KRYSTA STEEN
Lino Lakes,MN
Summary
Detail-oriented Reimbursement Analyst with strong organizational skills. Dependable, adaptable, and driven with ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
26
26
years of professional experience
Work History
SENIOR REIMBURSEMENT AND HEALTH POLICY ANALYST
Medtronic, Cardiac Rhythm Management
11.2019 - Current
- Contribute to and project manage cross-functional projects such as reimbursement collateral development, education management, Medtronic Reimbursement website, and private payer coverage policy management
- Lead development and maintenance of coding, coverage, and payment information and tools that support customer understanding and education
- Contribute to solutions to reimbursement coding, payment and coverage challenges for commercialized products
SENIOR MANAGED CARE CONTRACT ANALYST
Children's Hospitals & Clinics Of Minnesota
04.2014 - 11.2019
- Develop and maintain payer relations, participate in contract negotiations, and monitor contract compliance related to payment
- Provide complex data analysis (contract modeling, reimbursement, benchmarking)
- Partner with Revenue Management to resolve issues related to revenue stream, including underpayment recovery
- Act as liaison with business office staff to provide support on payer issues, streamline processes, and put corrective measures in place for improved process flow
SENIOR CONTRACT ANALYST
Medtronic, Neuromodulation
06.2008 - 04.2014
- Negotiate contract verbiage with study sites/consultants/vendors
- Monitor existing agreements for expiration and coordinate renewal process as appropriate
- Assist clinical teams with development of study budgets
THERAPY ACCESS ANALYST
Medtronic, Neuromodulation
04.2006 - 06.2008
- Work with payers to obtain individual patient coverage decisions via prior authorizations and appeals process
- Provide coding and billing guidance to physicians, hospitals, ambulatory surgery centers and payers
- Provide ongoing communication to internal and external customers regarding various payer coverage and payment updates, and changes impacting therapy utilization
- Develop and update reimbursement tools used by internal and external customers
SENIOR BUSINESS ANALYST
Definity Health
02.2005 - 04.2006
- Develop and implement effective business solutions through research, audit and analysis of data and/or business processes
- Assume responsibility for claims data integrity among various internal and external sources
NETWORK MANAGEMENT ANALYST
Definity Health
06.2002 - 02.2005
- Manage national network (65+ leased PPO partners), including due diligence, negotiating contract terms, and resolving provider relations issues related to networks
- Evaluate network performance, measuring access and discounts
- Work with Sales and Account Managers to identify network options for new and existing clients
SPECIALTY & INSTITUTIONAL NETWORK COORDINATOR
UCare Minnesota
05.1999 - 06.2002
- Develop and manage a service model for assigned specialty, hospital and nursing home network providers
- Maintain ongoing communication with assigned provider entities regarding billing, coding and related issues
- Research and resolve provider relations issues that providers encounter in the course of administering care to UCare members
OPERATIONS COORDINATOR
East Metropolitan Health Organization
05.1997 - 05.1999
- Serve as liaison between participating clinics and payers, facilitating improved communication
- Train primary and specialty care clinic personnel on referral processes and policies
- Process and analyze claims data for assigned networks
Education
Bachelor of Applied Science - Psychology
UNIVERSITY OF MINNESOTA
1997
Skills
- Problem-Solving
- Attention to Detail
- Analytical Thinking
- Project Management
- Healthcare Industry Knowledge
Accomplishments
- Medtronic Neuromodulation Star of Excellence Nominee, 2010
Timeline
SENIOR REIMBURSEMENT AND HEALTH POLICY ANALYST
Medtronic, Cardiac Rhythm Management
11.2019 - Current
SENIOR MANAGED CARE CONTRACT ANALYST
Children's Hospitals & Clinics Of Minnesota
04.2014 - 11.2019
SENIOR CONTRACT ANALYST
Medtronic, Neuromodulation
06.2008 - 04.2014
THERAPY ACCESS ANALYST
Medtronic, Neuromodulation
04.2006 - 06.2008
SENIOR BUSINESS ANALYST
Definity Health
02.2005 - 04.2006
NETWORK MANAGEMENT ANALYST
Definity Health
06.2002 - 02.2005
SPECIALTY & INSTITUTIONAL NETWORK COORDINATOR
UCare Minnesota
05.1999 - 06.2002
OPERATIONS COORDINATOR
East Metropolitan Health Organization
05.1997 - 05.1999
Bachelor of Applied Science - Psychology
UNIVERSITY OF MINNESOTA
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