Morgan Kissinger
Van,TX
Overview
9
9
years of professional experience
Work History
Underpayments Analyst
Parallon
WFH, TX
10.2023 - 02.2025
- Pursue additional payment from payers on underpayment discrepancies through various means of communication, such as telephonically, online or via payment package processes
- Facilitate correction of non-payment related underpayment discrepancies through I-plan changes or coordination with other departments as needed
- Identify contract protection that can be leveraged to overturn denials
- Overcome objections that prevent payment of the claim and gain commitment for payment through concise and effective appeal argument
- Identify problem accounts/processes/trends and escalate as appropriate
- Utilize effective documentation standards that support a strong historical record of actions taken on the account
- Perform basic math to ensure accurate statement of accounts receivable
Appeals Specialist
Parallon
WFH, TX
06.2023 - 10.2023
- Maintained up-to-date knowledge of applicable laws, regulations, policies and procedures related to appeals processing.
- Identified trends in the types of appeals received, and reported those findings to management.
- Researched complex cases involving multiple parties or multiple issues to provide accurate decisions on appeals.
- Collaborated with provider relations staff to resolve disputes between providers and health plans concerning payment for services rendered.
- Compiled data from various sources in order to analyze trends associated with denials or other claim issues.
- Attended periodic meetings with insurance companies regarding updates on appealed claims status.
Registered Behavior Technician
BlueSprig
Tyler, TX
01.2021 - 02.2023
- Follow behavioral health plans developed by a BCBA to provide beneficial and effective care to patients.
- Participate in counseling and meeting sessions.
- Communicated with patients' family members to explain treatment process, answer questions and maintain relationships.
- Collected and analyzed data and monitored progress and efficacy of individualized treatment plans.
- Teach specific skills required for skill acquisition and maladaptive behavior reduction.
- Reviewed data and progress reports with management and specialists to strategize program improvements.
Patient Support Specialist
Parallon
WFH, TX
01.2019 - 02.2020
- Researched patient account information in order to provide consultation and address patient concerns, or escalate the patient to the appropriate individual or department.
- Worked with patients and guarantors to secure payment on outstanding account balances, including balances in the collections stage.
- Documented patient inquiries and action taken into the proper system, then performed follow up actions when necessary.
Referral Specialist
HCA Healthcare| Parallon
Pensacola, FL
12.2017 - 01.2019
- Maintained a high volume pipeline of insurance referrals in various stages of the approval process, while communicating with the patient and insurance company in preparation for the patient’s specialist appointment.
- Other responsibilities included, keying billing charges for lab work, helping patients to a resolution in the event of insurance denial, and maintaining excellent patient service skills while working through the referral process.
Emergency Room Registrar
Parallon
Pensacola, FL
01.2016 - 12.2017
- Enter patient rooms to perform screening duties to include: patient registration, collecting data for patient name, date of birth, address, validate patient county of residence, telephone number, emergency contact, date of injury/illness, verification of insurance (that may require utilization of multiple websites to validate), explain and obtain the Consent for Medical Treatment and the Patient Statement of Responsibility, identify and collect the Primary Care Physician, collect and scan the patient identification and insurance cards, secure patient photo for chart, and initiate preliminary collections and financial counseling services to unfunded patients.
Education
Clinical Medical Assistant Certification -
Tyler Junior College
Tyler, TX04-2025
Bachelor of Arts - Psychology
University of North Texas
Dallas, TX12.2020
Associate of Arts - Psychology
Pensacola State College
05.2019
Skills
- Microsoft Office Suite
- Organizational
- Critical Thinking
- Communication
- Attention to detail
- Behavior Management
Timeline
Underpayments Analyst
Parallon
10.2023 - 02.2025
Appeals Specialist
Parallon
06.2023 - 10.2023
Registered Behavior Technician
BlueSprig
01.2021 - 02.2023
Patient Support Specialist
Parallon
01.2019 - 02.2020
Referral Specialist
HCA Healthcare| Parallon
12.2017 - 01.2019
Emergency Room Registrar
Parallon
01.2016 - 12.2017
Bachelor of Arts - Psychology
University of North Texas
Associate of Arts - Psychology
Pensacola State College
Clinical Medical Assistant Certification -
Tyler Junior College
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