Kristen Hargrove Sletten
Houston
Summary
Results-driven professional with extensive experience at Centrasol, specializing in complex billing issue resolution and client satisfaction enhancement. Achieved over $3M in monthly claims recovery through effective claims management and conflict resolution strategies. Proficient in data analysis and cross-functional collaboration, ensuring compliance and optimizing workflows for operational efficiency.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Underpayment Analyst
HCA Parallon
Nashville
01.2025 - 05.2025
- Investigated and validated underpayment discrepancies through detailed coding and documentation.
- Recovered additional payments from payers via strategic communication and follow-up.
- Escalated unresolved claims and payer trends to management for timely resolution.
- Analyzed healthcare data to inform operational decision-making processes.
- Evaluated workflow efficiencies to improve service delivery models.
- Monitored operations while reviewing records and metrics to assess company performance.
- Implemented strategies for automating processes, enhancing overall efficiency.
- Maintained accurate documentation of analytical procedures and findings.
Appeals Specialist
Centrasol
Burleson
01.2021 - 01.2024
- Resolved over $3M in monthly billing issues through insurance provider advocacy.
- Acted as primary liaison for client appeals, ensuring prompt resolutions and transparent updates.
- Reviewed appeal cases for compliance with regulations and internal policies.
- Managed case files using Centrasol's document management system for efficient tracking.
- Collaborated with cross-functional teams to address complex appeal issues effectively.
- Analyzed medical records to determine additional information needed for appeals processing.
- Identified reasons behind denied claims and engaged with insurance carriers for resolutions.
- Ensured secure storage of documents in compliance with HIPAA standards.
Claims Specialist
Centrasol
Burleson
01.2020 - 01.2021
- Oversaw processing of more than 800 claims monthly, ensuring clear communication with clients.
- Reviewed claims meticulously for accuracy in line with company guidelines.
- Coordinated interdepartmental collaboration to enhance claims processing efficiency.
- Resolved complex claim disputes swiftly while maintaining high professional standards.
- Investigated discrepancies thoroughly to ensure compliance and resolution integrity.
- Maintained detailed documentation of all claim activities for audit readiness.
- Processed payments for validated claims per established procedures efficiently.
- Analyzed trends in claim submissions to identify areas for improvement.
Payment Poster
Centrasol
Burleson
01.2017 - 01.2020
- Posted healthcare financial transactions to enhance billing accuracy and client trust.
- Maintained detailed records for auditing and transparency.
- Supported reconciliation processes, reducing errors and ensuring compliance.
- Processed incoming payments efficiently for healthcare services.
- Verified payment information against patient accounts and insurance claims.
- Managed billing discrepancies by promptly researching and resolving issues.
- Collaborated with finance team to reconcile monthly payment reports effectively.
- Ensured compliance with HIPAA regulations while handling patient information.
Receptionist
Privia
Fort Worth
01.2016 - 01.2017
- Delivered exceptional front-desk service to over 100 patients daily.
- Scheduled and coordinated patient appointments using electronic health record systems.
- Maintained calm demeanor while adhering to high standards of patient care.
- Verified insurance coverage, processed forms, and collected co-payments efficiently.
- Managed office phone lines by returning calls and directing messages to team members.
- Ensured compliance with HIPAA regulations while protecting patient confidentiality.
- Communicated effectively with clinical staff and patients regarding inquiries and appointments.
- Entered patient demographics and health history into database accurately.
RX Clerk / Front Office
Privia
Fort Worth
01.2006 - 01.2010
- Streamlined prescription fulfillment and front-desk operations to enhance service efficiency.
- Reduced wait times, contributing to improved client experiences in a top-ranked DFW clinic.
- Processed incoming patient documents for accuracy, ensuring compliance with industry standards.
- Coordinated patient scheduling for appointments and follow-ups, optimizing workflow.
- Maintained organized filing systems for quick retrieval of patient information.
- Communicated documentation requirements and updates clearly to patients.
- Collaborated with medical staff to efficiently manage patient check-in and flow.
- Managed office phone lines, providing courteous customer service to all callers.
Front/Back Office Manager
Dr. Mirla Manito
Fort Worth
01.2001 - 01.2004
- Managed patient-facing activities, including check-ins, scheduling, and follow-ups.
- Balanced front and back office operations to ensure care continuity.
- Built rapport with patients to foster trust and loyalty.
- Implemented process improvements to enhance operational efficiency and reduce delays.
- Trained junior staff on best practices and company policies for improved service delivery.
- Oversaw inventory management systems to maintain accurate stock levels and reduce waste.
- Assisted in maintaining medical records while updating patient information accurately.
- Communicated effectively with insurance providers to verify coverage options.
Education
High School Diploma -
Joshua Christian Academy
Joshua, TX05-2001
Skills
- Customer relationship management
- Conflict resolution
- Cross-functional collaboration
- Account management
- Workflow optimization
- Multitasking
- Problem solving
- Data entry
- Microsoft Office Suite
- Data analysis
- Claims management
- Regulatory compliance
- Payment reconciliation
- Documentation review
- Critical thinking
- Attention to detail
- Analytical skills
- Trend analysis
- Incident reporting
- Performance tracking
Certification
- Certified Administrative Assistant Linkedin Learning May 2024
- Certified Customer Success Manager Success Coaching June 2025
References
References available upon request.
Timeline
Underpayment Analyst
HCA Parallon
01.2025 - 05.2025
Appeals Specialist
Centrasol
01.2021 - 01.2024
Claims Specialist
Centrasol
01.2020 - 01.2021
Payment Poster
Centrasol
01.2017 - 01.2020
Receptionist
Privia
01.2016 - 01.2017
RX Clerk / Front Office
Privia
01.2006 - 01.2010
Front/Back Office Manager
Dr. Mirla Manito
01.2001 - 01.2004
High School Diploma -
Joshua Christian Academy
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