KRISTAL TORAN
Flagler
Summary
Accomplished Medical Billing Specialist with expertise in HIPAA compliance and denial management at COMMUNITY HEALTH CENTER OF SOUTH CENTRAL TEXAS. Successfully resolved 95% of denied claims, enhancing patient satisfaction through effective communication and collaboration. Proficient in utilizing billing software for accurate claim submission and insurance verification, ensuring seamless billing processes and improved financial outcomes.
Overview
12
12
years of professional experience
Work History
Medical Billing Specialist
COMMUNITY HEALTH CENTER OF SOUTH CENTRAL TEXAS
12.2013 - Current
- Reviewed and processed medical claims for accuracy and completeness.
- Assisted in verifying patient information to ensure proper billing procedures.
- Collaborated with healthcare providers to resolve billing discrepancies.
- Maintained organized records of patient accounts and transactions.
- Utilized billing software to input data and track claim statuses.
- 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.
Education
Associate of Applied Science - Health Information Technology
DeVry University
Columbiana, OH05-2017
High School Diploma -
FLATONIA HIGH SCHOOL
FLALTONIA TEXAS05-1996
Skills
- HIPAA compliance
- Payment posting
- Claim submission
- Insurance verification
- Patient billing
- CPT knowledge
- Denial management
- Medicare and medicaid process
- Bill payment
- Accounts payable
- Insurance billing
- FQHC billing
- State billing
Timeline
Medical Billing Specialist
COMMUNITY HEALTH CENTER OF SOUTH CENTRAL TEXAS
12.2013 - Current
Associate of Applied Science - Health Information Technology
DeVry University
High School Diploma -
FLATONIA HIGH SCHOOL
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