance follow-up, and reimbursement analysis.

Employed detail-oriented nature in monitoring revenue cycle staff through the development of metrics and reporting system; conducting investigations on patient complaints along with payer relations and billing-related issues; and ensuring strict adherence to applicable laws, regulation, policies, and procedures.

Offered support in preparing monthly management reports to provide key revenue and operational metrics and analysis

Generated audit reports to assess the Billing Team and outsourced revenue cycle management vendors

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

Collaborated with the Accounting Team in handling forward accounts receivables as part of the monthly close process.

Provided recommendations for improvements through the implementation of credit and collection policies and developed several CPT and ICD-10 resources for the offshore BPM company when encoding charges for clients.

Keenly reviewed various data to maintain accounts receivable within acceptable levels, including staffing levels, accordance with all necessary revenue cycle functions, timely processing, and productivity status across all functions.

Revised the physician encounter form to ensure strict compliance with ICD-10. 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.

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:

- Processing of a client base of 15 clients with total accounts receivable between $100K to $2M, encompassing a single physician to a practice with 15-20 providers across several specialties; and

- Successful increase of targeted KPIs for more than half of assigned clients.AMITA Health (formerly known as Alexian Brothers) Arlington Heights, ILPROJECT ANALYST II Oct 2014–Mar 2016

Administered 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. Functioned as the chairperson of the Social Activity Committee of the Project Team. Efficiently processed requests from practice managers and department managers for ad hoc

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VANESSA MOLDOVAN—CPC, CPPM 249 Marshall Drive Des Plaines, Illinois 60016 847.873.9231 themoldovans2001@gmail.com Partook in several formal training programs on leadership, advanced Excel, public speaking, and

targeted interviewing. Drafted related reports, charts, graphs, and presentations, to provide an overview of outcomes and

solutions to team leads, executives, and senior management. Contributed to the implementation of solutions to resolve technical incompatibilities, deadlines,

budgets constraints, and processes. Rendered guidance and support to colleagues on various aspects of the project while concurrently

leading several projects. 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

Medic Management Group (formerly SS&G Healthcare) Oakbrook, IL EXECUTIVE ACCOUNT MANAGER Nov 2011–Oct 2014

Solely managed the operations of the revenue cycle encompassing charge entry, payment entry, AR, customer service, along with daily, weekly, and month-end reporting, billing, and claims.

Demonstrated competency in performing the following tasks: - Monitoring of productivity and timeliness delivery of revenue cycle functions, charges, and

receipts; - Troubleshooting of internal revenue cycle issues; - Implementation of process improvement strategies to align with the company’s standards

of revenue cycle KPIs.- Periodic audits for quality and productivity of staff outcomes; - Reviews and modifications of billing regulatory;- Administration of 90-day and annual performance reviews and disciplinary actions as well

as revenue cycle assessments for external clients; and - Development of a competency exam and personality evaluations in conducting employee

interviews. Promptly responded to clients’ questions and concerns as well as with physicians’ operations

inquiries; while collaborating with prospective clients to assist company sales efforts. Fulfilled various functions such as payment posting and AR follow-up as well as the coordination of

employee time off requests. Acted as the first point of contact for clients, responsible for handling 20 to 50 calls per day to

address issues Oversaw the highest grossing organization’s clients with one client, handling $4M in AR and

another with $6M in AR. Conducted quarterly physical visits to clients through extensive travel to corporate headquarters

twice a year. Applied multiple practice management systems including MicroMD, Epic, Nextgen, eclinicalworks,

Greenway, and Centricity; multiple clearinghouses: Availity, Emdeon, and GatewayEDI; and several software such as Outlook and Excel extensively.

Made major contributions in saving three of the four trouble accounts and in meeting KPIs requirements while maintaining company standards.

Healthcare Information Services Park Ridge, IL; (Nov 2006–Jul 2011)BILLING AND CLAIMS DEPARTMENT MANAGER Apr 2010–Jul 2011

Guided and mentored 18 to 20 employees while managing day-to-day submissions of more than 500 electronic and paper claims.

