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Kristen Pluard

@kristenpluard1

I am a medical billing specialist with 20+ years' revenue cycle expertise.

United States
Message

What I'm looking for

I'm seeking a role to apply my 20+ years of medical billing and cash-posting expertise to improve revenue cycle accuracy, collaborate with a stable healthcare team, and lead claims resolution and process improvement efforts.

I am a medical billing professional with over 20 years' experience across outpatient and inpatient billing, from coding to submission of 837 claim files and the receipt and posting of EOBs & 835 reimbursement files. I currently work as a Cash Posting Specialist for R1 RCM as part of the Providence Health Services US-Team.

My background includes roles in commercial accounts receivable, office and billing management, and lead billing/clinical support where I utilized the EPIC billing system, implemented a web-based electronic billing application that increased productivity by 50%, and achieved collection goals above 10% for consecutive quarters. I routinely perform cash posting, contractual adjustments, denial management, appeals, claim research, and reconciliation of remittances with bank deposits.

I bring attention to detail, strong organizational and communication skills, and a track record of improving revenue cycle accuracy; I am committed to using my across-the-board billing knowledge to resolve claim issues and support efficient, compliant billing operations.

Experience

Work history, roles, and key accomplishments

R1 RCM logoRR
Current

Cash Posting Specialist

R1 RCM

Dec 2021 - Present (3 years 8 months)

Post payments, contractual adjustments, and denial codes to patient invoices and balance posting batches to ensure accurate financial records; research and resolve unidentified cash and offsets with payers.

SE

Commercial AR Rep

Swedish Edmonds

Feb 2013 - Nov 2019 (6 years 9 months)

Audited and processed facility claims in EPIC, contacted commercial and government payers to resolve underpaid and denied claims, and initiated appeals to recover reimbursement while maintaining productivity and aging-report targets.

VC

Lead Billing CA / X-ray Technician

Vital Chiropractic Center

Mar 2004 - Apr 2008 (4 years 1 month)

Supervised claims preparation and submission, implemented a web-based billing application that increased productivity by 50%, and oversaw cash collections, refunds, and coding (ICD-9/CPT).

Education

Degrees, certifications, and relevant coursework

BI

Bryman Institute

Certificate in Medical Billing and Coding, Medical Billing and Coding

2002 - 2003

Completed a certificate program in Medical Billing and Coding at Bryman Institute in Lynnwood, WA from October 2002 to July 2003, focusing on billing, coding, and claims processing.

Tech stack

Software and tools used professionally

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Kristen Pluard - Cash Posting Specialist - R1 RCM | Himalayas