Kristina Mudger
Cochranton,USA
Summary
Detail-oriented administrative professional with hands-on experience in claims filing, documentation review, and benefits coordination across multiple policy types and coverages. Proven ability to process, verify, and reconcile sensitive medical and insurance information with a high degree of accuracy and confidentiality. Experienced in resolving discrepancies, supporting providers and members, and maintaining compliance with HIPAA and organizational policies. Highly organized, analytical, and effective in fast-paced, high-volume environments, with strong communication skills and the ability to work independently or collaboratively.
Overview
19
19
years of professional experience
Work History
Claims Managing Admin
Highstreet Insurance
08.2024 - Current
- Process a high volume of insurance claims across multiple lines of coverage, including medical, supplemental, and employer-sponsored benefits.
- Assist with medical benefit administration, reviewing eligibility, coverage provisions, and required documentation to support accurate claim processing.
- Administer and process COBRA enrollments and continuation coverage, ensuring compliance with federal regulations and carrier requirements.
- Review, submit, and track claims through carrier portals, ensuring complete and accurate documentation to reduce delays or denials.
- Communicate with carriers, providers, and members to resolve claim discrepancies, denials, and coverage questions.
- Maintain detailed claim notes and records while adhering to HIPAA, confidentiality, and regulatory standards.
Radiology Support Staff
Meadville Medical Center
01.2022 - 08.2024
- Review, verify, and process patient medical documentation to support accurate claims filing, billing, and insurance coverage determination.
- Coordinate high-volume scheduling within EMR systems while ensuring diagnosis, authorization, and exam alignment to prevent claim denials or rework.
- Analyze patient histories, insurance information, and provider orders for documentation accuracy and policy compliance.
- Communicate with patients, providers, and internal departments to resolve discrepancies related to coverage, records, and claim-related issues.
- Maintain strict HIPAA compliance while securely transmitting medical records and imaging to insurers and ordering physicians.
Life Sharing Provider
ARC of Crawford County
05.2016 - 03.2022
- Coordinated medical services and documentation for individuals receiving benefits, ensuring accurate reporting aligned with coverage requirements.
- Maintained detailed records used to support service authorization, benefit eligibility, and reimbursement processes.
- Collaborated with interdisciplinary teams to address documentation discrepancies and service approval issues.
- Assisted with budget tracking, benefit utilization, and compliance documentation in accordance with state and program guidelines.
Direct Support Professional
Supports Inc.
06.2007 - 11.2019
- Worked as a substitute staff on and off during college from 2007-2011 came on as a fulltime employee in 2016.
- Wrote reports detailing support and service provided throughout each shift.
- Utilizing agency devices to document throughout the shift essential information regarding daily operations.
- Completed paperwork and required trainings in a timely manner, adhering to all deadlines provided.
- Encouraged independence, providing choices for daily activities, and maintaining the best quality of life.
- Assistance with ADL's and personal care as necessary.
- Supported social, environmental, and learning needs as directed.
- Encouraging goal achievement through various skill training and therapeutic instruction.
- Medication AdministrationEnsuring proper dose and timing of all prescribed medications. Recording all medications given accurately.
- Provided treatment services as outlined in personal care plans.
- Coordinated recreational activities, community integration/service, and medical appointments for assigned individuals.
- Adhering to all regulations for safety and support, including ODP/OSHA requirements and regulations.
Community Home Coordinator
Erie Homes for Children and Adults
04.2015 - 05.2016
- Led recruitment, interviewing, onboarding, and training of residential staff to ensure alignment with organizational and regulatory standards.
- Supervised and motivated staff to achieve program goals while maintaining a supportive, person-centered care environment.
- Oversaw medication administration processes, ensuring strict adherence to prescribed regimens, MAR documentation, and regulatory compliance.
- Conducted monthly medication pass observations for certified staff, maintaining a zero-error standard.
- Collaborated with healthcare providers, caregivers, and county personnel to optimize care plans and operational efficiency.
- Managed staffing schedules for approximately 20 employees in accordance with ODP guidelines.
- Developed and coordinated in-home activities and community outings aligned with resident needs and preferences.
Education
Bachelor of Science - Business Administration: Non-Profit Leadership
Southern New Hampshire University
Hooksett, NH06.2026
High School Diploma -
Meadville Senior High School
Meadville, Pennsylvania06.2007
Skills
- Claims Processing
- Claims Filing
- Benefits & Coverage Review
- Policy & Eligibility Verification
- Claims Documentation & Reconciliation
- HIPAA Compliance
- Medical Records Review
- Documentation Accuracy
- Appeals & Issue Resolution
- Provider & Member Communication
- Data Verification
- Microsoft Office (Word, Excel, Outlook)
- High-Volume Workflow Management
Timeline
Claims Managing Admin
Highstreet Insurance
08.2024 - Current
Radiology Support Staff
Meadville Medical Center
01.2022 - 08.2024
Life Sharing Provider
ARC of Crawford County
05.2016 - 03.2022
Community Home Coordinator
Erie Homes for Children and Adults
04.2015 - 05.2016
Direct Support Professional
Supports Inc.
06.2007 - 11.2019
Bachelor of Science - Business Administration: Non-Profit Leadership
Southern New Hampshire University
High School Diploma -
Meadville Senior High School