Summary
Overview
Work History
Education
Skills
Timeline

Kristle Munker

Baltimore,MD

Summary

Detail-oriented individual with extensive responsibility providing personnel development by holding weekly staff meetings and team building activities. Highly collaborative Reimbursement Manager known for creating and implementing policies and procedures that promote workflow improvements.


Offering more than 20 years of observing data confidentiality requirements, keeping accurate records and assessing data. Experienced in working closely with team members, upper management and other key stakeholders.

Overview

13
13
years of professional experience

Work History

Reimbursement Manager

Numotion
11.2018 - Current
  • Directly manages 2 Reimbursement Supervisors and staff in achieving financial results as a primary function
  • Prepares departmental metric reporting to VP of Reimbursement during monthly metrics meetings
  • Researches and resolves account receivable challenges and payer trends with internal departments and payer representatives
  • Manages the month end close and performs light accounting duties
  • Ensures the staff are using medical records information and medical coding knowledge to facilitate payments from various health insurers, Medicare providers, and government-run healthcare program
  • Identifies and documents discrepancies and potential insurance violations
  • Provides expert technical assistance to bring groups into compliance

Regional Billing Center Supervisor

Numotion
09.2014 - 11.2018
  • Supervise billing, collections, and work-flow processes of 12 coordinators
  • Provide daily work assignments, training/development, and guidance
  • Ensure team productivity and quality standards are successfully met
  • Conduct weekly team meetings to address company/departmental changes, work-flow issues/obstacles, and weekly goals
  • Coordinate monthly meetings with payer provider representatives to address payer issues and challenges
  • Train staff on United Healthcare Medicare, Medicaid, Managed Care, and Commercial products
  • Review payment and denial reports to determine if claims are paid according to contract
  • Providing training to regional billing center staff to ensure performance expectations are met
  • Identify and correct billing system and configuration issues
  • Maintains staff attendance functions; oversees timecards and time off requests
  • Approve bad dept and contractual write-offs/adjustments up to $10K, and provide coaching to prevent timely filing adjustments
  • Conduct weekly meetings with Document Funding Manager to resolve front-end (insurance eligibility, authorization, etc.) trends that prevent billing and/or claim payment
  • Evaluate staff performance; 90-day, mid-year, and annual reviews while regularly addressing/resolving employee disciplinary issues
  • Conduct interviews and hires new staff
  • Notify Directors and Senior Leadership of account receivable challenges and payer trends
  • Respond to and resolves incoming phone calls and emails from internal and external customers
  • Ensure all billing and collections practices follow company best practices, as well as state and federal mandates and regulations

Billing/Collections Senior Supervisor

Nascott Orthotics and Prosthetics
08.2009 - 09.2014
  • Effectively organized, billed, and collected for accounts within the six associated rehabilitation facilities located in Maryland, Virginia, and the District of Columbia
  • Managed several high-priority projects to increase cash receipts and reduce DSO
  • Regularly audited billing and collection functions for policy and procedure compliance
  • Recognized and evaluated accounts receivable, system file discrepancies, and inaccuracies
  • Initiated corrective methods as needed
  • Maintained web portal logins for employees for all contracted payers
  • Applied payments and adjustments to patient accounts, process deposits and maintained accurate records of all cash received in a timely manner and in accordance with company policy
  • Compiled all items required in all stages of internal and payer audits
  • Resolved complex and escalated customer service issues related to billing and collections

Education

A.A - General Studies

Community College of Baltimore County (CCBC)
GPA: 3.42

School Diploma - undefined

Our Lady of the Rosary Maryland High

Lean Six Sigma – Green Belt - undefined

Villanova University

Skills

  • Compliance Requirements
  • Accounts Payable and Accounts Receivable
  • Customer Satisfaction
  • Complex Problem-Solving
  • Payment Collection
  • Operational Efficiency

Timeline

Reimbursement Manager - Numotion
11.2018 - Current
Regional Billing Center Supervisor - Numotion
09.2014 - 11.2018
Billing/Collections Senior Supervisor - Nascott Orthotics and Prosthetics
08.2009 - 09.2014
Community College of Baltimore County (CCBC) - A.A, General Studies
Our Lady of the Rosary Maryland High - School Diploma,
Villanova University - Lean Six Sigma – Green Belt,

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Kristle Munker