Krystle Stout
Fawn Grove,PA
Summary
Results-driven Revenue Cycle Specialist known for high productivity and efficient task completion. Specialize in billing, coding accuracy, and compliance regulation management. Excel in analytical problem-solving, negotiation, and communication skills, ensuring smooth operation within revenue cycle processes. Committed to maximizing revenue while maintaining high levels of integrity and professionalism.
Overview
14
14
years of professional experience
Work History
Senior AR Revenue Cycle Specialist
Johns Hopkins
Baltimore, Maryland
03.2022 - Current
- Utilize A/R follow-up systems to identify unpaid claims for collection and appeal.
- Gather and verified information to produce clean claims, adhering to special billing procedures.
- Review and updated patient registration information, ensuring accuracy of demographics and insurance details.
- Resolve claim edits efficiently to expedite payment processes.
- Draft and settle non-standard appeals, addressing unique case requirements.
- Research medical policies and applied LCDs to resolve denials related to medical necessity.
- Apply discounts and courtesies per department policy to optimize account management.
- Prepare delinquent accounts for transfer to self-pay collection unit following established protocols.
- Review insurance claims for compliance and timely submission to payers.
- Coordinate communication between patients, providers, and insurance companies.
- Trained new staff on revenue cycle processes and best practices.
- Maintained up-to-date knowledge of healthcare regulations affecting billing practices.
Senior Financial Clearance Specialist
Johns Hopkins
Baltimore, Maryland
12.2016 - 03.2022
- Completed registration, faxing, MyChart updates, appointment requests, and incoming messages report.
- Managed patient insurance referral obligations, entered referrals and linked to upcoming appointments.
- Identified and confirmed valid coverage by contacting insurance companies and reviewing electronic responses.
- Verified service eligibility as a covered benefit based on specific insurance plan details.
- Assessed patient deductibles, out-of-network referrals, and lifetime caps for accurate financial guidance.
- Referred patients to Financial Counselors or Billing based on financial evaluations and concerns.
- Reviewed accounts to identify missing demographic information, contacting patients when necessary.
- Communicated liability calculations to patients upon request.
Go-Live Support Specialist/Account Manager
TEK Systems
Linthicum Heights, Maryland
08.2011 - 12.2016
- Assessed EMR skills gaps to develop targeted training programs for teams and topics.
- Diagnosed software and hardware issues promptly to ensure efficient resolutions.
- Collaborated with cross-functional teams to streamline support processes and improve service.
- Developed clear documentation for troubleshooting steps and common issues faced by users.
- Conducted regular follow-ups with clients to ensure satisfaction with support received.
- Conducted one-on-one and online training sessions to update user knowledge as changes arose.
- Created and maintained training guides aligned with updated information and best practices.
- Performed observations of users in work environments to identify workflow improvement opportunities.
- Documented workflow designs, highlighting areas for enhancement and facilitating user improvements.
Education
Aas - medical administrative assistant
fortis college
aas - medical billing and coding
fortis college
high school diploma -
Kenwood High school/Sollers point tech
Skills
- Data entry
- Proficient in EHR (Epic and athenahealth)
- Medical transcription
- Knowledge of insurance guidelines including HMO, EPO, PPO, POS, and government payer requirements and systems
- Knowledge of CMS-1500 claim form and EOB’s
- Claims processing
- Appeals management
- Eligibility verification
- Patient registration
- Medical billing compliance
- Insurance coordination
- Revenue cycle management
- Healthcare regulations knowledge
- Medical coding knowledge
- Problem solving
- Attention to detail
- Effective communication
- Team collaboration
- Time management
- Customer service
- Claims review
- Verifying insurance
- Analytical problem solving
- Analyzing claims
- Payment posting
- Denial management
- HIPAA compliance
- Professionalism and ethics
Timeline
Senior AR Revenue Cycle Specialist
Johns Hopkins
03.2022 - Current
Senior Financial Clearance Specialist
Johns Hopkins
12.2016 - 03.2022
Go-Live Support Specialist/Account Manager
TEK Systems
08.2011 - 12.2016
Aas - medical administrative assistant
fortis college
aas - medical billing and coding
fortis college
high school diploma -
Kenwood High school/Sollers point tech
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