Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Kristal Cosme

Woonsocket

Summary

Billing Representative with over 10 years in behavioral health billing and revenue cycle management. Expertise in verifying insurance eligibility, resolving claim denials, and maintaining compliance with regulations. Recognized for accuracy and attention to detail while enhancing billing operations and customer satisfaction.

Overview

1
1
Language
21
21
years of professional experience

Work History

Billing Representative /Finance Assistant

Communities for People / The Community Clinic
Boston
06.2015 - Current
  • Submit and monitor behavioral health insurance claims for accuracy and timely reimbursement.
  • Investigated and resolved denied, rejected, and unpaid claims, facilitating prompt reimbursement.
  • Verify patient insurance benefits and determine financial responsibility.
  • Generated and distributed client invoices for copays and outstanding balances, ensuring timely collection.
  • Maintain accurate billing records, spreadsheets, and payment documentation.
  • Post insurance and client payments and reconcile accounts.
  • Collaborated with clinicians, insurance carriers, and clients to resolve billing issues, enhancing reimbursement outcomes.
  • Ensure compliance with insurance requirements, state regulations, and organizational policies.
  • Assist with accounts payable functions including invoice review and payment processing.
  • Supported the successful implementation of new EMR and billing systems, improving billing workflows and claims processing efficiency.
  • Recognized by management as a valued member of the finance team for adaptability, communication, and problem-solving abilities.

Field Associate (Temporary Assignments)

Staff Insight LLC
Boston
11.2013 - 06.2015
  • Delivered administrative and clerical support to enhance operations across multiple industries.
  • Executed accounts payable duties, including invoice processing and data entry, ensuring timely financial transactions.
  • Maintained accurate records while delivering customer service to resolve inquiries and support client needs.
  • Accepted additional assignments from supervisors.

Administrative Assistant (Part-Time)

Boston Alcohol and Drug Abuse Program
Boston
03.2013 - 06.2015
  • Registered participants, ensuring accurate maintenance of confidential records to support program integrity.
  • Communicated with clinicians, clients, and probation officers to ensure clarity on program requirements and foster collaboration.
  • Processed payments while managing filing systems to enhance organization and accessibility.
  • Prepared monthly reports and handled administrative correspondence.

At Your Service Agent / Gift Shop Agent / Hostess

Boston Marriott Cambridge
Cambridge
01.2008 - 05.2013
  • Delivered exceptional customer service in a fast-paced hospitality environment.
  • Coordinated incoming calls and guest requests while handling administrative tasks to ensure smooth operations.
  • Trained new employees and collaborated with various departments to enhance service delivery.

Receptionist

Heating Oil Partners – Terry Oil / Alliance Express
Chelsea
09.2005 - 07.2006
  • Provided professional customer service and administrative support to enhance client experience and office efficiency.
  • Managed incoming calls and scheduled service appointments to ensure efficient workflow and customer satisfaction.
  • Processed customer payments and maintained accurate account records to support financial operations.

Education

Computerized Accounting Diploma -

ICDC College
Lawndale, CA

High School Diploma -

Boston Central Adult High School
Boston, MA

Skills

  • Behavioral Health Billing
  • Claims management
  • Denial resolution
  • Insurance Verification & Eligibility
  • Invoice processing
  • Account management
  • Electronic Medical Records (eHana)
  • Inovalon Billing System
  • Financial Reporting
  • Data management
  • Microsoft Excel
  • Microsoft Word
  • Microsoft Outlook
  • QuickBooks Pro
  • Compliance standards
  • Client relations

Languages

Spanish
Limited

Timeline

Billing Representative /Finance Assistant

Communities for People / The Community Clinic
06.2015 - Current

Field Associate (Temporary Assignments)

Staff Insight LLC
11.2013 - 06.2015

Administrative Assistant (Part-Time)

Boston Alcohol and Drug Abuse Program
03.2013 - 06.2015

At Your Service Agent / Gift Shop Agent / Hostess

Boston Marriott Cambridge
01.2008 - 05.2013

Receptionist

Heating Oil Partners – Terry Oil / Alliance Express
09.2005 - 07.2006

Computerized Accounting Diploma -

ICDC College

High School Diploma -

Boston Central Adult High School
Kristal Cosme