Christine Kropinski
West Chester,PA
Summary
Actively seeking opportunities for career advancement in medical billing, insurance, and revenue cycle management. Certified Revenue Cycle Representative and Certified Specialist in Payment & Reimbursement by the Healthcare Financial Management Association and currently in training to obtain a Medical Coding Certification.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Claims Analyst
Aspirion Health Resources
11.2022 - Current
- Investigating and coordinating insurance benefits for claims across multiple service lines, ensuring maximum reimbursement
- Review and interpret eligibility of benefits
- Utilize understanding of ICD-10, CPT, HCPCS II, and medical terminology
- Conduct research, contact patients, and liaison with VA, hospitals, and insurance carriers
- Entering payments, adjustments and write-offs
- Composing and sending reconsiderations and appeals for denied bills based on denial codes
- Researching and verifying insurance billing adjustment identification to ensure proper account resolution
- Inputting CPT codes, identifying and corrected coding errors
- Identify contractual and administrative adjustments
- Demonstrating excellent customer service, communication, and problem-solving skills
- Corresponding professionally with hospital contacts, adhering to facility protocols
- Obtaining claim statuses via phone, internet, and fax
- Cross-trained in multiple areas and departments within the company
- Reviewing and approved PPAs
- Proficient in EPIC, Compass, and Citrix software
- Maintaining strict confidentiality and compliance with HIPAA regulations.
Insurance and Billing Specialist
Reardon Dental-West Chester, PA
05.2020 - 11.2022
- Process and accurately record insurance and customer payments, including checks, EFTs, and credit card transactions
- Resolve complex insurance and billing issues efficiently, ensuring accurate account reconciliation
- Submit dental claims daily, including all necessary documentation and attachments, to insurance providers
- Respond to inquiries from customers and insurance providers, providing clear and helpful information
- Manage accounts receivable with a focus on 30/60/90 day timelines, ensuring timely filing and follow-up
- Verify patients' insurance coverage and benefit breakdowns with precision
- Utilize Dentrix and Remote Lite proficiently to maintain and update patient records and billing information
- Handle incoming and outgoing mail daily, ensuring proper sorting and distribution
- Uphold strict confidentiality and comply with HIPAA regulations in all tasks and communications.
Executive Assistant
Ruggeri Cadillac-West Chester, PA
09.2018 - 03.2020
- Managed accounts receivable, ensuring timely and accurate processing of payments and reimbursements for vehicles and vehicle services
- Answered and redirected phone calls, efficiently addressing customer inquiries regarding scheduling and payments
- Collected, recorded, and tracked customer payments, maintaining accurate financial records
- Issued reimbursements to customers, ensuring satisfaction and timely resolution of financial discrepancies
- Demonstrated proficiency in all office software, facilitating smooth office operations
- Performed faxing, filing, and scanning duties, ensuring organized and accessible documentation
- Scheduled and managed appointments
- Prepared and submitted expense reports, maintaining accurate financial records
- Managed databases and performed data entry, ensuring data integrity and accessibility
- Conducted regular inventory checks of office supplies, ensuring timely ordering and restocking to support uninterrupted office operations.
Education
High School Diploma -
West Chester East High School
West Chester, PA, 1938206.2014
Skills
- Microsoft Office Suite (Word, Excel, Outlook, etc)
- Basic HTML
- Medical billing
- Accounts receivable
- Dentrix
- HIPAA
- Customer service
- Data entry
- Debits & credits
- Insurance verification
- Windows Remote Desktop
- Epic
- ICD-10
- Revenue cycle management
- Appeals
- Medical Terminology
- Workers' compensation
- Power BI
- Medical coding
- EMR Systems
- Citrix
- Claims analysis
- Policy Interpretation
- Interpersonal and written communication
Certification
- Certified Revenue Cycle Representative, 05/01/23, Present, HFMA
- Certified Specialist Payment & Reimbursement, 04/01/24, Present, HFMA
Timeline
Claims Analyst
Aspirion Health Resources
11.2022 - Current
Insurance and Billing Specialist
Reardon Dental-West Chester, PA
05.2020 - 11.2022
Executive Assistant
Ruggeri Cadillac-West Chester, PA
09.2018 - 03.2020
High School Diploma -
West Chester East High School
- Certified Revenue Cycle Representative, 05/01/23, Present, HFMA
- Certified Specialist Payment & Reimbursement, 04/01/24, Present, HFMA
Similar Profiles
Kristina LubertoKristina Luberto
Administrative Assistant at Aspirion Health ResourcesAdministrative Assistant at Aspirion Health Resources
Yvonne SanchezYvonne Sanchez
Clinical Appeals Nurse (Remote) at Aspirion Health ResourcesClinical Appeals Nurse (Remote) at Aspirion Health Resources
Brittany SchragerBrittany Schrager
Operations Manager at Aspirion Health ResourcesOperations Manager at Aspirion Health Resources