Kristi Masterson
Jackson,Missouri
Summary
Insurance Coordinator at Neurologic Associates of Cape Girardeau, adept at optimizing claims processing and enhancing customer service. Achieved significant reductions in denial rates through targeted training and effective communication. Skilled in insurance verification and critical thinking, fostering strong client relationships while ensuring compliance with regulations.
Overview
31
31
years of professional experience
Work History
Insurance Coordinator
Neurologic Associates of Cape Girardeau
12.1994 - Current
- Coordinated insurance verification processes to ensure timely patient access to services.
- Managed claims submissions and follow-ups, optimizing reimbursement timelines.
- Streamlined communication between patients, providers, and insurance companies to enhance service efficiency.
- Analyzed coverage options and patient eligibility to provide accurate information and support decision-making.
- Led initiatives to improve claims accuracy, reducing denial rates through targeted training sessions.
- Verified insurance and communicated coverage to staff and patients.
- Implemented process improvements that enhanced operational workflows within the billing department.
- Managed a high volume of inbound calls, promptly resolving issues while providing accurate information on policies and procedures.
- Assisted clients with understanding complex insurance policies, effectively addressing concerns or questions.
- Obtained data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims.
- Filed and tracked insurance claims and communicated claims status to patients.
- Obtained prior authorization and precertification for outpatient procedures.
- Prepared insurance claims for submission to clearinghouses or insurance companies.
- Referenced monthly aging reports to follow up on unpaid claims and obtain maximum reimbursement.
- Achieved revenue goals by managing collections and accounts receivables, referral process, and insurance billing.
- Contributed positively to team morale by consistently demonstrating a collaborative attitude and willingness to support colleagues.
- Analyzed data from various sources to identify patterns in claims activity, allowing for more effective prevention strategies moving forward.
- Enhanced customer satisfaction by efficiently handling insurance claims and processing policy updates.
- Fostered strong relationships with clients through regular follow-ups, enhancing customer loyalty.
- Maintained up-to-date knowledge of insurance regulations, ensuring company compliance with current laws.
- Assisted in resolving complex insurance claims, liaising between clients and providers for favorable outcomes.
- Negotiated with insurance carriers to secure competitive rates for clients, enhancing customer satisfaction.
- Coordinated with healthcare providers to ensure accurate and prompt claim settlements, improving client trust.
- Enhanced client satisfaction by providing timely and accurate policy updates and renewals.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Posted payments to accounts and maintained records.
- Generated, posted and attached information to claim files.
- Calculated adjustments, premiums and refunds.
- Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
- Maintained confidentiality of patient finances, records, and health statuses.
- Prepared insurance claim forms or related documents and reviewed for completeness.
- Coordinated with contracting department to resolve payer issues.
- Verified client information by analyzing existing evidence on file.
Education
High School Diploma -
Jackson High School
Jackson, MO 05-1988
Skills
- Insurance claims processing
- Insurance processes
- Insurance verification
- Customer service and assistance
- Claims processing
- Claims
- Accounts receivable
- Payment planning
- Critical thinking
- Eligibility determination
- Claims adjustment
- Denied claims identification
- Multitasking
- Claims investigation
Timeline
Insurance Coordinator
Neurologic Associates of Cape Girardeau
12.1994 - Current
High School Diploma -
Jackson High School