Krystal Ibarra

• Managed 3 cross-functional teams to improve overall revenue cycle operations.
• Oversee and ensured the billing and coding are accurate and up to date
• Oversee the verification of benefits department
• Manage, develop, and mentor all revenue department staff
• Evaluate and implement processes to ensure accurate reimbursement
• Oversee the claims department
• Ensuring claims and appeals are submitted within timely filing limits.
• Assessed current revenue cycle procedures and implemented improvements to foster efficiency.
• Supported clinical team members with revenue cycle procedures and addressed issues.
• Developed and implemented training programs for new hires, leading to more competent and effective billing team.
• Enhanced interdepartmental collaboration, leading to more cohesive approach to revenue cycle management and improved financial outcomes.

Responsible for insurance verifications, billing, coding, appeals, pre authorizations, negotiations and scheduling for outpatient procedures

• Created and implemented a proficient system to keep track of all physicians for their procedures and revenue
• Monthly financial reporting to physicians
• Monthly patient invoicing
• Responsible for tracking all incoming, used or discarded embryos, ova, and sperm in the tissue bank
• Reviews insurance Explanation of Benefits and posts payments to billing system
• Post payments and ensure allowances, adjustments and write-offs are posted correctly
• Investigate unidentified cash and resolve misdirected payments
• Process charge corrections and ensure balancing
• Scheduling surgeries.
• Collaborated with cross-functional teams to resolve billing-related issues swiftly, minimizing negative impacts on overall operations.
• Worked with customers to develop payment plans and bring accounts current.

• Insurance billing, verifications, and appeals, and collections
• Patient Scheduling and Invoicing
• Reviews insurance Explanation of Benefits and posts payments to billing system
• Post payments and ensure allowances, adjustments and write-offs are posted correctly
• Perform check payment reconciliations and complete deposit reports
• Reconcile electronic remittances (ERA) and EFT payments.
• Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
• Demonstrated strong multitasking abilities while managing numerous tasks simultaneously under tight deadlines.
• Enhanced customer satisfaction by promptly addressing inquiries and providing accurate information.