Kristin Abele

Work History

Matthew Houston Clark M.D. Inc

Newport Beach, CA

09.2019 - Current

Created and implemented organizational policies and procedures.
Assisted with regulatory issues such as compliance.
Oversaw fiscal operations, including accounting, budgeting, authorizing expenditures and financial reporting.
Consulted with healthcare professionals on business decisions.
Addressed and remedied all patient or team member issues.
Implemented onboarding for new employees, which enabled each to effectively learn tasks and job duties.
Evaluated patients' financial status and established appropriate payment plans.
Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
Located errors and promptly refiled rejected claims.
Managed collections claims for unpaid bills against estates of debtors.
Printed and reviewed monthly patient aging report and solicited overdue payments.
Posted and adjusted payments from insurance companies.
Pre-certified medical and radiology procedures, surgeries and echocardiograms.
Determined prior authorizations for medication and outpatient procedures.
Precisely evaluated and verified benefits and eligibility.
Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
Liaised between patients, insurance companies and billing office.
Adhered to established standards to safeguard all patients' health information.

Matthew Houston Clark M.D. Inc.

Newport Beach , CA

11.2018 - 09.2019

Maintained efficient surgery schedule by monitoring daily activities and resolving potential conflicts.
Communicated with patients on phone and in person to enter and update medical history in database.
Coordinated testing, labs and other diagnostic data for proper clearance prior to surgery.
Verified insurance coverage and benefits and communicated directly with patient for timely scheduling of clinic appointment and surgery procedure.
Evaluated patients' financial status. collected and established appropriate payment plans.
Requested insurance authorizations with appropriate IPA for office and outpatient facilities as well as any prior authorizations needed for PPO insurances.

Orange County Urology Associates

Laguna Hills, CA

01.2012 - 12.2015

Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
Handled high volume of in-bound calls pertaining to reconciliation of delinquent accounts.
Managed efficient cash flow reporting, posted cash receipts and analyzed chargebacks, independently addressing and resolving issues.
Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
Identified, researched and resolved billing variances to maintain system accuracy and currency.
Generated and submitted invoices based upon established accounts receivable schedules and terms.
Kept vendor files accurate and up-to-date to expedite payment processing.
Verified benefits and eligibility prior to all appointments for 9 physicians and created a daily collection report for the front office.
Handled prior authorizations for medications that were not covered benefits with patients insurance.
Implemented new system for benefit verification and collections.
Trained billing department in regards to new system.