Kristina Kavanaugh
Montgomery ,IN
Summary
Driven Denial Management Specialist with a proven track record at Good Samaritan Hospital, excelling in customer relations and expert problem-solving. Achieved maximum reimbursement through meticulous documentation management and quality assurance. Demonstrates exceptional multitasking and communication skills, ensuring high productivity and efficient resolution of insurance denials.
Overview
17
17
years of professional experience
Work History
Denial Management Specialist
Good Samaritan Hospital
06.2018 - Current
- Follows all company policies and procedures
- Reviews all denial accounts for categorization, level of appeal, special requirements for initiating appeals.
- Attends a weekly briefing and monthly meeting with coworkers and coders to discuss denial trends, root causes, etc.
- Reviews registration to ensure insurance and all information is added correctly
- Works rejections in clearinghouse to ensure timely filing of claims
- Works well with customer service, payment posting, precert and all other departments to resolve issues
- Calls insurance companies on as needed basis for follow up and have individual access to multiple insurance websites
- Various multiple tasks to ensure proper productivity achieved daily
Physician Management Denial Management Specialist
Daviess Community Hospital
09.2007 - 10.2012
- Assisted in registration and scheduling appointments when filled in at medical clinics
- Perform completion of claims to payers
- Conduct duties in a professional and timely fashion
- Submit billing data to the appropriate insurance providers
- Achieve maximum reimbursement for services provided
- Deploy, maintain and report on various programs
Education
Certification - Certified Professional Coder
AAPC
03.2012
No Degree - Coding And Insurance Billing
Vincennes University
Vincennes, IN01.2011
Associate of Science - Medical Secretary
Indiana Business College
Vincennes, IN05.1998
High School Diploma -
Washington High School
Washington, Indiana 05.1991
Skills
- Customer Relations
- Expert Problem Solving
- Documentation Management
- Quality Assurance
- Multitasking
- Time Management
- Attention to detail
- Knowledge of medical terminology
- Communication skills
Timeline
Denial Management Specialist
Good Samaritan Hospital
06.2018 - Current
Physician Management Denial Management Specialist
Daviess Community Hospital
09.2007 - 10.2012
Certification - Certified Professional Coder
AAPC
No Degree - Coding And Insurance Billing
Vincennes University
Associate of Science - Medical Secretary
Indiana Business College
High School Diploma -
Washington High School
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