Summary
Overview
Work History
Skills
Timeline
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Kristi Klein

Bakersfield,CA

Summary

Motivated professional offering proficiency in data entry combined with strong mathematical and analytical thinking skills. Personable team player with exceptional customer service abilities. Fast learner and committed to continuous, self-directed learning.

Overview

11
11
years of professional experience

Work History

Customer Service (Data Specialist)

Resource Innovations
10.2023 - Current
  • Provides customer service such as responding to emails and phone calls in a timely manner
  • Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.
  • Communicate effectively and efficiency with co workers and customers
  • Reviews customer information accurately and efficiently.
  • Handled customer inquiries and suggestions courteously and professionally.
  • Clarified customer issues and determined root cause of problems to resolve product or service complaints.
  • Enhanced data accuracy by implementing efficient data validation processes and automating manual tasks.
  • Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
  • Streamlined call center processes for improved efficiency and reduced wait times.

Reimbursement Representative

UW Hospitals and Clinics
08.2021 - 10.2023
  • 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.
  • Enhanced claim processing efficiency by streamlining workflows and implementing best practices.
  • Reduced turnaround time for claim settlements by prioritizing tasks and managing deadlines effectively.

CNA

Meriter Hospital
06.2013 - 08.2021
  • Chart using epic
  • Enhanced patient satisfaction by providing compassionate and attentive care.
  • Reduced patient stress levels through effective communication and active listening skills.
  • Collaborated with interdisciplinary healthcare teams to develop and implement individualized care plans for patients.
  • Ensured prompt response to call lights, addressing patient needs in a timely manner.

Ombudsman

Medical Transportation Management
03.2016 - 08.2018
  • Process 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
  • Working knowledge and understanding of client protocols and RFP
  • Document, review, process, investigate and provide follow up for all complaints and complaint related issues.
  • Maintained comprehensive records of all client interactions, allowing for efficient follow-up and enhanced overall service quality.
  • Served as liaison between clients and internal departments to facilitate seamless coordination of efforts towards meeting client objectives.
  • Conducted thorough research to provide accurate information and resolve complex issues for customers.
  • Enhanced customer satisfaction by promptly addressing concerns and providing effective solutions.
  • Streamlined communication channels for improved responsiveness to customer inquiries.

Skills

  • Information Verification
  • Transcribing documents
  • Data Verification
  • Spreadsheet Management
  • Problem-solving abilities
  • Multitasking Abilities

Timeline

Customer Service (Data Specialist)

Resource Innovations
10.2023 - Current

Reimbursement Representative

UW Hospitals and Clinics
08.2021 - 10.2023

Ombudsman

Medical Transportation Management
03.2016 - 08.2018

CNA

Meriter Hospital
06.2013 - 08.2021

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Kristi Klein