Crystal Horner
@crystalhorner
Healthcare revenue cycle expert with strong analytical skills.
What I'm looking for
I am a dedicated healthcare revenue cycle professional with extensive experience in claims analysis, medical coding, and provider contracting. My career has been marked by a commitment to improving financial outcomes and ensuring compliance with insurance guidelines and regulations. Currently, I serve as the Population Health Revenue Cycle Lead at Oak Street Health, where I oversee healthcare accounts receivable follow-up and manage patient accounts to meet financial objectives.
Previously, I worked as an Operations Account Analyst at Centene/Wellcare/Meridian, where I educated providers on billing practices and reimbursement policies. My role involved conducting root cause analyses on claims adjudication and assisting providers with standard processes. I have also held positions as a Reimbursement Specialist Lead and Patient Accounts Supervisor, where I honed my skills in resolving complex insurance denials and mentoring new employees.
Experience
Work history, roles, and key accomplishments
Population Health Revenue Cycle Lead
OakStreet Health
Aug 2021 - Present (3 years 10 months)
Led healthcare accounts receivable follow-up and managed patient accounts, ensuring compliance with insurance guidelines and financial objectives. Demonstrated expertise in claims revenue cycle and revenue activities.
Operations Account Analyst
Centene/Wellcare/Meridian
May 2018 - Aug 2021 (3 years 3 months)
Educated providers on billing practices and reimbursement policies, conducted root cause analysis on claims adjudication, and assisted with provider issues related to reimbursement methodologies.
Reimbursement Specialist Lead/Coding Specialist
Conifer Healthcare/North Shore University Health
Dec 2014 - May 2018 (3 years 5 months)
Analyzed patient accounts to resolve complex insurance denials, managed outpatient coding, and trained new employees in hospital revenue cycle processes.
Patient Accounts Supervisor
SS&G
Mar 2011 - Dec 2014 (3 years 9 months)
Supervised medical billing for various specialties, managed accounts receivable follow-up, and assisted patients with the Affordable Care Act and Medicaid applications.
Education
Degrees, certifications, and relevant coursework
Governors State University
Bachelor of Science, Healthcare Administration
Bachelor's degree in Healthcare Administration, focusing on the management and administration of healthcare systems and services.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
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