Kristan Moran
Clarksville,TN
Overview
7
7
years of professional experience
Work History
NET AR Analyst
HCA Parallon
07.2022 - 08.2023
- Review accounts based on exception reporting to ensure that AR is stated appropriately for all payers
- Review UB-04 claims for inaccuracies and opportunities to maximize revenue
- Conduct trend analysis in bulk to identify patterns causing missed collections
- Prepare and present spreadsheets using proficient Excel skills, including formulas, V-lookup, pivot tables, etc.
- Identify, recommend and execute opportunities to enhance AR and billing processes to meet finance requirements
- Review accounts where an adjustment may or may not be present to clear potential inaccuracies
- Assist and provide feedback on internal and external audits due to net revenue adjustments
Support Specialist
HCA Parallon
09.2021 - 07.2022
- Follow up with commercial, government, and liability insurance companies to obtain payment details, denials, and missing information for claims
- Comprehend UB-04 claims
- Coordinate with other departments within the business, such as coding, cashiering, etc to gather insight on claim resolutions
- Use varies commercial and government provider portals to verify patient eligibility and benefits, as well payment and denial details for claims
- Continuously meet and exceed weekly quality and production goals
- Run system reports and analyze the data to prioritize daily work load
- Proved successful working within tight deadlines and a fast-paced environment
Revenue Cycle Analyst Team Lead
Phymed Healthcare Group
07.2019 - 09.2021
- Create and submit CMS-1500 claims to various insurance companies
- Resolve claim rejections and denials efficiently so claims can be reprocessed to receive payment
- Create, submit, and manage appeals to insurance companies
- Verify patient eligibility and benefits, payment, and denial details for claims
- Work with direct contacts at insurance company's to solve overpayment and underpayment issues
- Train new team members in the position
- Run daily production reports for my team to analyze inventory and create output plans to optimize financial metrics.
- Assisted in preparation of presentations, data tables and other documents for corporate meetings.
Insurance Specialist
Frost-Arnett Company
04.2018 - 07.2019
- Act as a liaison between Frost-Arnett, insurance companies, and participating hospitals/physicians
- Obtain and verify patient's insurance policy, benefits, and authorization requests through multiple portals
- Maintain high standards of customer service by building relationships with clients.
- Master multiple client systems at one time, having access to review patient accounts, load information, and send accounts for review
- Resolve discrepancies in insurance payments by collaborating with carriers.
- Collect and analyze data and feedback to identify opportunities to improve relationship between other entities and business.
Patient Account Representative
Frost-Arnett Company
07.2017 - 04.2018
- Help patients find resolution to their medical bills in pre-collections phase
- Take inbound and make outbound calls on behalf of multiple different medical facilities
- Utilize client systems to obtain specific patient information to best meet the needs of those on the phone
- Contact patients after insurance was calculated to obtain payments
- Train new hires on how to perform the job
- Monitor flags and resolve urgent items with accuracy and efficiency
- Work with outside entities to resolve issues with billing, claims and payments
First Grade Teacher
Ringgold Elementary School
08.2016 - 03.2017
- Responsible for instructing students in an elementary school by creating lesson plans, administering praise and constructive criticism, instructing students on subjects such as science, literature, and math
- Create a well-rounded, comprehensive instructional program
- Maintain excellent communication and collaboration skills with administration, colleagues, and parents
- Provide and receive feedback where necessary to make improvements
- Keep a clean, safe, and organized environment
- Maintain excellent time-management skills
Education
Bachelor of Science -
Austin Peay State University
Clarksville, TN05.2015
High School Diploma -
Sycamore High School
Pleasant View, TN05.2011
Skills
- Excel and SQL knowledge
- Quick to embrace change
- Effective communicator
- Teamwork and Cooperation
- Medical and insurance terminology
- Large Dataset Manipulation
- Analytical Thinking
References
Kelly Sullivan
(615) 390-4226
Mom2cc@bellsouth.net
Jennifer Massey
(615) 454-7874
jholden0305@gmail.com
Vincent Loveland
(931) 237-4118
vincent_loveland@nps.gov
Timeline
NET AR Analyst
HCA Parallon
07.2022 - 08.2023
Support Specialist
HCA Parallon
09.2021 - 07.2022
Revenue Cycle Analyst Team Lead
Phymed Healthcare Group
07.2019 - 09.2021
Insurance Specialist
Frost-Arnett Company
04.2018 - 07.2019
Patient Account Representative
Frost-Arnett Company
07.2017 - 04.2018
First Grade Teacher
Ringgold Elementary School
08.2016 - 03.2017
Bachelor of Science -
Austin Peay State University
High School Diploma -
Sycamore High School
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