Kristina Carr Email & Phone Number

United States

United States

• Achieved compliance with complex third-party reimbursement policies and regulatory guidelines, including Medicare, by meticulously adhering to coding standards and reimbursement deadlines, ensuring organizational.
• Successfully investigated and resolved numerous denied claims.
• Addressed issues related to coding, DRG, bill type, ICD-9/10, HCPCS/CPT, billing, and diagnosis errors, leading to the reconciliation for patients and physicians of over $350K in lost revenue in 2021.
• Spearheaded team development and communication, fostering a supportive environment that emphasized empathy and patience.
• Implemented process improvements and training that ensured accurate charge capture and coding compliance, resulted in financial health and compliance.

United States

• Served as point of contact within Complaints and Grievances Department.
• Analyzed, and interpreted medical charts across various Electronic Medical Record platforms, including EPIC, Athena, and Meditech.
• Conducted comprehensive investigations and analyses of denied claims, collaborated with patients, insurance carriers, physicians, and hospital administrators to implement effective strategies for claim reimbursement.
• Successfully overturned more than 300 complex denied claims between 2019 and 2021, demonstrated exceptional problem-solving skills and attention to detail.
• Facilitated recoupment of approximately $410,000 for patients and secured approximately $1,092,457 in reimbursements for physicians and hospitals during same period, overall significantly contributing to financial.

United States

• Team leader, handled challenging and sensitive employee situations patiently and compassionately
• Established clear expectations regarding deadlines, output quality, and collaboration among team members through consistent communication efforts.
• Collaborated and maintained strong internal and cross-departmental relationships; team building and maintained open communication.
• Remained informed with CMS updates and developments in compliance with medical charting regulations/guidelines
• Spearheaded efforts to improve transcription efficiency by identifying bottlenecks, proposing solutions, and tracking the impact of implemented changes.
• Managed a diverse team of 13 employees with varying levels of experience while fostering a culture of continuous learning and growth within the department.

United States

• Performed thorough proofreading on completed transcripts to identify errors or discrepancies before submission for review or approval, maintained a 100% accuracy rate for spelling and content.
• Continuously updated medical terminology knowledge to maintain accuracy in transcriptions across various specialties.
• Collaborated with healthcare professionals to clarify documentation requirements, ensuring accurate and comprehensive records.
• Contributed to a reduction in turnaround time for report completion by efficiently managing workloads and completing assignments promptly.
• Improved document accuracy by transcribing medical reports with attention to detail and adherence to industry standards.
• Maintained the confidentiality of patient information by following HIPAA guidelines during all transcription processes.

Burlington, Vermont, United States

Personal lines Insurance - Assistant Underwriter, evaluated the client risk. Assisted on writing policies, assisted in overall billing, overdue accounts, accounts receivable, accounts payment, reconciliation, claim adjudication, and processed/reviewed claims.

Burlington, Vermont, United States

As a commercial underwriter for the metal and plastics division, responsible for evaluating business risks and decisions in order to ensure that the client makes smart financial decisions. Made decisions about the client's property and policy risks.

Burlington, Vermont Area

As a telecommunications consultant, established a client base, discussed the benefits of the T1 service and provided and educated client. Discussed and reviewed contract with client and established the T1 install in its entirety. Maintained customer service and service contract needs afterwards.