Kristi Klein
Bakersfield,CA
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Seeking to become apart of an organization that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
11
11
years of professional experience
Work History
Reimbursement Representative
UW Hospitals and Clinics
01.2021 - Current
- Analyze and reconcile denied payment transactions
- Compile and file all information needed to appeal denials
- Following federal and state regulations to ensure compliance standards are met
- Communicate with Revenue Cycle teams, payers and others to resolve account problems
- Follow-up with contracted payers to secure payments on outstanding balances
- Evaluate third party payments to ensure accuracy relative to contract language
- Verify patient coverage information and update registration as required
- Accurately document all actions taken to reconcile outstanding balances
Meriter
Pharmacy tech, Endoscopy tech, CNA
01.2013 - 01.2021
- Chart using the epic system
- Perform incoming and quality control inspections of all endoscopes and related equipment
- Receiving and verifying the accuracy and authenticity of prescriptions
- Stocking the pharmacy with inventory
- Supporting the Pharmacist in the daily operation of the pharmacy
- Maintaining a clean and safe pharmacy by complying with regulations, rules and procedures
- Maintain up to date knowledge of all equipment and procedures
- Order supplies as needed
- Provide routine care to patients
- Any additional duties assigned by supervisor
Medical Transportation Management, Ombudsman
01.2016 - 01.2018
- Provide complaint escalation investigation and send complaint escalation resolution letters to members per client contract
- Compile weekly/monthly appeals and escalation report, reviewed daily denial report
- Assist in other departments when needed
- A working knowledge and understanding of client protocols and RFP
- Serve point of contact for third party advocates
- Document, review, investigate and provide follow up for all complaints and complaint related issues
Education
Madison Area Technical College
Madison, WisconsinSkills
- Records Organization
- Account Development
- Account Servicing
- Develop Proposals
- Customer Relations
- Cost Calculation
- Client Service
- Microsoft Office
Timeline
Reimbursement Representative
UW Hospitals and Clinics
01.2021 - Current
Medical Transportation Management, Ombudsman
01.2016 - 01.2018
Meriter
Pharmacy tech, Endoscopy tech, CNA
01.2013 - 01.2021
Madison Area Technical College
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