Carried out key tasks which included the following: - Payer responses completion received through clearinghouse website named Availity

(formerly RealMed); - Receipt, distribution, and registration monitoring of more than 1500 encounters;- Periodic audits on registration and claims staff which include annual staff performance

reviews;- 90-day and annual performance reviews implementation; and- Department processes analysis for optimum performance.

Established and maintained deadline goals for more than 50 department functions and productivity metrics.

Enhanced organizational processes by promoting departmental cohesiveness, in close coordination with the management team of other departments.

INTERNAL AUDITOR Jun 2008–Apr 2010

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VANESSA MOLDOVAN—CPC, CPPM 249 Marshall Drive Des Plaines, Illinois 60016 847.873.9231 themoldovans2001@gmail.com Keenly oversaw revenue cycle processes reviews and departments within the organization

encompassing charge entry, payment posting, registration, billing, claims, patient and insurance AR follow-up, customer service, and coding.

Maintained active involvement in practical trainings in each department to perform new responsibilities such as posting daily charges and payments for registered patients.

Closely interfaced with the department manager in maintaining documentation and ensuring compliance with the established processes; gathering audit data; and formulating recommendations to improve efficiency of each unit and process.

Applied the company’s current process in generating audit worksheets with a given score based on quality and quantity.

Developed training materials and company-wide educational seminar presentations to facilitate workshops and educate the entire organization regarding the functions and modifications of the department.

Played an integral role in ensuring and promoting employees’ contribution to the revenue cycle.

Initiated the development and implementation of an internal hold code process for paperless tracking of claims follow-up, ANSII adjustment, and denial codes through the utilization of 300 claim adjustment reason and remark codes.

Earned the first annual CEO Award from Healthcare Information Services in 2009, for providing significant contributions in improving processes, ensuring compliance with procedures, delivering highest levels of client satisfaction and enhancing employee productivity.

PATIENT AND INSURANCE ACCOUNTS RECEIVABLE SPECIALIST Nov 2006–Jun 2008 Promptly responded to incoming calls from patients and delivered outstanding customer service. Utilized software tools such as payer website and clearinghouses while collaborating with the

providers and patients in gathering past due insurances balances. Made major contributions in boosting 70 claims per day with 70% resolution

productivity expectation to 150 appeals and denials from insurance companies per day with 90% account resolution through follow-ups.

Received promotion to insurance AR follow-up specialist within three months of tenure.E A R L I E R C A R E E R

Presence Health (formerly known as Resurrection Healthcare) Des Plaines, IL PATIENT ACCOUNTS/CUSTOMER SERVICE

St. Luke's Hospital Chesterfield, MOPATIENT FINANCIAL SERVICES

Kennerly Dental Group St. Louis, MOOFFICE PERSONNEL

Demko Orthodontics Chesterfield, MOFINANCIAL COORDINATOR

E D U C A T I O N A N D C R E D E N T I A L S BACHELOR OF ARTS IN HEALTHCARE ADMINISTRATION, (Online)

Ashford University Clinton, IA COURSEWORK IN BUSINESS MANAGEMENT

East Central College Union, MO CERTIFIED REVENUE CYCLE REPRESENTATIVE, (Online) Healthcare Financial Management Westchester, IL CERTIFIED PHYSICIAN PRACTICE MANAGER, (Online)

American Academy of Professional Coders CERTIFIED PHYSICIAN CODER

American Academy of Professional Coders DIPLOMA OF MEDICAL CLAIMS AND BILLING

At-Home Professions Colorado Springs, CO CERTIFICATE OF MEDICAL TERMINOLOGYSt. John’s Mercy Education Union, MO

CERTIFIED PROFESSIONAL MEDICAL AUDITORAmerican Academy of Professional Coders

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VANESSA MOLDOVAN—CPC, CPPM 249 Marshall Drive Des Plaines, Illinois 60016 847.873.9231 themoldovans2001@gmail.com

P R O F E S S I O N A L A F F I L I A T I O N S American Academy of Professional Coders, (AAPC) – Des Plaines Local Chapter, President, Active

since 2015 National Professional Woman of the Year (NAPW), 2013 Awardee

A C T I V I T I E S

Volunteer, St. Paul Lutheran, Arlington Heights, IL

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