Summary
Overview
Work History
Education
Skills
Timeline
Generic

Kristine Paul

Henderson,Nevada

Summary

Results-driven manager with expertise in team leadership, operational efficiency, and customer service. Proven ability to implement process improvements and streamline operations to enhance productivity and service quality.

Overview

29
29
years of professional experience

Work History

Pre Cert/Verification of Benefits Manager

Neuromonitoring Associates
Henderson, Nevada
10.2015 - 08.2025
  • Oversaw daily operations and ensured efficient workflow across all departments.
  • Developed training programs to enhance employee skills and productivity.
  • Coached, mentored and trained team members in order to improve their job performance.
  • Assessed team member's skillsets and assigned tasks accordingly for optimal efficiency.
  • Established processes to ensure efficient workflow throughout the organization.
  • Led team meetings and one-on-one coaching sessions to continuously improve performance.
  • Created monthly reports for senior management summarizing operational performance metrics.
  • Oversaw daily operations, maintaining efficiency and quality standards. Implemented process improvements, resulting in an increase in operational efficiency.
  • Led a team of 10 employees, ensuring high productivity and excellent customer service.
  • Maintained detailed documentation of all activities related to the precertification process.
  • Compiled and submitted precertification requests for review by payers in accordance with established timelines.
  • Provided follow-up on pending precertification requests to ensure timely processing.
  • Verified insurance eligibility, coverage levels, and benefit parameters prior to submission of precertification requests.
  • Assisted management with developing operational procedures for efficient processing of requests for preauthorization and precertification.
  • Generated reports summarizing key metrics related to the performance of the precertification team.
  • Identified opportunities for improvement within the precertification process and recommended solutions accordingly. Worked within AI on Verification of Benefits for automated functionality and steamlined workflow.
  • Pulled rejected insurance claims to figure out rejection issues and correct and resubmit the claims to insurance.
  • Processed insurance claims using electronic billing systems.
  • Generated monthly reports on billing status for management review.
  • Reviewed Explanation of Benefits statements received from insurers for accuracy and completeness.
  • Managed follow up on unpaid or rejected claims; contacted insurers as necessary for resolution.

Surgery Scheduler

Dr John Anson
Henderson, NV
01.1999 - 09.2015
  • Managed patient communications regarding surgical procedures and preparation requirements.
  • Handled insurance verification and authorization for scheduled surgeries accurately.
  • Updated scheduling software with patient information and procedure details regularly.
  • Addressed patient inquiries and resolved scheduling conflicts promptly and professionally.
  • Booked surgeries according to physician volume and maintained prompt turnaround times.
  • Performed data entry into various computer systems related to surgery scheduling.
  • Ensured that all required documents were obtained prior to scheduled procedures.
  • Scheduled follow-up appointments as designated by physician.
  • Assisted doctors in resolving any conflicts related to surgery times or delays due to unforeseen circumstances.
  • Worked with operating facilities to schedule procedures on behalf of surgeons.
  • Maintained a high level of customer service by responding promptly to inquiries from patients and families about their care plans and procedures.
  • Monitored and updated patient records in the electronic medical record system.
  • Reviewed daily reports on pending cases, cancellations, and no shows in order to make adjustments as needed.
  • Conducted follow up calls with patients after their procedure was completed.

Front Office Assistant

Dr Daniel Vasile
Bullhead City, AZ
02.1997 - 12.1998
  • Managed patient scheduling and appointment coordination for efficient office operations.
  • Assisted in maintaining accurate patient records and data entry in electronic systems.
  • Communicated with patients regarding inquiries and appointment confirmations effectively.
  • Organized and maintained office supplies to ensure a smooth workflow.
  • Coordinated insurance verification processes to streamline patient registration procedures.
  • Answered incoming calls, responded to voicemails and transferred calls as needed.
  • Processed payments from customers using cash, credit cards or checks.
  • Updated office calendars with new appointments and accommodated last-minute schedule changes.
  • Roomed patients for the doctor and assisted in office procedures while patient was in room.

Education

High School Diploma -

Mohave High School
Bullhead City
05-1996

Skills

  • Team Leadership/Management
  • Customer service
  • Remote office availability
  • Organizational skills
  • Computer skills
  • Precertification process
  • Insurance verification
  • Claims processing
  • Regulatory compliance
  • Operational planning

Timeline

Pre Cert/Verification of Benefits Manager

Neuromonitoring Associates
10.2015 - 08.2025

Surgery Scheduler

Dr John Anson
01.1999 - 09.2015

Front Office Assistant

Dr Daniel Vasile
02.1997 - 12.1998

High School Diploma -

Mohave High School

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