Kristal Levasseur

• Responsible for the timely collection (payment) of outstanding hospital claim balances related to claim underpayments or denials
• Maintain collection aging targets per client goals and Titan policy –strive for collection within 45 days of initial activity
• Maintain collection action/activity/frequency targets per client requirements and Titan policy
• Data entry and tracking of follow-up and payment information into Titan and Client claims system
• Notation of Titan and Client claims systems on progressive activity
• Timely collection of outstanding appeals/grievances
• Consistent/timely follow-up by phone with the appropriate health insurance plan on each short pay or denial
• Collection includes appeal logic arguments based on written appeal logic as presented by the Auditor
• Assist with submission of appeal letters to the insurance plan/payor
• Identify and submit materials required by the insurance plan/payor for resolution of the appeal/grievance
• Identify and resolve denials, including escalation appeals to higher level as appropriate
• Identify payments, including assistance with Client-specific invoice processes where required
• Perform progressive action on every contact with an account, ensure that every time an account is worked the collection moves forward

• Gather accurate reimbursement on client accounts and identify denial trends to improve client performance
• Follow up on outstanding medical A/R with no response from the insurance carriers
• Update client account in system with any action taken or additional information attained when verifying benefits
• Contact insurance companies by phone, email, fax, and written correspondence to resolve issues that prevent claims from being processed correctly
• Handle EDI (Electronic Data Interchange) transactions, including reconciling carrier submissions, edits and rejection reports
• Review and apply current standards on federal and state regulations and statues that influence collections of receivables and meet productivity standards
• Knowledge of medical billing specifically in behavioral, homecare, and long-term care insurance
• Collections experience in a healthcare setting
• Working knowledge of medical billing systems (i.e
• Medic, IDX, Avatar, Tier, Medical Manager, etc.)
• Episodic billing
• TPL Medicaid billing

• Gather accurate reimbursement on client accounts and identify denial trends to improve client performance
• Follow up on outstanding medical A/R with no response from the insurance carriers
• Update client account in system with any action taken or additional information attained when verifying benefits
• Contact insurance companies by phone, email, fax, and written correspondence to resolve issues that prevent claims from being processed correctly
• Kristal Levasseur - page 1
• Handle EDI (Electronic Data Interchange) transactions, including reconciling carrier submissions, edits and rejection reports
• Review and apply current standards on federal and state regulations and statues that influence collections of receivables and meet productivity standards
• Knowledge of medical billing specifically in behavioral, homecare, and long-term care insurance
• Collections experience in a healthcare setting
• Working knowledge of medical billing systems (i.e
• Medic, IDX, Avatar, Tier, Medical Manager, etc.)

• Responsible for patient accounts, ensuring that all needed information is correct in the specific billing system to ensure accuracy of all charges to be processed and sent for payment
• Posting (charges, adjustments and payments) EOB follow-up, working A.R., working with various insurance companies
• Experience in medical/physician/hospital patient billing
• Regular communication with patients and insurance company representatives
• Training and knowledge of ICD-9 and ICD-10

• Responsible for patient accounts, ensuring that all needed information is correct in the specific billing system to ensure accuracy of all charges to be processed and sent for payment
• Posting (charges, adjustments and payments) EOB follow-up, working A.R., working with various insurance companies
• Experience in medical/physician/hospital patient billing, and behavioral health
• Kristal Levasseur - page 2
• Regular communication with patients and insurance company representatives
• Training and knowledge of ICD-9 and ICD-10, and Chirotouch systems
• Office marketing/promoting

Scanned, uploaded, and indexed documents into appropriate systems

• Corresponded with clients through email, telephone, or postal mail.
• Research on location of folders and documents according to request
• Access, edit and maintain all appellant records, including updating all records
• Verifying all addresses and all appellant's information for outgoing Acknowledgement and Decision letters
• Knowledge of Medicare Administrative Contractor (MAC) activities and duties in coordination with
• Centers for Medicare and Medicaid Services (CMS)
• Health Federation of Philadelphia, EMR Indexer (6 Months)
• Relocated, batched and assured prior placement of health center medical records
• Recorded patient data; prepared reports for destruction using current record retention guidelines
• Separated adult and pediatric records for appropriate disposition
• Managed multiple tasks and met time-sensitive deadlines.
• Maintained confidentiality of information regarding clients and company.
• Handled assignments independently with good judgement and critical thinking skills.

• Billed for multiple facilities
• Submitted up to 300 electronic claims a day, called on/worked an average of about 40 delinquent accounts daily
• Placed calls to patients and insurers to obtain delinquent payments
• Verified insurance, posted charges, adjustments and payments; followed-up on EOB
• Researched and reprocessed denials and partial payments
• Ensured that all necessary patient billing information is accurate
• Used ICD codes, CPT codes, UB-04 and UB-92 forms; (1 Year and 2 Months)
• Scanned, uploaded, and indexed documents into appropriate systems
• Prepared medical records for scanning
• Verified all received medical records; entered data

• Five of Philadelphia, Medical & Administrative Extern (3 Months)
• Performed vitals, drew blood, performed EKG's, and injections
• Filing, charting, and documenting
• Assisted Doctors with examinations and procedures
• Billing and coding
• Scheduling appointments, and other basic administrative duties

• Collected, counted, and distributed winnings for each game
• Maintained customer satisfaction with quick and professional handling of product returns.
• Enabled customers to feel welcomed, important, and appreciated by answering questions about products sold throughout store.
• Counted money in drawers at beginning and end of each shift.
• Maintained accurate records of customer transactions for reporting purposes.
• Met customer service goals and exceeded customer expectations.
• Prepared food and refreshments
• Provided Exceptional Customer service to all players

currently 15 credits from Bachelors degree.