Megan Krul
Santa Barbara,CA
Summary
Healthcare operations manager adept at overseeing multi-site behavioral health services, driving process improvements that reduced placement delays by three months. Manages $70,000-$100,000 in monthly insurance claims, while coordinating staff schedules and ensuring HIPAA-compliant documentation to support high-quality, accessible client care.
Overview
4
4
years of professional experience
Work History
Operations Manager, Organization-Wide Scheduler
PeerBuddies
Santa Barbara
09.2023 - Current
- Direct administrative, financial, and service-delivery operations for a 13-person behavioral health organization serving neurodiverse clients ages 4-26 across four California regions and virtual programs.
- Led organization-wide scheduling beginning in May 2026, supporting 65 year-round clients across seven service lines and coordinating 12 staff calendars along with approximately 74 recurring sessions weekly based on clinical fit, goals, staff bandwidth, supervision, and group compatibility.
- Built survey-based scheduling and capacity trackers that reduced placement delays by up to three months and saved the clinical team an estimated 10-15 administrative hours weekly; managed waitlists, openings, and about 5 schedule changes per week.
- Manage approximately 80 annual inquiries and intakes from initial response through funding verification, clinical coordination, records creation, placement, and service launch; respond within 24 hours and follow up within two business days.
- Submit and track about 82 insurance claims monthly (approximately 984 annually), representing $70,000-$100,000 in monthly billed services across commercial insurers, regional centers, private pay, and scholarships.
- Maintain a centralized accounts-receivable system that tracks amounts billed, payments received, outstanding balances, billing periods, payer sources, and follow-up reminders.
- Investigate roughly 30 delayed, denied, or underpaid claims monthly through payer research, reprocessing requests, documentation, and appeals; moved claims to electronic submission, shortening payment timelines by approximately 2-3 weeks.
- Administer approximately 130 annual authorization and 130 Vineland-3 assessment workflows; advocate with payer clinicians to secure coverage for specialized social-skills services and prevent interruptions in care.
- Prepare approximately 90 invoices monthly and reconcile $20,000-$30,000 in monthly balances using a centralized accounts-receivable system organized by billing period and payer source.
- Led resolution of a Blue Cross prepayment review, coordinating across payer teams to validate documentation, correct workflow failures, and reconcile $117,259.07 in withheld claims, ultimately securing full payment.
- Engaged schools, foundations, workforce organizations, youth-serving agencies, and community stakeholders to enhance referrals, partnerships, and program visibility while addressing reimbursement challenges.
- Partner with Directors and Clinical Supervisors to improve workflows, increase operational efficiency, and support high-quality, accessible, and dignified client services.
- Coordinate program applications, enrollment, rosters, staffing, schedules, family communication, supplies, attendance, funding discussions, site logistics, and up to 105 summer-camp enrollment slots across five weeks.
- Supported PeerBuddies and Grace Fisher Foundation collaboration and Santa Ynez Valley programming through administrative coordination and outreach, improving scheduling and community communication.
- Track approximately $103,000 in annual funding across 20 grants, donations, and scholarship programs; maintain allocation and recipient-balance records and provide client and program data for grant applications and reporting.
- Represent provider operations in the Youth Mental Health Coalition and other countywide collaborations and authored provider testimony for a legislative meeting with Assemblymember Gregg Hart focused on behavioral health access, insurance barriers, reimbursement, appeals, and mental health parity.
- Built collaborative relationships with payer clinicians and advocated for medical necessity of specialized social-skills services, securing approvals and preventing interruptions in care.
- Converted claims from paper to electronic submission, improving status visibility and shortening payment timelines by approximately two to three weeks.
- Supported successful expansion into San Jose and Fontana through client and volunteer outreach, caseload development, community communications, and launch coordination.
- Organizational leadership recognized efforts in building trusted, professional relationships with payer clinicians to support authorization approvals and collaborative problem resolution.
- Support provider enrollment, credentialing, and payer-contract expansion with Kaiser and regional centers serving North Bay, San Andreas, and the East Bay.
Lead Teacher's Aide
Trinity Preschool
Santa Barbara
06.2022 - 09.2025
- Supported daily program operations across six classrooms serving children ages 2-6 and guiding teacher assistants in a fast-paced early childhood environment.
- Coordinated classroom activities and supplies, developed a staff responsibility schedule to enhance accountability, and connected families of children needing additional support with local inclusive resources.
- Communicated with families, teachers, administrators, and board members regarding student progress, schedules, classroom needs, and program updates.
- Maintained confidential attendance and incident records, entered data, and managed classroom information using spreadsheets and digital tracking systems to ensure accurate documentation.
- Participated in staff meetings, parent conferences, and collaborative planning, recorded notes, and provided observations to enhance feedback process.
Education
Master of Health Care Administration (MHCA) -
Purdue University Global
01-2028
B.A. - Psychology
California State University Northridge
12-2022
Skills
- Healthcare Operations
- Scheduling Coordination
- Client Intake
- Claims & Appeals
- Prior Authorizations
- Accounts Receivable
- Financial Reconciliation
- Process Improvement
- Capacity Planning
- Data Management
- Grant Management
- HIPAA Compliance
- Staff Onboarding
- Stakeholder Engagement
- Practice Administration
Timeline
Operations Manager, Organization-Wide Scheduler
PeerBuddies
09.2023 - Current
Lead Teacher's Aide
Trinity Preschool
06.2022 - 09.2025
Master of Health Care Administration (MHCA) -
Purdue University Global
B.A. - Psychology
California State University Northridge