Krista Donaldson
Agiliti Health
Madison,WI
19
years of professional experience
Adaptable professional with a strong background in customer service, claims management, and patient account support. Brings proven strengths in HIPAA compliance, payment resolution, and revenue cycle management, with a focus on accurate, efficient billing workflows.
Work History
Hospital Service Technician
1 Year- Inspected devices for damage, functionality, and readiness before patient delivery.
- Assembled, tested, and staged equipment for clinical use according to service requests.
- Delivered and retrieved equipment throughout patient care areas and storage locations.
- Cleaned and disinfected medical equipment following infection-control and hospital safety standards.
- Tracked inventory and updated equipment records for accurate asset availability.
- Supported biomedical and clinical staff with equipment troubleshooting and basic service tasks.
- Followed daily workflow priorities to meet urgent equipment turnaround needs.
- Ensured a clean and safe environment for patients, staff, and visitors by strictly adhering to infection control protocols.
Lead Financial Analyst
11 Years 2 Months- Reviewed eligibility, benefits, and coverage details to support accurate member and provider inquiries.
- Processed claims, prior authorizations, and referrals while ensuring compliance with plan guidelines.
- Resolved complex enrollment, billing, and claims issues through detailed account research and policy interpretation.
- Coordinated with providers, members, and internal teams to clarify documentation and expedite case resolution.
- Investigated claim denials, appealed adverse determinations, and documented outcomes in case files.
- Applied HIPAA and regulatory requirements to safeguard protected health information and maintain compliance.
- Answered inbound calls from existing and future policyholders to answer inquiries and discuss insurance options.
- Verified insurance coverage by telephone and online to guarantee proper reimbursement of benefits and estimate patients' financial responsibilities.
- Contacted insurance companies to discuss and resolve unpaid claims and incorrectly paid claims.
- Contacted responsible parties for past due debts.
- Identified and resolved payment issues between patients and providers.
- Balanced and reconciled accounts.
- Optimized revenue cycle, implementing effective strategies for claims management and reimbursement.
- Developed and maintained up-to-date knowledge of coding standards, contributing to fewer coding errors and denials.
Customer Service Representative
4 Years 6 Months- Resolved member inquiries regarding benefits, eligibility, claims, and coverage with accurate policy guidance.
- Interpreted plan details to explain enrollment, billing, and authorization requirements clearly.
- Documented call outcomes and case updates in customer service systems with precision.
- Escalated complex issues to appropriate departments while maintaining service continuity.
- Guided members through appeals, referrals, and prior authorization processes.
- Coordinated with internal teams to improve response accuracy and issue resolution flow.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
Education
High School Diploma
Skills
Patient care
HIPAA compliance
Customer service
Problem-solving
Claims processing
Insurance practices
Billing procedures
Patient registration
Insurance verification
Accounts receivable management
Collecting payments
Revenue cycle management
Payment posting
Timeline
Hospital Service Technician
Agiliti Health
10.2025 - CurrentRead More
Lead Financial Analyst
Wisconsin Fertility Institute
02.2012 - 04.2023Read More
Customer Service Representative
WPS Health Insurance
08.2007 - 02.2012Read More
Stoughton High School
High School Diploma
Read More