Kristen Seymour
Pearland
Summary
With a proven track record at OCD Institute of Texas, I excel in denial resolution and team leadership, enhancing revenue by implementing robust strategies and fostering professional growth. My expertise in data analytics and ability to mentor has led to significant improvements in operational efficiency and employee satisfaction, achieving a 30% reduction in AR workques.
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Overview
5
5
years of professional experience
1
1
Certification
Work History
Revenue Cycle Supervisor
OCD Institute of Texas
09.2024 - Current
- Coached and mentored team members for professional growth, resulting in enhanced job performance and higher employee satisfaction.
- Implemented robust denial management strategies that significantly reduced lost revenue due to denied claims or appeals processes failures.
- Analyzed financial data for trends and opportunities, providing valuable insights for management decisionmaking.
- Oversaw patient registration processes, ensuring accurate demographic information was collected to facilitate smooth billing operations.
- Reviewed contracts with third-party payers to ensure optimal reimbursement rates were negotiated effectively.
- Conducted regular staff meetings to review performance metrics, address challenges, and foster an environment of continuous improvement within the team.
- Monitored department KPIs and employee performance and adjusted plans to meet daily and monthly goals.
- Established strong relationships with insurance carriers, improving communication channels for efficient claim processing and dispute resolution.
- Conducted audits of registrations, insurance verifications, and insurance denials.
- Optimized payment posting processes to improve cash flow and minimize delays in revenue recognition.
- Provided exceptional customer service by addressing billing questions and concerns in a timely, professional manner.
- Managed accounts receivable aging, ensuring timely follow-up on outstanding balances and prompt resolution of discrepancies.
- Prepared and reconciled cash, check and credit card payments using LightningStep.
- Completed financial reporting and analysis for billing revenue cycle.
- Supported clinical team members with revenue cycle procedures and addressed issues.
- Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
- Coordinated individual duties after careful evaluation of each employee's skill level and knowledge.
- Implemented project management techniques to overcome obstacles and increase team productivity.
- Optimized organizational systems for payment collections, AP/AR, deposits, and recordkeeping.
- Collaborated with cross-functional teams to develop and implement revenue cycle policies and procedures.
- Conducted regular audits of charge capture systems to identify potential issues or areas for improvement within the revenue cycle process.
Senior Project Specialist
Henpex, LLC Consulting
09.2019 - Current
- Managed multiple business projects concurrently, providing support to Project Managers as needed.
- Oversaw daily project operational tasks and played a key role in developing and managing project budgets.
- Facilitated team meetings, devised project plans and schedules, and conducted thorough market research.
- Collaborated with cross-functional colleagues to implement new processes, resulting in a 17% increase in team efficiency over 5 years.
- Acknowledged by senior executives for consistently completing projects on time and within budget.
- Lead Emergency Management team, providing services to
clients responding to disasters nationwide and in US territories. - Manage Emergency Operations Center and/or Field Staging
Area operations prior to, during, and post-disaster. - Lead and perform oversight of on-site duties including logistics, supply, cost/documentation and/or resource unit functions.
- Attend periodic training throughout the year to maintain
deployment eligibility. - Support Emergency Management Project Management
functions. - Exercise responsible and ethical decision-making regarding
company funds, resources and conduct, and adhere to
Company Code of Conduct and related policies and procedures. - Perform additional responsibilities as required by business
needs. - Maintains OSHA safety reports daily.
Insurance Follow-Up Specialist
Kelsey Seybold
06.2023 - 04.2024
- Posted payments and reconciled account balances.
- Reviewed open accounts for account reconciliation and next steps to resolve open balances.
- Communicated with ancillary departments and agencies regarding account errors, billing edits, denials and charge issues.
- Reviewed payments for accuracy and appropriate account
distribution. - Referenced contracts for payment and balance accuracy.
- Posted adjustments as needed and directed to resolve open
balances. - Reviews and works denials as needed, updates and drafts appeals as needed to carriers to resolve open account balances.
- Reviews open AR to identify and resolve accounts receivable as well as escalate issues as needed.
- Responsible for updating the patient accounts.
- Reduced AR workques by 30% within 90 days.
- Obtained Authorization & Retro Authorization if needed.
Education
MBA - Business Administration And Management
Texas Southern University
Houston, TX12-2015
Bachelor of Science - Health Care Administration
Texas Southern University
Houston, TX05-2011
Skills
- HIPAA Compliance
- System configuration
- Data analytics
- Vendor relations
- Claims management
- Revenue optimization
- Revenue performance
- Billing cycle expertise
- Account resolutions
- Revenue enhancements
- Revenue metrics analysis
- Budget monitoring
- Billing cycle performance
- Team leadership
- Documentation and recordkeeping
- Team management /building
- Conflict resolution
- Risk assessment / Quality control
- Staff development and training
- Epic / ECW / Lightning Step / Advanced MD
Certification
- Basic Life Support Certification (BLS)
- OSHA Certified
- Certified Mediator
Timeline
Revenue Cycle Supervisor
OCD Institute of Texas
09.2024 - Current
Insurance Follow-Up Specialist
Kelsey Seybold
06.2023 - 04.2024
Senior Project Specialist
Henpex, LLC Consulting
09.2019 - Current
- Basic Life Support Certification (BLS)
- OSHA Certified
- Certified Mediator
MBA - Business Administration And Management
Texas Southern University
Bachelor of Science - Health Care Administration
Texas Southern University
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