Kristy Louden
@kristylouden1
Experienced revenue recovery auditor with expertise in medical billing analysis.
United StatesWhat I'm looking for
I am a highly experienced revenue recovery auditor and medical billing analyst with over 20 years in professional billing and a decade in hospital billing. My advanced skills in accounts receivable, contract modeling, and medical claims analysis enable me to navigate complex billing environments effectively. I pride myself on my attention to detail, ensuring accurate billing and benefit accounting, which ultimately leads to improved financial outcomes for healthcare providers.
In my current role as a Senior Claims Analyst at Aspirion Healthcare, I have successfully managed multiple provider projects, achieving significant underpayment collections and exceeding productivity goals. My commitment to quality assurance is reflected in my impressive 99.79% score for the year. I am passionate about training new hires and sharing best practices to foster a collaborative and efficient work environment.
Throughout my career, I have consistently demonstrated strong analytical and problem-solving skills, allowing me to identify trends in root cause denials and implement effective solutions. I am dedicated to continuous improvement and look forward to leveraging my expertise to contribute to a dynamic healthcare organization.
Experience
Work history, roles, and key accomplishments
Insurance Billing Specialist
UC Health Physicians
Feb 2020 - Present (5 years 5 months)
Reviewed and accurately processed insurance benefit and eligibility verifications. Contacted insurance carriers through provider portals and phone calls to provide necessary documentation for prior authorization approvals.
Revenue Recovery Auditor - Underpayments
Ensemble Health Partners
Jan 2019 - Present (6 years 6 months)
Reviewed facility accounts daily, identifying underpayment variances from payers. Utilized provider's insurance contracts to determine underpayments and discrepancies.
Clinical Denial Specialist - Physicians
Premier Health Specialists
Oct 2017 - Present (7 years 9 months)
Utilized Epic, Epremis, and Quadax electronic claims submission systems daily. Worked all front-end rejection reports to resolve rejections for resubmitted claims.
Education
Degrees, certifications, and relevant coursework
Miami Jacobs
Associate in Applied Human Science, Applied Human Science
Completed an Associate in Applied Human Science program. This education provided foundational knowledge relevant to human services and related fields.
Indiana Business College
Associate in Executive Secretary, Executive Secretary - Medical
Obtained an Associate in Executive Secretary with a focus on medical administration. This program equipped me with essential secretarial and administrative skills tailored for the healthcare industry.
Healthcare Financial Management Association
Certification, Revenue Cycle Management
Achieved the Certified Revenue Cycle Representative (CRCR) certification from the Healthcare Financial Management Association. This certification validates expertise in revenue cycle management within the healthcare industry.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Job categories
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