Kristin Griswold
Valley,AL
Summary
Medical Claims Analyst at Aspirion Health Resources with experience in processing complex VA medical claims and a strong foundation in HIPAA compliance. Demonstrated adaptability and attention to detail while collaborating with healthcare providers to resolve claims efficiently, enhancing patient care and satisfaction. Possessing great relationship building and communication skills. Looking to tackle new challenges with a company that values dynamic skills, friendliness, and a strong work ethic.
Overview
8
8
years of professional experience
Work History
Veteran Affairs Medical Claims Analyst
Aspirion Health Resources
Columbus, GA
11.2024 - Current
- Examine and process medical claims according to the plan documents of several different VA insurance plans
- Work with HCFA 1500 and UB04 claims
- Experience with supplements to Medicare, coordination of benefits, pre-existing clauses, and CPT coding.
- Review medical records and compile all information for medical review.
- Coordinate with other VA departments for the efficient resolution of claims, including mental health, medical, and administrative units
- Verify the eligibility of veterans and their dependents for medical benefits under VA health plans.
- Monthly invoicing for the revenue cycle.
- Accurately processed large volume of medical claims every shift.
- Collaborate with healthcare providers to resolve outstanding claims issues.
Team Service Leader
McAlister’s Deli
Columbus, GA
11.2017 - 04.2019
- Enhancing guest satisfaction and promoting repeat business
- Ensured food safety and hygiene, maintaining a clean environment and adhering to regulations
- Collaborated with team members for seamless operations, improving workflow efficiency
- Managed cash register reconciliations accurately, ensuring financial accountability
- Mentored new hires, fostering a supportive team culture and improving overall performance
Sales Associate
Justice Tween Brands
Columbus, GA
02.2017 - 11.2017
- Expertly assisted customers with product inquiries, boosting sales through personalized recommendations
- Collaborated with team to optimize store layout, enhancing customer navigation and boosting sales
- Ensured accurate cash handling and POS transactions, maintaining financial integrity
- Organized and restocked sales floor
- Trained new staff on POS system operations, contributing to smoother transactions and improved customer satisfaction
Education
BACHELORS OF SCIENCE - HEALTH SCIENCE
Columbus State University
Columbus, GA05.2024
HIGH SCHOOL DIPLOMA -
Northside High School
Columbus, GA05.2018
Skills
- Active Listening
- Adaptability
- Building connections
- Conflict Resolution
- Healthcare Ethics
- Time Management
- Organization
- Medical Informatics
- Proficiency in EPIC
- Data Analysis
- HIPAA compliance
- Attention to detail
- Microsoft Office
- Written Communication
References
Available upon request
Timeline
Veteran Affairs Medical Claims Analyst
Aspirion Health Resources
11.2024 - Current
Team Service Leader
McAlister’s Deli
11.2017 - 04.2019
Sales Associate
Justice Tween Brands
02.2017 - 11.2017
BACHELORS OF SCIENCE - HEALTH SCIENCE
Columbus State University
HIGH SCHOOL DIPLOMA -
Northside High School
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