STACY KURTH
Saint Peter,MN
Summary
Dynamic Revenue Cycle Specialist with a proven track record at Optum, excelling in claims processing and patient account management. Adept at optimizing billing compliance and enhancing operational efficiency. Strong customer relationship management skills, ensuring timely resolutions and improved patient satisfaction. Committed to delivering results in fast-paced healthcare environments.
Overview
20
20
years of professional experience
Work History
Revenue Cycle Specialist
Optum
Minneapolis, Minnesota
05.2025 - Current
- Coordinated with insurance companies to promptly verify patient coverage details, ensuring accurate billing.
- Contacted insurance providers to verify patient coverage accurately.
- Reviewed claims for accuracy and compliance with regulations.
- Managed patient accounts, ensuring timely billing and collection processes.
- Collaborated with healthcare providers to resolve billing discrepancies efficiently.
- Reviewed patient accounts to ensure information accuracy and completeness.
- Collaborated across departments to resolve customer inquiries regarding billing issues, improving patient satisfaction.
- Developed strategies that enhanced operational efficiency within revenue cycle team, improving overall workflow.
Benefits Verification Specialist
Amgen Pharmaceuticals
08.2024 - 04.2025
- Completed tasks for a temporary contracted position at healthcare organization..
- Contacted insurance companies to verify coverage details and clarify co-pays, deductibles, and out-of-pocket totals for patients.
- Verified patient eligibility for medication access and ensured benefits coverage.
- Reviewed faxed documents from clinics and hospitals to prepare for verification process.
- Prepared response documents for both providers and patients efficiently.
- Faxed and uploaded responses to providers promptly and professionally.
Member Service Representative
Ucare Minnesota
05.2022 - 06.2024
- Answer, resolve, track and document telephone calls from members, providers, internal departments, and external agencies, in a timely and professional manner
- Educate members and external customers on policies and procedures related to members’ health care program
- Research and resolve inquiries from internal /external customers including: Enrollment, eligibility, ID cards, clinic changes, demographic changes, benefit coverage, claims, payments, member reimbursement, and demonstrated knowledge of CAG policies, procedures, and regulations
- Interpret member eligibility and coverage through thorough knowledge of the contracts, policies and procedures
- Identified trends and issues in customer interactions to improve service quality. that emerge in calls/correspondence, and inform Team Lead or Supervisor
- Assisted in developing and communicating resolutions to internal staff.
- Demonstrate and maintain a thorough and complete working knowledge of appropriate UCare information management systems, and ACD telephone system
- Executed tasks in temporary contracted position at healthcare organization.
Insurance Representative
ORTHOPAEDIC AND FRACTURE CLINIC
09.2021 - 04.2022
- Gathered, verified, and entered insurance information to maintain accurate records.
- Reviewed and submitted bills and claims, ensuring timely processing and adherence to regulations.
- Applied insurance payments to patient accounts to ensure correct balances.
- Contacted insurance companies to discuss claim statuses and resolve issues, facilitating efficient claim resolution.
- Disputed or returned improper payments to uphold financial integrity.
- Communicated regularly with insurance adjusters to clarify claim details.
- Engaged with patients regarding workers' compensation claims, providing timely updates and support throughout the process.
OFFICE MANAGER
RISING SUN CHIROPRACTIC
02.2018 - 02.2021
- Scheduled patients across clinic and additional sites to optimize appointment flow and reduce wait times.
- Verified patient insurance and clarified coverage details to ensure understanding and minimize billing discrepancies.
- Prepared, sent, tracked, and collected billing information for accurate account management.
- Applied insurance payments to patient accounts promptly.
- Maintained detailed records in QuickBooks to support accurate financial reporting and decision-making.
- Managed detailed entries in clinic management software for operational accuracy.
- Performed cleaning and maintenance duties throughout the facility to ensure a hygienic environment. to uphold a clean and organized environment.
OPTHALMIC TECHNICIAN
St. Peter Eyecare
03.2017 - 02.2018
- Conducted pre-testing for patients to facilitate efficient doctor appointments.
- Scheduled appointments and coordinated with external clinics to streamline patient flow and enhance service delivery.
- Verified insurance details to ensure coverage for patient services.
- Prepared and updated patient charts and electronic records accurately.
- Managed call triage and relayed messages to ensure timely communication between patients and appropriate staff.
- Tracked, collected, and prepared billing information to support accurate and timely processing of patient services.
OFFICE AND ADMINISTRATIVE ASSISTANT
STATE OF MINNESOTA
06.2006 - 03.2017
- Facilitated chart information requests, ensuring compliance with legal retention guidelines.
- Utilized EIOR program to secure funding for monthly bills and office supplies.
- Assisted staff in data entry and utilization of Avatar system for operational efficiency.
- Obtained computer drive access and collected contact information for newly hired staff.
- Supported clients with insurance applications and ensured timely follow-ups.
- Managed client admissions both in Avatar and on paper documentation.
- Tracked and dispatched information to monitor client commitments, meeting county requirements.
- Responded promptly to release of information requests while adhering to HIPAA regulations.
Education
HIGH SCHOOL DIPLOMA -
ST. PETER HIGH SCHOOL
Skills
- Claims processing and insurance verification
- Patient account management
- Billing compliance and revenue cycle optimization
- Customer relationship management
- Prior authorization
Timeline
Revenue Cycle Specialist
Optum
05.2025 - Current
Benefits Verification Specialist
Amgen Pharmaceuticals
08.2024 - 04.2025
Member Service Representative
Ucare Minnesota
05.2022 - 06.2024
Insurance Representative
ORTHOPAEDIC AND FRACTURE CLINIC
09.2021 - 04.2022
OFFICE MANAGER
RISING SUN CHIROPRACTIC
02.2018 - 02.2021
OPTHALMIC TECHNICIAN
St. Peter Eyecare
03.2017 - 02.2018
OFFICE AND ADMINISTRATIVE ASSISTANT
STATE OF MINNESOTA
06.2006 - 03.2017
HIGH SCHOOL DIPLOMA -
ST. PETER HIGH SCHOOL