Summary
Overview
Work History
Education
Skills
Timeline
Generic

Kristina Kondilas

South Brunswick,NJ

Summary

Detail-oriented and methodical billing specialist offering over 4 years of experience in related roles. Exceptional abilities in conducting research, problem-solving and prioritizing simultaneous tasks. Leverages resourcefulness, critical thinking skills and superior work ethic for top job performance.

Overview

11
11
years of professional experience

Work History

RCO-3rd Party Adjudication Specialist

Pharmscript Pharmacy
Somerset, NJ
05.2023 - 07.2024
  • Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
  • Investigated and resolved issues to maintain billing accuracy.
  • Contacted insurance providers to verify insurance information and obtain billing authorization.
  • Evaluate customer accounts, convey appropriate information, research customer issues, and establish financial arrangements with customer

Facility Billing Specialist

Pharmscript Pharmacy
Somerset, NJ
09.2018 - 02.2023
  • Responsible for entering and tracking all daily census and face sheets from beneficiary facilities for correct Billing to Medicare, Medicaid, and Private Insurances
  • Responsible for generating correct facility patient invoices
  • Identified, researched and resolved billing variances to maintain system accuracy and currency.
  • Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
  • Worked with accounts payable and assisted collections to properly apply customer remittances.
  • Kept vendor files accurate and up-to-date to expedite payment processing.
  • Utilized talents and expertise to complete on-time and accurate monthly closing processes, journal entries and accruals.
  • Answered incoming telephone calls from patients and POA's, took down messages and provided information.

Gymnastics Instructor

Defying Gravity
Carteret, NJ
07.2015 - 12.2017
  • Ran numerous classes to children aging from 2-18 years old
  • Duties included setting up and safe-proofing gym area
  • Instructing and demonstrating skills and abilities in gymnastics, developing dynamic lesson plans, training new instructors
  • Interacted with parents by greeting cheerfully, answering questions and updating on student's progress.
  • Documented attendance records and accident reports.
  • Monitored safety of training, individual exercises and equipment usage to avoid sports injuries and damage to facility.

Intern

Newark Municipal Court
Newark, NJ
07.2017 - 08.2017
  • Witnessed the court process.
  • Administered court dates and court documents to defendants.
  • Worked alongside the judge in court hearings

Recruiting Assistant

Rutgers University
Piscataway, NJ
06.2015 - 11.2015
  • Registered over 100 players for camps and clinics.
  • Organized and set-up equipment.
  • Sent out letters to future prospects.
  • Promoted Rutgers University to parents and possible students while answering various questions related to school academic and college culture
  • Updated and maintained recruitment and personnel files.

Receptionist

Rutgers School of Social Work
New Brunswick, NJ
09.2013 - 05.2014
  • Delivered administrative support to team members by making copies, sending faxes, organizing documents and rearranging schedules.
  • Performed simple computations and verified data
  • Pulled and organized requested documentation.
  • Answered and directed incoming calls using multi-line telephone system.

Education

Bachelor of Arts - Criminal Justice

Rutgers University
New Brunswick, NJ
05.2018

High School Diploma -

East Brunswick High School
East Brunswick, NJ
06.2013

Skills

  • Strong analytical problem solving and strategic thinking skills
  • 3 years of billing experience
  • Coding systems
  • Data entry
  • Month-end closing procedures
  • Excellent interpersonal skills
  • Basic computer skills and proficient in Microsoft Office, Outlook,Excel,EHR systems
  • Research/due diligence

Timeline

RCO-3rd Party Adjudication Specialist

Pharmscript Pharmacy
05.2023 - 07.2024

Facility Billing Specialist

Pharmscript Pharmacy
09.2018 - 02.2023

Intern

Newark Municipal Court
07.2017 - 08.2017

Gymnastics Instructor

Defying Gravity
07.2015 - 12.2017

Recruiting Assistant

Rutgers University
06.2015 - 11.2015

Receptionist

Rutgers School of Social Work
09.2013 - 05.2014

Bachelor of Arts - Criminal Justice

Rutgers University

High School Diploma -

East Brunswick High School
Kristina Kondilas