Kristina Watters
Broken Arrow,US
Summary
Medical Billing and Coding Professional with comprehensive experience in healthcare compliance regulations. Demonstrates strong analytical skills, technical proficiency, and a commitment to integrity and empathy, ensuring optimal patient efficiency, problem-solving capabilities, and familiarity with medical terminology. Demonstrated ability to streamline payment collection processes and ensures accurate patient records, contributing to improved efficiency. Advanced knowledge of private insurance processes and codes. Eager to contribute to team success and further develop professional skills.
Overview
10
10
years of professional experience
Work History
Medical Biller and Coder
Medfusion Clinic
Broken Arrow, OK
06.2023 - 08.2024
- Reconciled accounts receivable to ensure accuracy of payments received.
- Resolved denied claims by researching payer requirements and preparing appeals.
- Maintained up-to-date knowledge of coding regulations and changes in reimbursement policies.
- Provided customer service support to patients regarding billing inquiries.
- Maintained current CPT, HCPCS codes as well as ICD-10 CM diagnostic codes up to date.
- Ensured timely filing of all claims within established guidelines.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Verified accuracy of accounts payable payments, resulting in 20% reduction in payment errors and check reissues.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
Referral Specialist
One Call Care Management
Jacksonville, US
06.2021 - 12.2021
- Documented patient data in EMR, ensuring accurate tracking and consistency.
- Verified insurance details across multiple platforms, improving account accuracy.
- Scheduled physical therapy for workers' compensation, optimizing patient appointment flow.
- Assisted patients in understanding their insurance coverage and answered questions about referrals, authorizations, and other related issues.
- Communication regularly with referring physicians, nurses, case managers, social workers, and other healthcare professionals regarding referral processes and requirements.
Caregiver
My Family Vet (Department of Veterans Affairs)
Broken Arrow, OK
04.2013 - 12.2019
- Assisted elderly client with activities of daily living such as bathing, dressing and grooming.
- Transported client to doctor appointments and other errands using wheelchair accessible vehicles.
- Administered prescribed medications on a timely basis following care plan instructions.
- Maintained accurate records of services provided, changes in client condition, medications administered and other pertinent information.
- Established nutritious meal plans and prepared daily offerings to meet patient dietary needs.
Referral Specialist
Warren Clinic (St. Francis Health System)
Tulsa, Oklahoma
11.2010 - 08.2012
- Processed incoming referral requests for medical services and submitted them to the appropriate insurance companies for authorization.
- Assisted patients in understanding their insurance coverage and answered questions about referrals, authorizations, and other related issues.
- Verified insurance eligibility for referred services using online databases and contacted insurers directly when needed.
- Identified potential problems with referrals before submitting them to insurers and worked with providers to resolve those issues quickly.
- Created reports summarizing referral activity on a weekly basis for management review.
- Developed strategies for improving efficiency within the department while maintaining high standards of customer service.
- Tracked progress of each referral throughout its lifecycle from submission through authorization or denial notification.
Certified Medical Assistant
Warren Clinic (St. Francis Health System)
Tulsa, OK
01.2005 - 05.2007
- Assisted with patient exams, including taking vital signs, preparing exam rooms, and updating medical records.
- Performed administrative duties such as scheduling appointments, answering phones, and filing paperwork.
- Provided support to patients by helping them fill out forms and answering their questions about health care services.
- Administered injections, immunizations, medications, wound dressings and other treatments according to physician instructions.
- Ensured that all equipment was functioning correctly prior to use during patient examinations or treatments.
- Monitored lab results for accuracy and alerted physicians immediately if any abnormalities were detected.
Education
Certificate in Medical Billing And Coding - Medical Billing And Coding
Community Care College
Tulsa, OK05-2023
Associate in Health Technology - Medical Assisting
Tulsa Community College
Tulsa, OK05-2007
Skills
- Anatomy and physiology
- Revenue cycle management
- Medical billing procedures
- Patient account management
- Medicare insurance regulation's
- Knowledgeable in Epic, Medisoft, Dr Chrono
- Infectious Disease and E & M coding
- Medical terminology
- Insurance coding (ICD-10 CM, HCPCS and CPT)
Timeline
Medical Biller and Coder
Medfusion Clinic
06.2023 - 08.2024
Referral Specialist
One Call Care Management
06.2021 - 12.2021
Caregiver
My Family Vet (Department of Veterans Affairs)
04.2013 - 12.2019
Referral Specialist
Warren Clinic (St. Francis Health System)
11.2010 - 08.2012
Certified Medical Assistant
Warren Clinic (St. Francis Health System)
01.2005 - 05.2007
Certificate in Medical Billing And Coding - Medical Billing And Coding
Community Care College
Associate in Health Technology - Medical Assisting
Tulsa Community College
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