Kristy Louden

Reviewed accounts against provider contracts to identify underpayment variances and discrepancies. Analyzed root cause denials, identified, and reported trends to management for providers.

Processed insurance benefit and eligibility verifications and reviewed bariatric prior authorization summaries for approvals/denials. Contacted insurance carriers through provider portals and phone calls to provide necessary documentation for prior authorization approvals.

Reviewed facility accounts daily, identifying underpayment variances from payers and utilizing provider's insurance contracts to determine underpayments and discrepancies. Worked all insurance payers, government and non-government, for hospital claims.

Utilized Epic, ePremis, and Quadax electronic claims submission systems daily, working all front-end rejection reports to resolve rejections for resubmitted claims. Reviewed women’s health and orthopedic physicians' claims for denials and outstanding balances.

Completed an Associate in Applied Human Science program. This education provided foundational knowledge relevant to human sciences.

Obtained an Associate degree focusing on executive secretarial skills with a specialization in the medical field. This program equipped me with administrative and medical office management competencies.