Summary
Overview
Work History
Education
Skills
Timeline
Generic

Krystle Edwards

Spring,TX

Summary

Dedicated Patient Account Representative seeking new opportunities with over 17 years of experience in billing and insurance claims management. Proven track record in account reconciliations, payment posting, and enhancing claim approval rates through effective communication with insurance companies. Proficient in revenue cycle management, claims handling, and skilled in Epic Software and Excel for efficient data analysis.

Overview

14
14
years of professional experience

Work History

Sr. Dental Billing Specialist

Visualutions
09.2023 - 06.2025
  • Audited and corrected billing documents, ensuring accuracy in account reconciliations and alignment with the general ledger.
  • Sent out Appeals from Claim Denials.
  • Pre-Authorization.
  • Researched and resolved denied insurance claims by liaising with insurance companies, enhancing claim approval rates.
  • Generated and distributed detailed monthly billing and posting reports for management, contributing to informed decision-making process.
  • Work agent reports.
  • Follow up on underpaid an unpaid claims.
  • Patient Collections.
  • Work closely with insurance companies.
  • Payment posting.
  • Verified insurance.

Department Support Specialist II

Kelsey-Seybold
08.2022 - 09.2023
  • Reviewed account information and explained charges and inquiries from patients and insurance carriers, both in-person and via telephone.
  • Assisted patients with check-in/out procedures, including registration and cashiering, ensuring accuracy and efficiency.
  • Coordinated with healthcare teams to verify insurance coverage, obtain pre-authorizations, and facilitate surgery scheduling for gastroenterology patients.
  • Organized and communicated pre-operative and post-operative requirements and appointments to ensure seamless surgical operations.
  • Verify Insurance for vision, gastroenterology, surgical patients.

Insurance Coordinator

ABC Dental
01.2011 - 04.2022
  • Verified patient insurance coverage and effectively communicated benefits and eligibility to both staff and patients.
  • Managed and processed insurance claims, ensuring accurate data collection and timely filing, including obtaining necessary pre-authorizations for surgical procedures.
  • Coordinated patient check-in and check-out processes, maintaining adherence to HIPAA guidelines to safeguard patient privacy and sensitive information.
  • Facilitated pre-operative and post-operative appointments while educating patients on treatment plans and surgical procedures.
  • Delivered comprehensive customer service by assisting patients with form completion and addressing inquiries about Medicare eligibility and enrollment.

Education

High School Diploma - undefined

Houston Can Academy
Houston, TX

Skills

  • Proficient in Epic Software
  • Adaptability
  • Clerical and Filing Support
  • Claims Handling and Coverage Verification
  • Insurance Authorizations
  • Credentialing
  • Credit Balancing
  • Insurance Verifying
  • Account Receivables
  • Accurate Payment Posting
  • Revenue Cycle Management
  • Master in Excel, Pivot Tables, Charts, Etc
  • Collections
  • Pre-Authorization
  • Detail-Oriented
  • Communication Skills
  • Problem-Solving
  • Data Entry
  • Dentrix
  • Open Dental
  • AthenaOne

Timeline

Sr. Dental Billing Specialist

Visualutions
09.2023 - 06.2025

Department Support Specialist II

Kelsey-Seybold
08.2022 - 09.2023

Insurance Coordinator

ABC Dental
01.2011 - 04.2022

High School Diploma - undefined

Houston Can Academy

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Krystle Edwards