Kristal Finley

Processed and submitted insurance prior authorizations and communicated with providers and payors to secure timely approvals, improving authorization accuracy and reducing delays to care. Reviewed medical records for medical necessity and identified denial trends to support process improvements.

Submitted and followed up on insurance claims within filing deadlines, performed appeals for denied claims, and corrected data discrepancies to prevent rejections and payment delays. Corresponded with providers to obtain missing documentation and maintained quality standards.

Collected and verified patient demographic and insurance information, verified eligibility and benefits, and secured required authorizations to ensure accurate registration and billing while maintaining HIPAA compliance. Coordinated with clinical and billing teams to resolve registration discrepancies.

Coordinated home health services and administered medications as an AMAP-certified provider, trained staff, and acted as liaison between patients, families, and clinical teams to support care transitions and quality documentation. Identified changes in patient condition and escalated to clinical leadership.

High School Diploma completed through Penn Foster Career School with coursework focused on foundational academic skills and career preparation.