CH
Open to opportunities

Crystal Horner

@crystalhorner

Healthcare revenue cycle expert with strong analytical skills.

United States

What I'm looking for

I am seeking a role that allows me to leverage my expertise in healthcare revenue cycle management while contributing to a collaborative and growth-oriented team.

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

OH
Current

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.

CE

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.

CH

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.

SS

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 logoGU

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

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Crystal Horner - Population Health Revenue Cycle Lead - OakStreet Health | Himalayas