Work Availability
Software
Websites
Work Preference
Summary
Work History
Education
Skills
Certification
Accomplishments
VOLUNTEER EXPERIENCE
Hobbies and Interests
KRISTINA CARR

KRISTINA CARR

READY TO WORK=Healthcare Professional (HIM sector)
Apex,NC
Far and away the best prize that life offers is the chance to work hard at work worth doing.
Theodore Roosevelt

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
swipe to browse

Software

Microsoft Office; Excel, Outlook, Word, PowerPoint, Teams

Google Suite (G Suite)

Electronic Medical Record (EMR); Epic and Athena

Tableau, DocuSign, Workday

Salesforce CRM

HubSpot CRM, TextUs, Definitive Healthcare

DOMO (Business analytics platform)

Availity (Revenue Cycle platform)

CMS, Various healthcare Insurance platforms

Modio Health

Work Preference

Work Type

Part TimeFull Time

Work Location

Remote

Important To Me

Healthcare benefits401k matchWork from home optionFlexible work hoursCompany CulturePersonal development programsCareer advancementPaid time offWork-life balance

Summary

As a forward-thinking healthcare professional holding a BS in Business Administration, I am excited to explore career advancements within the healthcare administration sector, specifically within the field of health information management (HIM), leveraging my versatile experience, skillset, and continued certification training. My expertise the past 8 years, spans in revenue cycle management, data analysis, medical coding and billing knowledge, medical transcription, and physician recruitment. With a foundation within the healthcare industry in various roles, as an analytical thinker, I am positive I will be a successful candidate and leader. Currently working towards CPC certification strengthening current medical coding knowledge, with an approach emphasized on ongoing growth, and honed leadership abilities, to achieve objectives while positively impacting others; patients, providers, hospitals, and internal team relationships. Success works collaboratively with a successful company that strives to encourage growth, promotes a positive environment, continued training, and recognized success.

Work History

Physician Recruiter (locum Tenens)

Weatherby Healthcare
Durham (Remote), North Carolina
04.2022 - Current
  • Facilitate provider placement based off skillset, licenses, certifications, and medical training.
  • Vet physicians, coordinate interviews, facilitate credentialing, hospital privileges, reference checks, nd providing support while physician on locum assignment and afterwards for the next.
  • Strengthen and maintain open provider communication, establishing rapport, vetting physicians per credentials, interests, skillset, and pain points.
  • Negotiate compensation and contract terms.
  • Liaison with business partners, collaborate, and providing support
  • Maintain competitive provider pipeline, strong sales quota, large gross margin; exceeding business goals by 107% YTD.
  • Utilized various marketing strategies to promote available locum positions nationwide.
  • Compassion and understanding of each hospital's patient needs', framing each locum assignment per the specific preferences.

Revenue Cycle Manager

Revecore (formerly Kemberton Healthcare)
02.2021 - 04.2022
  • Ensured compliance with third party reimbursement policies, regulation accreditation guidelines, insurance career policies; including Medicare, and coding guidelines and reimbursement regulations/deadlines.
  • Investigated and assisted with numerous denied claims including but not limited to, coding (DRG, bill type, ICD-9/10, HCPCS/CPT, etc), billing, diagnosis coding, pre-authorization, registration/discharge, insurance billing (LCD/NCD), patient misinformation, and medical charting errors.
  • Reconciled over $350K in lost revenue in 2021 distributed to physicians and patients.
  • As the leader, formed strong team communication, assisting with individual challenges with empathy, patience, and recognized individuals weekly.
  • Implemented process improvements and training, ensuring accurate charge capture and coding compliance.
  • Completed weekly team financial reporting and coding compliance.

Senior Revenue Cycle Specialist

Revecore (formerly Kemberton Healthcare)
01.2019 - 02.2021
  • Liaison for the Complaints and Grievances Department
  • Interpreted medical charts, EOBs in various Electronic Medical Record platforms, EPIC, Athena, and Meditech
  • Investigated and analyzed denied claims, collaborating with patients, insurance carriers, physicians, hospital administrators and implemented next steps towards claim reimbursement
  • Successfully overturned over 300+ complex medical billing and coding denied claims from 2019-2021.
  • Recouped approximately $410,000 for patients and allocated approximately $1,092,457 for physicians and hospitals from 2019-2021.

