Kristen Gordon
A Place For Mom Inc.
Forney
9
years of professional experience
Results-driven healthcare and client services professional with 7+ years of experience in claims processing, Medicare compliance, account management, and senior living advisory services. Skilled at updating and auditing records, ensuring regulatory compliance (CMS/Medicare/Medicaid, state mandates), and communicating clearly with providers, health plans, and internal teams to resolve discrepancies. Consistently recognized for exceeding performance metrics, improving accuracy, and delivering compassionate client support.
Work History
Senior Living Advisor
3 Years- Partner with families and healthcare providers to evaluate needs, ensuring compliant and appropriate care recommendations.
- Accurately document and update client records, aligning solutions with state and organizational guidelines.
- Collaborate with internal teams and community partners to resolve discrepancies and streamline placement processes.
- Consistently exceed performance metrics, ranking in the top 10% nationally and achieving 120% of placement goals.
- Facilitated over 360 successful care transitions annually, maintaining a high standard of accuracy and client satisfaction.
Negotiations Specialist
1 Year 8 Months- Maintained high level of time management and multitasking ability in order to effectively manage account queues
- Negotiate with creditors, collection agencies, and attorney offices for reduced settlements on delinquent and/or charge off accounts.
- Consistently perform above metric of minimum 95 settlements per month
- Gather and submit required documentation for approval and payment of settlements
- Informed parties of relevant laws, regulations and constraints for cases.
Mortgage Loan Officer
9 Months- Obtained copies of applicants' credit histories and reviewed paperwork to determine feasibility of granting loans.
- Strategized to fix application problems and resolve issues.
- Funded on average 25-30 loans monthly
- Maintained average of 86% pull through
- Executed outbound leads and converted 72% of calls into sales.
- Conducted training and mentored team members to promote productivity and commitment to friendly service.
Mortgage Loan Officer
1 Year 8 Months- Reviewed loan files and updated to match current guidelines.
- Recommended loan approvals and denials based on customer loan application reviews.
- Set aggressive targets for employees to drive company success and strengthen motivation.
- Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
- Defined clear targets and objectives and communicated to other team members.
- Managed over 50 customer calls per day.
Medicare Sales Professional
2 Years 3 Months- Guided clients through Medicare plan options, ensuring recommendations were compliant with CMS/Medicare regulations and state guidelines.
- Accurately updated and maintained client records to support proper benefit application and claims alignment.
- Researched eligibility, coverage, and plan details to resolve discrepancies, ensuring accuracy and compliance with benefit plan documents.
- Communicated clearly with clients, providers, and internal partners to resolve issues and explain plan details in simple, easy-to-understand language.
- Consistently exceeded sales and service metrics, achieving a 70–80% lead conversion rate while handling 25–50 inbound/outbound calls daily.
Associate Account Collector
9 Months- Researched and updated claim records, ensuring accuracy and compliance with company policies, CMS/Medicare/Medicaid guidelines, and state mandates.
- Processed adjustments by communicating with providers, health plans, and compliance offices to resolve claim errors.
- Applied claims procedures to ensure correct benefit application while meeting turnaround times and performance metrics.
- Partnered with internal teams to address escalated issues, using clear, simple language to support understanding and resolution.
- Recognized for strong attention to detail and ability to manage sensitive claim information efficiently.
Education
High School Diploma
Skills
Claims Research & Adjustments
CMS/Medicare/Medicaid Compliance
Benefit Plan Interpretation
Client & Provider Communication
Records Accuracy & Documentation
Issue Resolution & Escalation Support
Performance Metrics & Turnaround Times
Sales & Conversion Optimization
Microsoft
Excel
CRM
Slack
Salesforce
Timeline
Senior Living Advisor
A Place For Mom Inc.
10.2023 - CurrentRead More
Negotiations Specialist
DebtBlue
01.2022 - 09.2023Read More
Mortgage Loan Officer
Mr Cooper
03.2021 - 12.2021Read More
Mortgage Loan Officer
Reliance First Capital
07.2019 - 03.2021Read More
Medicare Sales Professional
Dialog Direct
04.2017 - 07.2019Read More
Associate Account Collector
United Health Group
07.2016 - 04.2017Read More
Northeast Lauderdale High School
High School Diploma
Read More