Kristine Moore

Conduct pre-op assessments and medical history interviews to determine surgical clearance; review test results with anesthesia and participate in onboarding and training of new nursing staff.

Led quality audits on home infusion claims prior to submission to minimize denials and developed SOPs to standardize revenue processes while managing and training offshore billing analysts.

Managed full-cycle billing for home infusion therapies including TPN, IVIG, and oncology; maintained prior authorizations, submitted appeals, and reconciled payments to ensure accurate reimbursement.

Monitored adverse drug event reports with high accuracy, coordinated with pharma partners, and managed task delegation and inbox workflows to support specialty pharmacy operations.

Reviewed and corrected billing account errors, interpreted EOBs and J-codes for high-cost specialty medications, and collaborated with pharmacies, payers, and manufacturers to resolve benefit issues.

Pursuing an Associate of Science in Nursing with expected completion in 2025.

Completed the Licensed Practical Nurse program and earned LPN credential in November 2022.