Medical Transcription Team Leader

Accentus, Inc. (formerly Nuance Communications)
01.2017 - 12.2018
  • As a leader, handled challenging and sensitive employee situations patiently and compassionately
  • Established clear expectations regarding deadlines, output quality, and collaboration among team members through consistent communication efforts.
  • Collaborated and maintained strong internal and cross-departmental relationships; team building and maintained open communication.
  • Remained informed with CMS updates and developments in compliance with medical charting regulations/guidelines
  • Spearheaded efforts to improve transcription efficiency by identifying bottlenecks, proposing solutions, and tracking the impact of implemented changes.
  • Managed a diverse team of individuals with varying levels of experience while fostering a culture of continuous learning and growth within the department.

Senior Medical Transcriptionist

Accentus, Inc. (formerly Nuance Communications)
Remote, NC
01.2016 - 01.2017
  • Accurately documented medical dictation in Athena per patient=provider recorded encounter for multiple providers in varies specialties; with medical terminology proficiency.
  • Maintained high levels of confidentiality with sensitive patient information following HIPAA guidelines.
  • Daily use of G Suite applications, Microsoft Office, internal medical documenting software, AS400 systems and all communication platforms. Used SLACK, Microsoft Teams, Skype, and Zoom.
  • Utilized EMR systems daily such as, Athena, Epic
  • Direct communication with Provider regarding Provider's personal medical charts and encounters.
  • Maintained 98-100% accuracy rate for spelling and content.

Education

Bachelor of Science - Business Administration And Management

University of Vermont, Burlington, VT

Honors

  • Cum laude Graduate, May 1998

Awards

  • 3.8 GPA
  • Dean's List, Fall/Spring 1995-1998

Extracurricular Activity

  • Alpha Delta Pi Member, 1995-1998

Skills

  • Revenue Cycle Management (RCM)
  • Medical terminology, Pathophysiology, and Anatomy proficiency
  • Medical billing and coding analysis and review
  • HCPCS and CPT coding knowledge and review
  • ICD-9 and ICD-10 coding knowledge
  • Explanation of Benefits (EOB)
  • Medical claim resolution and appeals
  • Detail-oriented
  • Time management
  • Results driven
  • Insurance verification and regulations
  • Written and verbal communication
  • Electronic Medical Record (EMR); Epic and Athena
  • Availity CRM, Salesforce B2B, Workday, Tableau, HubSpot CRM, DOMO BI, Microsoft Office (Excel, Outlook, Word, PowerPoint, and Teams), Google Suite, DocuSign proficiency
  • Health Insurance Portability and Accountability Act (HIPAA)
  • Patient confidentiality; Patient Health Information (PHI)

Certification

  • Certified Professional Coder, CPC, (AAPC) Current- December 2024.
  • Medical Terminology Certification, (AAPC), January 2024
  • Anatomy Certification, (AAPC), March 2024
  • Pathophysiology Certification, (AAPC), May 2024
  • Health Insurance Portability and Accountability Act (HIPAA) Training and Certification, (Weatherby Healthcare), January 2024, ongoing annually.
  • CPR and First Aid ( American Red Cross ), 2017 - current

Accomplishments

  • Vetted qualified physicians, and manage my large book of business, over 400 quality physician's for locum assignments.
  • Documented and resolved over 400 denied medical claims which led to over $350K in lost revenue in 2021, which were distributed to physicians and patients.
  • Supervised team of 10-13 Revenue Cycle Specialists from 2021-2022.
  • Supervised team of 18-20 Medical Transcriptionists from 2017-2018.
  • Maintain competitive provider pipeline, sales quota, and gross margin; exceeding business goals over 107% YTD.
  • Successfully maintained 90% KPIs from 2022-2024.
  • Recouped approximately $410,000 for patients and allocated approximately $1,092,457 for physicians and hospitals from 2019-2021.

VOLUNTEER EXPERIENCE

American Red Cross: Blood Drive Volunteer

Vermont, 1993-2004 and North Carolina, 2012-Current

  • Assisted in set up of different blood banking stations at various locations.
  • Provided comfort for individuals having their blood drawn, holding their hands if they needed it, or carrying their belongings.
  • Distributed snacks and juice to all those who have donated blood, monitoring each person, making sure they are feeling good to leave.
  • Aided in registration of all blood drive participants.
  • Offered support and gratitude to all the blood donors and in specific situations, listened to all the unique stories and situations of individual's, empathizing and genuinely providing a sense of compassion and understanding.

Hobbies and Interests

  • Fitness; running (community 5K), swimming, weight training, swimming, and biking,
  • Travel; nationwide (landmarks), internationally (Europe, and Asia).
  • DIY; home and decor improvements.
  • Nutritional interest with Celiac; cooking and baking
  • Outdoor activities; Hiking, skiing, and boating.
  • Reading; mysterious, and crime.


Similar Profiles

CREATE PROFILE
KRISTINA CARRREADY TO WORK=Healthcare Professional (HIM sector)