Kristin Nielson
Merrillville,IN
Summary
Detail-oriented Billing Systems Coordinator with a proven track record of resolving discrepancies and streamlining workflows. Expertise in team collaboration and process improvement, driving accurate billing practices.
Overview
8
8
years of professional experience
Work History
Billing Systems Coordinator
Methodist Hospitals, Southlake Campus
Merrillville, IN
04.2021 - Current
- Coordinated communication with healthcare providers to resolve billing discrepancies efficiently.
- Implemented process improvements that streamlined billing workflows and reduced errors.
- Trained new staff on billing procedures and software utilization to enhance team performance.
- Analyzed billing reports to identify trends and optimize revenue cycle management strategies.
- Effectively resolved disputes regarding coverage eligibility or claim denials through professional communication with patients and insurance representatives alike.
- Collaborated with insurance providers to expedite claims processing and secure timely payments for services rendered.
- Assisted in staff training initiatives to develop a knowledgeable team capable of handling complex billing situations effectively.
Medical Collections Specialist
Methodist Hospitals, Southlake Campus
Merrillville, IN
08.2019 - 04.2021
- Managed patient accounts to ensure timely collections and minimize outstanding balances.
- Reviewed and resolved billing discrepancies, enhancing accuracy of medical claims processing.
- Collaborated with insurance representatives to expedite claim approvals and denials resolution.
- Trained and mentored new team members on best practices for medical collections procedures.
- Managed high-volume caseloads effectively while maintaining strong attention to detail and accuracy in data entry tasks related to billing adjustments or chargeoffs.
- Monitored account receivables to identify trends and proactively address potential issues.
- Updated patient records accurately to ensure seamless coordination between departments and minimize delays in treatment or billing.
- Reviewed aging reports regularly to prioritize collection efforts strategically based on account status and risk level.
- Enhanced revenue recovery through diligent follow-up on delinquent accounts.
- Trained new hires in medical collections protocols, promoting consistency across the team.
Hospital Claims Analyst
Bottom Line Systems Inc.
Crescent Springs, KY
06.2018 - 04.2021
- Analyzed claims data to identify trends and discrepancies in processing.
- Reviewed and validated claim submissions for accuracy and adherence to policies.
- Conducted audits of claims processes to ensure regulatory compliance and operational excellence.
- Maintained strict confidentiality with all personal data as per company guidelines.
- Managed high-volume caseloads, prioritizing tasks to ensure timely completion of all claims.
- Demonstrated a high level of accuracy and attention to detail in reviewing claim documentation for approval or denial decisions.
Education
Bachelor of Science - Communication Disorders
Governors State University
Park Forest, IL05-1987
Skills
- Root-cause analysis
- Teamwork and collaboration
- Problem-solving
- Time management
- Attention to detail
Timeline
Billing Systems Coordinator
Methodist Hospitals, Southlake Campus
04.2021 - Current
Medical Collections Specialist
Methodist Hospitals, Southlake Campus
08.2019 - 04.2021
Hospital Claims Analyst
Bottom Line Systems Inc.
06.2018 - 04.2021
Bachelor of Science - Communication Disorders
Governors State University