Crystal Hardin
Florissant,MO
Summary
Dedicated and passionate Human Resources Specialist with proven track record successfully leading student discussions and providing individualized instruction. Communicates effectively with administrators, faculty and parents. Well versed in educational standards and innovative teaching methods.
Overview
15
15
years of professional experience
Work History
Administrative Support/Substitute Teacher
Kelly Educational Staffing
08.2018 - Current
- Followed classroom plans left by class teacher to continue student education and reinforce core concepts
- Upheld classroom routines to support student environments and maintain consistent schedules
- Kept students on-task with proactive behavior modification and positive reinforcement strategies
- Repeatedly requested as substitute teacher by teachers based on excellent past referrals and trusted performance
- Supervised lunchroom and recess activities
- Kept accurate and current attendance records and assignment sheets to maintain file compliance
Patient Financial Analyst Specialist/PRN ON CALL
Beacon Hill Staffing
09.2019 - 12.2020
- Provides project analysis support related to interfaced software packages and identifies potential quality and efficiency improvements through better use of information or system enhancements
- Ensures compliance regarding all State, Medicaid, Medicare regulations are applicable
- Recorded deposits, reconciled monthly bank accounts and tracked expenses.
- Managed and responded to correspondence and inquiries from customers and vendors
- Strengthened financial operations by conducting bank reconciliations and financial reporting
- Generated invoices upon receipt of billing information and tracked collection progress
Revenue Management Analyst/PRN ON CALL
Robert Half And Account Temps
04.2019 - 10.2020
- Analyzed and resolved verbal and written claims root cause and authorization appeals from providers and pursue resolution of formal grievances from members
- Reviewed and reported verbal and written member/provider complaints, grievances, and appeals
- Prepared response letters for members and provider complaints, grievances, and appeals
- Follows up on accounts via phone, email and payer site to ensure received and in process, reporting status of all active claims
- Supported the pay-for-performance programs, including data entry, tracking, organizing, and researching information
- Created and maintained precise and accurate models, charts and reports.
- Generated comprehensive reports on portfolio performance and risk assessment.
Medical Billing Reimbursement/Contractor
St. Charles County Ambulance
09.2017 - 03.2018
- Managed document follow-ups in practice management billing software and resolved errors charging additional money and claim denials
- Followed up on denied and unpaid claims to resolve problems and obtain payments
- Coordinated with insurance providers to verify customer's policy benefits in relation to claims
- Monitored and documented accounts receivable trends and account-specific profitability
- Delivered timely information to insurance representatives to resolve common and complex issues
Lead Sr. Reimbursement Specialist-Medicare & Medicaid
CVS Pharmacy (Formerly Coram)
07.2016 - 09.2017
- Trained and led a staff of 10 while ensuring a 30-day follow-up on all patient accounts/IV Infusion Therapy from an aged trial balance
- Coordinated with insurance providers to verify customer's policy benefits in relation to claims
- Delivered timely information to insurance representatives to resolve common and complex issues
- Compiled department-specific reports to help senior managers identify trends and improve progress
- Followed up on denied and unpaid claims to resolve problems and obtain payments
Medical Office Management -Billing
Legacy Health Systems
06.2014 - 07.2016
- Performed home care claims processing with responsibility for billing home care services to Medicare, private pay and third-party payers for reimbursement and collections
- Took necessary actions to resolve billing errors, ensuring clean claim submission
- Ensured aged receivables are within Ecumen standards and deposits were made and posted
- Exercised good judgement towards account resolution and documents all activity of accounts in a clear, accurate and consistent manner.
Accounts Receivable-Follow-up Collections
Conifer Health
02.2010 - 11.2013
- Managed more than 75-100 high end accounts daily therefore resulting in a company cost savings of more than 50% by meeting and exceeding performance goals
- Settled various issues for payments while collecting on outstanding medical bills
- Corrected and reviewed assigned Collector queue in Meditech billing system for claims not paid or having been flagged for additional follow-up
- Acknowledged for outstanding performance regarding ongoing audits and maintained compliance with Medicaid, Medicare, and the state of Missouri and California laws and regulations.
Human Resource Associate
Beacon Hill Staffing in c/o SSM Health
05.2008 - 02.2012
- Responded to Tier 1 requests/inquiries from customers via multiple channels primary from phone and HR portals for open enrollment
- Coordinated and conducted new hire pre-interviews
- Utilized the Case Management System to ensure that all details/relevant information are organized and documented appropriately and that cases are classified appropriately
- Assisted Human Resources and Delivery Support, including completing assigned office tasks by communicating with customers and team members of the COE, Total Compensation and People.
- Reviewed and confirmed that final paid hours corresponded with timesheets and state laws.
- Researched payroll, COBRA, disability and FMLA issues
- Gathered personnel records from employees from each department
- Reviewed and confirmed that final paid hours corresponded with timesheets and state laws
Education
Bachelor's Degree - General Education
Concordia University
St. Louis, MO05.2017
Computer Network Associate Degree -
ITT Technical Institute
Saint Louis, MO01.2003
Business Analyst Certification - Business
Expert Rating
Saint Louis MO02.2019
Skills
- Administrative Support
- Human Resources
- Communications
- Revenue Cycle Process
- Accounts Payable/Receivable
- Record Keeping
- Classroom Curriculum
- Payroll Administration
- Compensation
- Marketing
Software Technical Knowledge
- Microsoft Office Suites
- Nextgen
- Epic
- SAP
- Service Now
- BullHorn
- SiS-Tyler
- IDX Web
- SQL
- Epremis
- CRM Microsoft Dynamics
- Amtaki Charts TriZetto clearing house
- SQL
- WORKDAY-HR
Timeline
Patient Financial Analyst Specialist/PRN ON CALL
Beacon Hill Staffing
09.2019 - 12.2020
Revenue Management Analyst/PRN ON CALL
Robert Half And Account Temps
04.2019 - 10.2020
Administrative Support/Substitute Teacher
Kelly Educational Staffing
08.2018 - Current
Medical Billing Reimbursement/Contractor
St. Charles County Ambulance
09.2017 - 03.2018
Lead Sr. Reimbursement Specialist-Medicare & Medicaid
CVS Pharmacy (Formerly Coram)
07.2016 - 09.2017
Medical Office Management -Billing
Legacy Health Systems
06.2014 - 07.2016
Accounts Receivable-Follow-up Collections
Conifer Health
02.2010 - 11.2013
Human Resource Associate
Beacon Hill Staffing in c/o SSM Health
05.2008 - 02.2012
Bachelor's Degree - General Education
Concordia University
Computer Network Associate Degree -
ITT Technical Institute
Business Analyst Certification - Business
Expert Rating
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