KRISTI HOLLEMAN LEWIS
Fort Worth,TX
Summary
OBJECTIVE STATEMENT Seeking a position that will allow me to fully utilize my knowledge of health care human resources, insurance, medical billing, follow up, denial, appeals, benefits/eligibility and electronic records management skills. Well-qualified customer service support with proven success in improving operations and solving problems. Highly proficient in building lasting relationships with key decision makers, customers and team members to further company goals. Ready to leverage training and experience to take on new professional challenges.
Overview
31
31
years of professional experience
Work History
Human Resources Onboarding Navigator
Texas Health Arlington Memorial Hospital
Arlington, TX
12.2021 - Current
- Assist new hires with their onboarding process
- Review background checks
- Provide customer service through a positive attitude and friendly tone, create, and maintain a world class first impression for new hires by responding to their needs and providing an enjoyable experience with each interaction
- Management of on-boarding process – create an exciting and memorable experience for new hires by serving as an energetic, readily available resource who provides guidance through the on-boarding process
- Create and deliver an unforgettable experience to new hires by ensuring they have the resources they need for their respective role
- Serve as a role model by demonstrating accountability and conveying an attitude of service excellence
- Hired employees and processed hiring-related paperwork.
Volunteer Registration and Greeter/Screener
Texas Health Resources Community Vaccine, THR
Fort Worth, TX
01.2021 - 01.2022
- Verify and checked in patient receiving Covid 19 vaccinations
- Greet/screen and keep patients moving to different stations with the clinic to keep the clinic running smoothing with little or no wait times.
Department Assistant
Texas Health Springwood Behavioral Health Hospital
06.2021 - 12.2021
- Greet patients in a timely manner and get them scheduled and or checked in for mental health assessments
- Notify the intake therapist of the arrival of patients
- Responsible for maintaining various department schedules, visitor logs, or outpatient program lists
- Uses various word processing software applications: EPIC, Microsoft Word, Excel, Outlook to manage calendars, schedule ongoing outpatient therapy group meetings.
Managed Medicare Collector
Texas Health Resources, Central Business Office
Fort Worth, TX
06.2018 - 06.2021
- Collections Managed Medicare
- Follow up on denied, under and overpayment claims through various carrier websites and phone calls
- Update insurance coverage and rebill claims
- Reviewed claims for coding accuracy.
- Researched and rectified account discrepancies.
- Flagged return claims and dealt with insufficient payments.
- Processed claims and forwarded information to Medicare, Medicaid and commercial insurance companies.
- Identified discrepancies and carrier issues regarding billing and reimbursements.
- Processed refund requests and reconciled deposit and patient collections.
- Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.
Billing Specialist
Texas Health Resources, Central Business Office
07.2018 - 09.2019
- Bill Medicare claims in Epic and Craneware
- Knowledge of CC1, MUE, OCE edits
- Knowledge of Medicare Billing Regulations & Compliance
- Investigated and resolved issues to maintain billing accuracy.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Worked with team members and leadership to identify and develop process improvements.
- Managed numerous client accounts to track and collect money owed.
- Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
- Submitted claims to insurance companies.
- Performed insurance verification, pre-certification and pre-authorization.
- Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
- Checked claims coding for accuracy with ICD-10 standards.
OR Surgery Scheduling Specialist
Texas Health Resources THFW, Epic
01.2018 - 06.2018
- Receive incoming calls from various surgeon offices to schedule surgeries in,
- Select the correct “card” to ensure the needed instruments & equipment are available
- Update insurance and demographic information for correct billing
- Cranware medical necessity checks for Medicare products
Data Integrity Specialist
Texas Health Resources
02.2009 - 01.2018
- Merge duplicate medical records
- Update baby names after discharge
- Process patient status transfers
- Correct charges in Invision
- Combine Preadmit accounts
- Create new accounts when necessary
- Process Release of Information requests via email, fax, or CareEverywhere in EPIC
- Coordinate with admissions, case management, central business office, coding and nursing, to ensure account information is correct
- Maintained weekly Stock camp reports by completing duplicate account deletions and resolving issues with coding before billing deadlines
- Working knowledge of Smart Merge, EPIC, 3M, AccessANYware, Tele Tracking, Invision
Billing Specialist
Texas Health Resources, Central Business Office
06.2007 - 02.2009
- Corrected and rebilled commercial insurance rejections in Epremis billing system
- Insurance verifications
- Corrected insurance information utilizing NEBO
- Updated Medicaid newborn recipient numbers using all Medicaid websites
Provider Service Representative
Aetna, Inc. Call Center
Arlington, TX
05.2000 - 04.2007
- Assisted medical, dental and pharmacy providers with benefits, EOB, and claim processing status
- Reroute pended or denied claims through an internal processing system for reconsideration
- Coordinated between various levels of medical professionals, staff and management
Commercial Insurance Claims Biller
JPS HEALTH
FORT WORTH, TX
06.1992 - 08.1995
- Electronically billed and followed up on commercial insurance claims
- Posted payments and denials updates in internal accounting system
- Assisted patients with billing questions over the phone and walk ins
Education
Lean Six Sigma Certificate of Training -
01.2013
Arlington Court Reporting College Paralegal Certificate -
Tarrant County College
01.1996
High School Diploma -
GREEN B TRIMBLE TECH
Fort Worth, TX05.1992
Skills
- Personnel records maintenance
- New hire orientation
- Medical Billing and Collections
- Medical Record Safeguarding
- Patient Data Management Systems
- Insurance Eligibility
- Medical Release of Information ROI
- Accounts Payable and Accounts Receivable
- Patient Data Collection
- Computerized Maintenance Management Systems
- Document Scanning
- HIPAA Compliance
- Patient Inquiries
- Data Integrity
Timeline
Human Resources Onboarding Navigator
Texas Health Arlington Memorial Hospital
12.2021 - Current
Department Assistant
Texas Health Springwood Behavioral Health Hospital
06.2021 - 12.2021
Volunteer Registration and Greeter/Screener
Texas Health Resources Community Vaccine, THR
01.2021 - 01.2022
Billing Specialist
Texas Health Resources, Central Business Office
07.2018 - 09.2019
Managed Medicare Collector
Texas Health Resources, Central Business Office
06.2018 - 06.2021
OR Surgery Scheduling Specialist
Texas Health Resources THFW, Epic
01.2018 - 06.2018
Data Integrity Specialist
Texas Health Resources
02.2009 - 01.2018
Billing Specialist
Texas Health Resources, Central Business Office
06.2007 - 02.2009
Provider Service Representative
Aetna, Inc. Call Center
05.2000 - 04.2007
Commercial Insurance Claims Biller
JPS HEALTH
06.1992 - 08.1995
Lean Six Sigma Certificate of Training -
Arlington Court Reporting College Paralegal Certificate -
Tarrant County College
High School Diploma -
GREEN B TRIMBLE TECH
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