Kedra Birden
Avondale,LA
Summary
Dynamic Benefit Analyst with a proven track record at CCMSI, excelling in benefits administration and compliance. Recognized for enhancing employee satisfaction through effective communication and problem-solving. Achieved significant cost savings by collaborating with HR on competitive benefits packages while maintaining meticulous documentation and reporting standards. I have excelled when working with Revenue Cycle teams to improve and increase cash collections. I am passionate when providing training and will always focus on team building.
Overview
2024
2024
years of professional experience
Work History
Benefit Analyst
CCMSI
- Coordinated benefits-related communications with employees, including updates on plan changes, enrollment deadlines, and other pertinent information.
- Provided excellent customer service to employees, addressing concerns and resolving issues related to their benefit plans promptly.
- Collaborated with HR team to develop cost-saving strategies for providing competitive employee benefits packages.
- Prepared detailed reports on benefits expenditures, informing management of financial impacts associated with each plan offering.
- Processing dental, medical, and vision claims for payment.
- Process copayment claims for prescriptions.
- Maintain provider master files to ensure payments are processed and sent to the accurate providers.
- Enter authorizations for services rendered to ensure claims process appropriately.
Patient Access Trainer
Ochsner Medical Center
01.2022 - 11.2023
- Mentored new hires, resulting in stronger staff development and increased productivity.
- Provided one-on-one mentoring to help individuals reach their full potential within the organization.
- Coached employees on best practices, providing constructive feedback to support their professional growth.
- Evaluated the effectiveness of training initiatives by tracking participant progress and gathering feedback for continuous improvement.
- Conducted comprehensive needs assessments to identify gaps in knowledge and skills, informing future program development.
- Trained employees within EPIC on scheduling appointments for 25 Clinics.
Revenue Cycle Manager
North Oaks Medical Center
12.2014 - 03.2020
- Monitored and guided revenue cycle operations.
- Implemented process improvements, ensuring accurate charge capture and coding compliance.
- Provided staff training on revenue cycle management best practices, increasing productivity across the department.
- Completed financial reporting and analysis for billing revenue cycle.
- Streamlined workflows to minimize claim rejections and maximize reimbursement rates from insurance providers.
- Maintained a thorough understanding of regulatory requirements, ensuring compliance throughout all aspects of the revenue cycle.
- Coordinated with finance team to produce accurate monthly reports on collection metrics and trends.
- Conducted regular audits to identify areas for improvement in the revenue cycle process.
- Increased cash flow through timely resolution of payer denials and underpayments.
- Established strong relationships with payers, improving communication and resolving disputes more effectively.
- Reduced accounts receivable days outstanding, optimizing billing and collections efforts.
- Streamlined patient financial counseling processes, improving patient understanding and satisfaction with billing procedures.
- Reduced denial rates through meticulous claims review and enhanced coding practices, ensuring maximum revenue capture.
- Streamlined billing processes, significantly reducing errors and enhancing revenue cycle efficiency.
- Achieved significant improvements in cash flow by refining patient payment collection process.
Business Office Manager
West Jefferson Medical Center
09.1998 - 09.2014
- Updated reports, managed accounts, and generated reports for company database.
- Managed financial operations for the business, ensuring accurate budgeting and timely invoice processing.
- Resolved financial discrepancies and customer billing issues with timely attention.
- Enhanced customer satisfaction by addressing inquiries promptly and resolving issues professionally.
- Coordinated staff schedules, adjusting workloads to maximize productivity and meet deadlines.
- Supported the growth of the business through targeted marketing initiatives and client outreach efforts.
- Ensured compliance with company policies and industry regulations through regular audits and process updates.
- Established workflow processes, monitored daily productivity, and implemented modifications to improve overall performance of personnel.
- Conducted performance evaluations for employees, identifying areas for improvement and providing constructive feedback.
- Contributed to a successful annual audit by preparing thorough documentation in accordance with regulatory requirements.
- Improved workflow efficiency by streamlining office processes and implementing new software solutions.
- Implemented employee training programs, increasing overall staff competency and reducing skills gaps.
- Developed and maintained strong relationships with vendors, negotiating contracts for cost savings and improved service quality.
- Streamlined office communications by creating clear channels for information sharing and collaboration among team members.
Education
Bachelor Of Science - Hospital Administration
University of Phoenix
Tempe, AZ01.2016
Skills
- Microsoft Excel
- Benefits administration
- Compliance
- Statistical modeling
- Verbal and written communication
- New employee enrollment
- Benefits explanation
- Documentation and reporting
- New employee orientations
- Termination procedures
- Special projects
- Policy interpretation
- ADP workforce now
- Teamwork
- Problem-solving
- Time management
- Attention to detail
- Leadership skills
- Multitasking
- Excellent communication
- Critical thinking
- Organizational skills
- Effective communication
- Decision-making
- Analytical thinking
- Conflict resolution
- Training and development
- Goal setting
Accomplishments
I worked with a nation wide company Huron to help improve the Revenue Cycle team at North Oaks.
Timeline
Patient Access Trainer
Ochsner Medical Center
01.2022 - 11.2023
Revenue Cycle Manager
North Oaks Medical Center
12.2014 - 03.2020
Business Office Manager
West Jefferson Medical Center
09.1998 - 09.2014
Benefit Analyst
CCMSI
Bachelor Of Science - Hospital Administration
University of Phoenix
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