Krystal Haggans

• Train processors in various workflows such as CHLA, CHOC, C+O, Cotiviti, High dollar review
• Assist Leads with pulling morning work from dashboards
• Assist peers on team with claim related question
• Manage queue work and assigned caseload through efficient dashboard management
• Identify, investigate, and resolve escalated issues within determined SLAs
• Collaborate with colleagues to identify trends and roadblocks
• Effectively communicates Claim findings and resolutions
• Compliance with all applicable laws and regulations
• Other special claim projects and duties as assigned
• Review provider complaints and research denial issues.
• Perform Audits to find knowledge gaps and opportunities

for improvement.

• Perform time studies as needed to help collect data help business needs efficiently
• Meet set team benchmarks

• Monitor billing activity to ensure billing is following Hippa Laws
• Attend Weekly Billing meetings / answer billing questions through email
• Find billing trends positive and negative by researching claims and data available
• Monitor and Process billing through Medicare for CGX and PGX testing
• Resubmit Denials (corrective claims) with correct code CPT and ICD codes and include any paperwork as needed.
• Conduct in house Audits and outside Audits per Medicare

• Monitor & process for a dedicated account for Medicare DME orders
• Sort mail & submit checks ready for deposits
• Create excel sheets for weekly denials & verify DME eligibility of CPT codes through Medicare/insurance
• Track weekly denials & verify DME eligibility of CPT codes through Medicare/insurance on shared Excel sheet
• Adhere to Hippa Laws
• Answer 6 line phone system
• Assist others in office with admin. Work as needed
• Efficiently meet 24 or 48 hour turn around for dedicated account billing orders

• Open club (key holder), hire and make employee’s weekly schedules for my shifts
• Bank runs, pay vendors and check inventory
• Close shift (post all c.c. cards, count registers down, insert numbers for each day in excel)
• Track sales and pay employees tips and shift pay at end of each shift
• Marketing through social medias