Krystle Singh
Conway,AR
Summary
Strategic Healthcare Leader with expertise in managed care and unit-level administration. Oversees prior authorization workflows and clinical documentation reviews, ensuring compliance and reimbursement through effective payer coordination. Guides interdisciplinary teams to enhance care delivery and maintain regulatory standards, fostering clear communication with payers and providers.
Overview
1
1
Certification
8
8
years of professional experience
Work History
Director of Managed Care
Oasis Healthcare Group
Little Rock, AR
07.2021 - Current
- Managed prior authorization requests for 26 skilled nursing facilities, coordinating with insurance carriers, healthcare providers, and interdisciplinary teams to ensure timely approvals.
- Reviewed clinical documentation, followed up with payers, completed concurrent reviews, and requested retroactive authorizations to secure proper reimbursement for skilled service authorizations.
- Negotiated arrangements for high-cost medication carve-outs, non-contracted payers, and single-case or single-contract agreements to support reimbursement for services provided.
- Requested authorizations, notices, and pre-certifications from insurance carriers to facilitate patient care.
- Reviewed patient insurance coverage, including eligibility, benefits, and service authorizations.
Director of Health and Wellness
Chapters Living Little Rock
03.2020 - 06.2021
- Implemented healthcare program focused on professionalism, quality of care, and patient satisfaction, contributing to improved service outcomes
- Direct day-to-day administrative and operational functions for a 73-bed facility, providing guidance and leadership to over 40 employees across more than 4 departments
- Supervised and motivated 10 nurses and 29 caregivers to enhance delivery of quality patient care
- Established new policies and updated existing policies to improve the standard of care for patients
- Monitored and inspected staff processes to eliminate hazards posed for both residents and staff while ensuring continuous compliance with regulations
- Mentored clinical staff by setting a high standard through hands-on guidance and example
LPN Unit Manager
The Springs Of John Barrow
Little Rock, AR
01.2019 - 02.2020
- Developed and implemented nursing policies and procedures to enhance care quality and compliance
- Evaluated team member performance, providing coaching and training that fostered professional growth and skill advancement
- Demonstrated excellence through hands-on mentorship of clinical staff by "setting pace" and being hands on mentor to clinical staff
- Scheduled staff and delegated work assignments
- Maintained medication room in full compliance with government and facility requirements
- Conducted routine facility inspections, identifying improvement areas and addressing hazards to ensure safety and regulatory compliance
Education
Licensed Practical Nursing Nursing -
Pulaski Technical College North
Little, ARBBA - Business Administration And Management
University of The Bahamas Freeport
BahamaHigh School Diploma -
St. Paul's Methodist College
Freeport, BahamasSkills
- Prior authorization management
- Care coordination
- Cross-functional collaboration
- Organizational skills
- Time management
- Task prioritization strategies
- Multitasking
- Effective communication
- Written communication
- Conflict resolution
- Adaptability and flexibility
- Interpersonal skills
Certification
- Licensed Assisted Living Administrator
BLS Certification
IV Administration Certification
Licensed Practical Nurse Certification
Timeline
Director of Managed Care
Oasis Healthcare Group
07.2021 - Current
Director of Health and Wellness
Chapters Living Little Rock
03.2020 - 06.2021
LPN Unit Manager
The Springs Of John Barrow
01.2019 - 02.2020
Licensed Practical Nursing Nursing -
Pulaski Technical College North
BBA - Business Administration And Management
University of The Bahamas Freeport
High School Diploma -
St. Paul's Methodist College