Kristie Hayes
Weiser,United States
Summary
Medical billing professional with hands-on experience processing inpatient and outpatient claims, verifying coverage, and resolving denied accounts. Supports patients and internal teams through accurate billing, appeals, claim submissions, and issue resolution. Known for detail-oriented work, strong customer service, and compliance with Medicare, Medicaid, commercial payer, and HIPAA rules.
Overview
1
1
Certification
27
27
years of professional experience
Work History
Lead Insurance Biller
Weiser Memorial Hospital
Weiser, Idaho
07.2022 - Current
- Processed hospital insurance claims for patient accounts at Weiser Memorial Hospital.
- Verified coverage details and eligibility for inpatient and outpatient billing.
- Resolved denied claims through payer follow-up and resubmission.
- Coordinated with registration and coding staff on account issues.
- Maintained compliance with Medicare, Medicaid, and commercial billing rules.
- Verified accuracy of patient data including demographics, payer information, and coding.
- Developed strong working relationships with internal departments and external stakeholders.
- Submitted electronic claims as well as paper claim forms via mail or fax according to regulations.
- Assisted in the development of new processes and procedures related to billing activities.
- Adhered to HIPAA guidelines regarding confidentiality of patient data at all times.
- Researched and resolved discrepancies in patient accounts, insurance claims, and billing records.
- Processed appeals for denied insurance claims ensuring timely reimbursement from third-party payers.
Pharmacy Technician
Ridleys Family Markets
Weiser, ID
12.2016 - 05.2022
- Interpreted and processed medication orders under supervision of a pharmacist.
- Supported the pharmacist in processing high volume of prescriptions, addressing customer inquiries to enhance service experience.
- Teamed with peers, technicians and pharmacists to prioritize and complete orders.
- Refilled medications, offered insight into over-the-counter products and verified insurance benefits.
- Ordered medications from suppliers to replenish stock levels., ensuring timely access to prescriptions for patients.
- Prepared prescription transfers to other pharmacies.
- Welcomed customers and provided information on personal medications and over-the-counter products to facilitate informed choices.
- Maintained strict patient confidentiality to adhere to HIPAA regulations and avoid data compromises.
Income Tax Preparer
H & R Block Tax Services
Weiser, ID
01.2008 - 04.2017
- Collected detailed client information and paperwork to ensure accurate completion of tax returns.
- Determined clients' eligibility for tax credits, abatements or deductions through careful research and oversight.
- Reduced errors associated with missed tax benefits by completing comprehensive reviews of internal tax preparation documents.
- Finalized and processed submissions to local, state, and federal authorities, ensuring compliance with tax regulations.
- Prepared written responses and tax return amendments to address state and federal tax notices effectively.
Accounting Assistant
Champion Homebuilders
Weiser, ID
12.1999 - 07.2007
- Managed daily bookkeeping functions with attention to accounts receivable, accounts payable, banking reconciliation and disbursements.
- Verified figures, postings, and documents for accurate entry and compliance with accounting codes.
- Tracked accounts payable and receivable statuses, coordinating delegation of related tasks to maintain workflow.
- Received payments from customers via cash, check and credit cards to pay company invoices.
- Analyzed and coded expense reports to ensure accuracy and compliance with company policy.
Education
Pharmacy Technician
TRC Healthcare
12-2018
Pharmacy Technician
Idaho State University
Pocatello, IDTax Preparation
Links School Of Business
Boise, IDSkills
- Revenue Cycle Management
- Medical billing
- Claims analysis
- Denial resolution
- Coverage verification
- Medicare billing
- Claim submission
- Billing expertise
- HIPAA compliance
- Problem-Solving Skills
- Customer Relations
- Customer service
- Medical terminology knowledge
Certification
Certified by the Pharmacy Technician Certification Board (PTCB), Licensed State of Oregon Tax Preparer
Timeline
Lead Insurance Biller
Weiser Memorial Hospital
07.2022 - Current
Pharmacy Technician
Ridleys Family Markets
12.2016 - 05.2022
Income Tax Preparer
H & R Block Tax Services
01.2008 - 04.2017
Accounting Assistant
Champion Homebuilders
12.1999 - 07.2007
Pharmacy Technician
TRC Healthcare
Pharmacy Technician
Idaho State University
Tax Preparation
Links School Of Business