Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic
Kristi Luke

Kristi Luke

Emmett,ID

Summary

Experienced, Phlebotomist and Medical Biller as well as Customer Service Professional. Advanced knowledge of calculating and collecting payments for medical procedures and services such as updating patient data, developing payment plans, and preparing invoices. Skilled in all areas of procedural billing pertaining to Medical, Dental and Vision. Care-focused Phlebotomist bringing 1-year background in laboratory settings. Accomplished at easing patient anxieties and hitting veins on first attempts. Experienced in skin puncture draws utilizing varied needle gauges and collection techniques tailored to patient need.

Overview

30
30
years of professional experience
2
2
Certification

Work History

Phlebotomist/Lab Assistant

Valor Health
08.2023 - 07.2024
  • Enhanced patient experience through compassionate care and communication during blood draw procedures.
  • Labeled transfer tubes and followed exact directions for handling and storing specimens for transport.
  • Maintained a high level of accuracy in labeling and tracking specimens, ensuring proper testing and timely results.
  • Performs blood draws on infants, kids, teenagers, adults and elderly patients
  • Draw blood on outpatient lab setting, in-patient rooms, infusion department setting, and ER setting as needed.
  • Perform waived point of care tests such as; Covid-19, Flu, RSV, Strep, and Urine dipsticks

Enrollment and Billing Specialist

Blue Cross of Idaho
01.2022 - 02.2023
  • Responsible for enrollment and billing activities for membership
  • Process membership activity by establishing records, changing, coding, and entering data
  • Assure prompt, complete, and accurate reconciliation of daily income by researching and adjusting membership records and reconciling paid bills/coupons
  • Maintain eligibility and billing on Facets system
  • Receive, research, and reply to telephone, written and electronic inquiries related to enrollment and billing, within corporate and departmental guidelines
  • Maintain knowledge of federal regulations including, but not limited to the following: HIPAA, COBRA, and ERISA
  • Identified, researched, and resolved billing variances to maintain system accuracy and currency.
  • Researched and resolved billing discrepancies to enable accurate billing.

Claims Processor/Account Representative II

Sutter Shared Services
12.2009 - 04.2020
  • Ensure timely and accurate posting of cash transactions, payments, adjustments, manual denials, insufficient fund checks/debit transactions, and general ledger accounting transactions
  • Review, research, and resolves payment variances to minimize inappropriate payment variances from expected reimbursement, processes payments/refunds/adjustments
  • Accurately process patient and insurance claims for payment in Epic
  • Worked remotely without direct supervision for 8 years
  • Customer service claims/benefits
  • Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
  • Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
  • Epic experience
  • Outlook experience

Education

No Degree - Medical Assisting

Stepful
Emmett, ID
11.2024

No Degree - Phlebotomy

Medical Career Academy
Meridian, ID
05.2023

No Degree - Dental Assisting

High Tech Institute
Rancho Cordova, CA
06.2006

High School Diploma -

Mesa Verde High School
Citrus Heights, CA
06.1991

Skills

  • Patient Care
  • Specimen handling
  • Data Entry
  • Customer Service
  • Certified in CPR/AED
  • Staff Phlebotomy Training
  • Invoice Processing
  • Claims Processing
  • Claims review
  • Accuracy and Precision
  • Medical terminology knowledge
  • HIPAA Compliance

Certification

  • NCPT - Nationally Certified Phlebotomy Technician
  • CCMA - Certified Clinical Medical Assistant - Currently In Process
  • CPC - Certified Professional Coder
  • CDA - Certified Dental Assistant

Timeline

Phlebotomist/Lab Assistant

Valor Health
08.2023 - 07.2024

Enrollment and Billing Specialist

Blue Cross of Idaho
01.2022 - 02.2023

Claims Processor/Account Representative II

Sutter Shared Services
12.2009 - 04.2020

No Degree - Medical Assisting

Stepful

No Degree - Phlebotomy

Medical Career Academy

No Degree - Dental Assisting

High Tech Institute

High School Diploma -

Mesa Verde High School
Kristi Luke