Kristal Montanez
Yonkers,NY
Summary
Team-oriented professional prepared to take on leadership responsibilities with focus on driving results and fostering collaboration. Proven success in managing teams, overseeing project execution, and adapting to dynamic work environments. Known for reliability, flexibility, and strong organizational skills, ensuring seamless team operations and achievement of goals.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Revenue Cycle AR Team Lead
Columbia University Medical Center
01.2015 - Current
- Responsible for all follow-up duties to collect on all open A/R with insurance companies and third parties, as well as the daily review of claim edits from the Epic system.
- Lead my peers to review, evaluate and improve the clinical denial and appeal process within the division and ensures the highest level of revenue capture and resolution.
- Troubleshoot complex cases and support the training and onboarding of junior team members.
- Report back to leadership team with complex cases/denials and finding ways to deliver best practice by support and training all team members with effective outcome.
- Consistently exceeded all goals required and set from department.
- As well as achieving milestones within the division on follow up, training and operational findings.
- Trained, evaluated, and challenged team of 7 personnel.
- Assisted with special projects as needed using a reporting system with the knowledge of policies and procedures within the insurance companies, Epic Healthcare system and hospital compliance.
- Collaborated with cross-functional teams to develop and implement revenue cycle policies and procedures.
- Enhanced revenue cycle efficiency by implementing strategic process improvements and workflow optimizations.
- Conducted regular staff meetings to review performance metrics, address challenges, and foster an environment of continuous improvement within the team.
- Strengthened team relationships and effectiveness with hands-on and motivational approach.
- Resolved issues through active listening and open-ended questioning, escalating major problems to manager.
Credit/Collections Analyst
Westchester Medical Center
01.2012 - 01.2015
- Created a cross-training system to peers for best practice on insurance follow up goals where staff members were able to perform confidently and effectively in all revenue cycle positions.
- Grew respect and confidence with the team by building trust, leadership skills and work ethic within the department.
- Follow up on claims using a tickling system within the finance department used to work claims in a timely manner and ensure timely payment and accuracy of payments.
- Analyzed aged receivable reports regularly to prioritize accounts requiring immediate attention.
- Served as a subject matter expert on collections matters within the organization, offering guidance to colleagues as needed.
Financial Coordinator
Reproductive Medicine Associates of NY
01.2007 - 01.2012
- Responsible for all aspects of medical billing such as follow up, collections, payment posting, appeals, corrections and troubleshooting system functions daily.
- Educated clients on all infertility procedures from artificial insemination, IVF to ovum donation cycles done in the practice.
- Problem solved issues with insurances related to all billed cycles while reporting back to management and billing team of what new procedures were out at the time.
- Trained incoming staff on all billing and financial monitoring put forth by the practice.
- Explained insurance benefits, fees and procedures to patients.
- Contacted insurance carriers to discuss policies and individual patient benefits.
Education
Associates in Business Finance -
University of Phoenix
01.2019
Medical Billing And Coding Course -
Westchester Community College
01.2002
High School Diploma -
Roosevelt High School
01.1999
Skills
- Problem solver
- Strategic thinker
- Innovator
- Excellent communication and interpersonal skills
- Poised under pressure
- Experienced in training staff
- Attention to detail
- Goal oriented
Certification
- Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC).
Timeline
Revenue Cycle AR Team Lead
Columbia University Medical Center
01.2015 - Current
Credit/Collections Analyst
Westchester Medical Center
01.2012 - 01.2015
Financial Coordinator
Reproductive Medicine Associates of NY
01.2007 - 01.2012
- Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC).
Associates in Business Finance -
University of Phoenix
Medical Billing And Coding Course -
Westchester Community College
High School Diploma -
Roosevelt High School
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