Krista O'Neill
Greenwood Lake,NY
Summary
Experienced Department Supervisor with 20 years experience in Medical Billing . Excellent knowledge of Radiology procedures with expertise in insurance Authorization criteria with high tech radiology services from Radiology vendors and insurance companies.
Medical billing experience not only limited to Radiology but very knowledge with Internal medicine, Hematology and Oncology billing as well as Physician and Group Practice credentialing . Proficient in CPT and ICD 10 coding and accounts receivable follow up,
Overview
27
27
years of professional experience
Work History
Department Supervisor/ Team Lead
Orange Radiology Associates/acquisition to Radnet
11.2013 - Current
- Led team in obtaining high tech imaging authorizations from radiology vendors and medical insurance companies
- Developed training programs for new employees, improving onboarding experience and knowledge retention.
- Assigned tasks and established work schedules to staff to cover operational needs.
- Achieved consistent on-time completion of projects by effectively delegating tasks and setting clear expectations for team members.
Medical Billing Specialist
LMD Medical Billing Solutions
09.2008 - 11.2013
- Led audits of billing processes, ensuring adherence to industry standards and enhancing operational integrity.
- Identified and resolved patient billing and payment issues.
- Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Collected payments and applied to patient accounts.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Precisely evaluated and verified benefits and eligibility.
- Filed and updated patient information and medical records.
- Coordinated with other departments to address any discrepancies or concerns related to charge capture or data entry accuracy.
- Participated in departmental meetings, sharing insights and ideas for improving overall medical billing efficiency and revenue generation.
- Conducted regular audits of patient accounts for potential underpayments or overpayments due to incorrect coding or billing practices.
- Reduced errors in medical billing by meticulously reviewing patient records and ensuring accurate coding.
- Collaborated closely with the clinical team to ensure proper documentation was obtained for accurate billing purposes.
- Verified insurance of patients to determine eligibility.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Responded to customer concerns and questions on daily basis.
Medical Billing Specialist
Ramapo Radiology Associates
06.2003 - 08.2008
- Processed insurance claims using advanced billing systems to ensure timely reimbursement.
- Reviewed patient accounts for accuracy and resolved discrepancies in billing information.
- Collaborated with healthcare providers to clarify coding practices and optimize revenue cycle management.
- Trained junior staff on billing procedures and regulatory compliance to enhance team efficiency.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Located errors and promptly refiled rejected claims.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Provided exceptional customer service to both patients and insurance representatives, resolving inquiries quickly and professionally.
Department Manager
Mid Rockland Imaging Assoc PC
10.1998 - 05.2003
- Oversaw daily department operations, ensuring excellent customer service with handling patient billing calls .
- Coordinated cross-functional communication between billing staff and administrative staff.
- Led quality assurance initiatives, fostering a culture of continuous improvement among staff members.
- Collaborated with other departments to ensure seamless coordination in achieving company-wide objectives.
- Improved customer satisfaction rates through attentive service, prompt issue resolution, and continuous process improvements.
- Maintained a professional work environment by addressing conflicts proactively and fostering open communication among staff members.
- Established clear performance expectations for staff members which led to increased accountability.
- Streamlined customer service processes, reducing wait times and improving patient billing satisfaction.
- Implemented staff training programs, enhancing team performance and operational efficiency.
- Developed departmental policies to align with radiology billing and patient billing .
Education
Graduate Practical Nurse -
Herkimer County BOCES
Herkimer, NY05-1992
High School Diploma -
James Madison High School
Brooklyn, NY06-1991
Skills
- Customer service
- Problem resolution
- Problem-solving
- Customer relations
- Time management
- Leadership skills
- Workflow optimization
- Process and procedure development
Timeline
Department Supervisor/ Team Lead
Orange Radiology Associates/acquisition to Radnet
11.2013 - Current
Medical Billing Specialist
LMD Medical Billing Solutions
09.2008 - 11.2013
Medical Billing Specialist
Ramapo Radiology Associates
06.2003 - 08.2008
Department Manager
Mid Rockland Imaging Assoc PC
10.1998 - 05.2003
Graduate Practical Nurse -
Herkimer County BOCES
High School Diploma -
James Madison High School
Similar Profiles
Marianna AstorMarianna Astor
Patient Service Representative at Hudson Valley Radiology Associates/RADNET INCPatient Service Representative at Hudson Valley Radiology Associates/RADNET INC
Cara MooreBroadusCara MooreBroadus
Multi Modality Technologist at Community Radiology Associates/RadnetMulti Modality Technologist at Community Radiology Associates/Radnet
LaToya CooperLaToya Cooper
Insurance Verification Specialist/Remote at Radnet RadiologyInsurance Verification Specialist/Remote at Radnet Radiology
Daniel MeccaDaniel Mecca
Assistant Researcher at Montclair State UniversityAssistant Researcher at Montclair State University
Meghan M. NennaMeghan M. Nenna
Resident Care Manager/ Medication Technician at Promenade of Tuxedo Place Senior LivingResident Care Manager/ Medication Technician at Promenade of Tuxedo Place Senior Living