Kristina Carbonell

Reviewed documents for clinical and denial arguments for reconsideration. Entered and tracked member inquiries/appeals and written correspondence for timely resolution. Analyzed data and coordinated with treating providers and pertinent departments to resolve grievances.

Handled the Revenue Cycle Management process for assigned clinics. Ensured accurate billing information was entered into the system. Managed cash posting, billing, and denials.

Prepared and submitted billing data and medical claims to insurance companies. Ensured patient medical information was accurate and up to date. Verified CPT and ICD codes before submission.

Maintained and updated patient information in the system. Identified and resolved patient billing and payment issues. Managed denials and contacted Medicare for resolution.

Provided support to the production team, ensuring timely project completion. Conducted regular audits of production processes. Created mechanism of action for product inserts.

Reviewed and analyzed prescription padbooks for coding. Coded patient demographics using an internal system. Used ICD 10 for coding diagnoses.

Provided high-quality customer service via inbound calls for deposit accounts. Resolved complex account issues efficiently. Educated customers on bank products and services.

Assisted call-in customers with questions and orders. Responded to customer calls and emails. Helped a large volume of customers daily with a positive attitude.