Kristen Copeland
Springfield
Summary
Detail-oriented and seasoned healthcare worker with strong understanding of bookkeeping principles and customer service. Experienced in developing and managing efficient processes. Considered focused and organized team player.
Overview
23
23
years of professional experience
Work History
Healthcare Billing Recovery Case Specialist - MSP
Performant Recovery/Machinify
Remote
09.2024 - Current
- Review complex cases, ensuring compliance with regulatory Standard Operating Procedures
- Exhibit critical thinking skills while assisting with special debtor projects
- Work one on one to provide caseworkers guidance and support in the transition from initial training to a more independent role.
- Collaborate with other caseworkers to enhance and improve workflow and efficiency.
- Prioritize strict confidentiality, adhering to PHI and company legal policies
- Exceed performance expectations consistently by meeting production requirements, while still maintaining high-quality work standards.
Billing Coordinator
Vance Chiropractic
Republic, MO
09.2018 - 03.2024
- Optimized billing processes by implementing efficient invoicing and payment tracking systems.
- Achieved 99% accuracy rating in claims clearinghouse; 1% or less rejection rate.
- Prioritized continuing education, to stay current with most up to date changes with ICD-10 and CPT coding practices with CMS.
- Filed appeals with proper documentation when claims were denied incorrectly by insurance companies.
- Coordinated with patients and insurance companies to resolve outstanding balances, resulting in higher percentage of on-time payments.
- Reconciled electronic payments from insurance companies to match incoming electronic fund transfers.
- Reconciled daily transactions in cash management system to corresponding patient accounts.
- Electronic and HCFA-1500 claims submissions on daily basis for consistency in accounts receivable.
- Managed implementation of new billing software, contributing to more accurate financial reporting and data management.
- Passionate about ensuring billing and HIPAA compliance.
- Prepared weekly, monthly, quarterly, and annual reports to aid in resolving aged accounts as well as for tax purposes.
- Monitored accounts receivable aging reports, identifying trends and proactively addressing potential collection issues.
Office Manager
Vance Chiropractic
Republic, MO
09.2018 - 03.2024
- Streamlined office operations by implementing efficient systems and use of technological advances.
- Enhanced team productivity by delegating tasks effectively and overseeing daily workflow.
- Reduced costs with budget monitoring and expense tracking, as well as finding successful means to increase revenue.
Office Manager
Sonshine Manor
Republic, MO
09.2007 - 02.2012
- Streamlined office operations by implementing efficient filing systems and organizational strategies.
- Served as Human Resources Coordinator; recruitment, conducted new employee orientation and ongoing staff in-services such as HIPAA training, and processed payroll and employee benefits.
- Enhanced team productivity by delegating tasks effectively and overseeing daily workflow.
- Assisted with patient admissions/discharges, care plans, and medical records.
- Facilitated accounts receivables/payables and Medicare billing.
- Reduced costs with meticulous budget monitoring and expense tracking for essential supplies and equipment.
- Front Desk/Reception as needed.
- Coordinated office events and meetings
- Updated reports, managed accounts, and generated reports for company database.
Reimbursement Specialist
St. John's Physicians And Clinics (Mercy)
Springfield, MO
10.2005 - 09.2007
- Ensured timely payment of claims by promptly addressing and resolving any discrepancies or issues with insurance providers, even when appeals were necessary.
- Maintained excellent communication with coworkers, physicians, clinic managers, and insurance companies for timely resolution.
- Contributed to increased team productivity by consistently meeting or exceeding individual and team productivity goals.
Provider Relations Coordinator
Physicians Data Trust/Greater Tri-Cities IPA
Oceanside, CA
04.2003 - 08.2005
- Enhanced provider relationships by consistently addressing concerns and resolving issues in timely manner.
- Streamlined communication between healthcare providers and organization, resulting in improved collaboration and efficiency.
- Negotiated contracts and rates with new providers and provided consistent education and communication
- Worked internally with our Claims and Authorizations, Utilization Management, and Case Management department.
- Conducted regular audits to ensure compliance with company policies and industry regulations.
Education
St. John's School of Nursing-Southwest Baptist University
Springfield, MO08-2002
Medical Administrative And Insurance Specialist -
Maric College
Vista, CA07-2003
Skills
- Medical Terminology
- ICD-10 & CPT Coding
- Provider Contracting
- Claims/Authorizations/Eligibility
- Collection practices
- Accounts receivable/payable
- Patient account management
- HIPAA Compliance
- Account Reconciliation
- Dispute Resolution
- Billing Software Knowledge; MedMC, Epic, ChiroHD, Acom Health, Rapid PM, Cash Practice, ADP, Medical Manager, IDX
- Current utilization of CMS systems for MSP Recovery
Timeline
Healthcare Billing Recovery Case Specialist - MSP
Performant Recovery/Machinify
09.2024 - Current
Billing Coordinator
Vance Chiropractic
09.2018 - 03.2024
Office Manager
Vance Chiropractic
09.2018 - 03.2024
Office Manager
Sonshine Manor
09.2007 - 02.2012
Reimbursement Specialist
St. John's Physicians And Clinics (Mercy)
10.2005 - 09.2007
Provider Relations Coordinator
Physicians Data Trust/Greater Tri-Cities IPA
04.2003 - 08.2005
St. John's School of Nursing-Southwest Baptist University
Medical Administrative And Insurance Specialist -
Maric College