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
Meadville, Pennsylvania
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
Meadville, Pennsylvania
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
Meadville, PA
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.
Meadville, Pennsylvania
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
Titusville, PA
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