Cayla Kline Email and Phone Number
Cayla Kline's Location
Pittsburgh, Pennsylvania, United States, United States
Cayla Kline's Contact Details
Cayla Kline work email
- Valid
- Valid
- Valid
Cayla Kline personal email
n/a
About Cayla Kline
Experienced credentialing coordinator with 4 years experience.
Cayla Kline's Current Company Details
Cayla Kline Work Experience Details
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Credentialing SpecialistWestpoint Optical Mar 2024 - PresentPittsburgh, Pennsylvania, United States• Accurately retrieve and file documents (licenses, malpractice insurance, CAQH, NPI etc..)• Consistent follow up to ensure providers are credentialed with vision and medical insuranceplans• Work in multiple programs to ensure accurate information across all platforms• Outstanding ability to work independently and within a team environment• Lead credentialing meetings and create agendas
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Pharmacy Billing SpecialistCvs Health Sep 2023 - Feb 2024Pittsburgh, Pennsylvania, United States● Efficiently resolve pharmacy claims or commercial and medicaid payers.● Maintain a production rate of 12 claims per hour consistently meeting or exceedingperformance targets.● Conducted outreach to insurance companies to ensure successful payment andreprocessing.● Diligently studied EOB (explanation of benefits) to identify claim issues. -
Financial CounselorCharlie Health Mar 2022 - Aug 2023Pittsburgh, Pennsylvania, United States● Reviewed the estimated patient financial responsibility on verification of benefits form toensure accuracy.● Operated with guarantors on mutually agreeable payment plans when necessary forestimated patient financial responsibility.● Worked with the UR department requesting prior authorizations and notifyingguarantors/clients of denials and approvals.● Conducted necessary account processes with revenue cycle departments to complete andensure account balances are accurate in the billing system.● Consistently met KPI targets. -
Provider Enrollment SpecialistAllegheny Health Network Sep 2019 - Mar 2022Pittsburgh, Pennsylvania● Understood insurance regulations and enrollments in various systems such as CAQH,Medicare And Medicaid.● Oversaw processing of and preparation of new member enrollments.● Maintained confidentiality and responsibility for all enrollment files through the process.● Adhered to deadlines and enrollment schedules by tracking files through all stages AccountsReceivable Specialist -
Accounts Receivable SpecialistNorth American Dental Group Mar 2019 - Sep 2019New Castle, Pa• Manage accounts payable functions to identify overdue accounts and initiate collection processes• Prepare month end closing entries for detailed reporting and record keeping• Perform various accounts receivable functions, including cash receipts posting, updating cash flow reports and researching chargebacks and write-offs• Coordinate with clients and internal departments resolve account discrepancies -
Claims SpecialistLiberty Mutual Insurance Jan 2018 - Feb 2019New Castle, Pa• Delivered exceptional customer service to all clients by effectively communicating information and actively listening to concerns• Coordinated vendor services, including emergency repair, cleaning companies and contractors, to optimize handling of customer claims• Explained loss coverage, assisted policyholder's with itemizing damages and coordinated alternative living arrangements -
Insurance Account RepresentativeUpmc Jun 2017 - Jan 2018Wexford, Pa• Determined insurance coverage levels and restrictions by thoroughly examining claims forms and associated records• Performed insurance verification, pre-certification and pre-authorization• Added modifiers, coded narrative diagnosis and verified diagnoses• Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management -
Medical Billing SpecialistNorth American Dental Group Feb 2016 - Jun 2017New Castle, Pa• Posted charges, payments and adjustments• Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature• Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials• Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes• Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements
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Medical Payments AssociateLiberty Mutual Insurance Mar 2014 - Dec 2015New Castle, Pa• Analyzed patients' encounter forms diagnosis codes to validate accuracy, completeness and specificity• Reviewed medical records to meet insurance company requirements• Verified the accuracy and integrity of motor vehicle and workers' compensation claims• Maintained 95% accuracy rate on daily production of 45 to 60 reviews per day
Cayla Kline Skills
Problem Solving
Microsoft Office
Microsoft Excel
Accounts Payable
Account Management
Property And Casualty Insurance
General Insurance
Liability
Current Procedural Terminology
Medical Records
Icd 10
Insurance Verification
Debt Collection
Denials
Cayla Kline Education Details
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General
Frequently Asked Questions about Cayla Kline
What company does Cayla Kline work for?
Cayla Kline works for Westpoint Optical
What is Cayla Kline's role at the current company?
Cayla Kline's current role is Credentialing coordinator with 4 years experience.
What is Cayla Kline's email address?
Cayla Kline's email address is ca****@****ahn.org
What schools did Cayla Kline attend?
Cayla Kline attended Mohawk Junior/senior High School.
What skills is Cayla Kline known for?
Cayla Kline has skills like Problem Solving, Microsoft Office, Microsoft Excel, Accounts Payable, Account Management, Property And Casualty Insurance, General Insurance, Liability, Current Procedural Terminology, Medical Records, Icd 10, Insurance Verification.
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Cayla Kline
United States
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