Crystal Clark

Experience

• 

  Page Ahead Children's Literacy Group

  Sept 2006 - Aug 2007

  AmeriCorps VISTA

  Facilitated family read workshops, created and planned story time and reading group curriculum, created a bi-monthly newsletter and maintained databases.

• 

  Brown and Delaney, P.S.

  Sept 2007 - May 2008

  Office Manager

  Responsibilities included processing accounts receivable and accounts payable, directing client calls, inventory management, general clerical duties, management of financial records for the firm as well as personal records for the firm president, and data entry all while maintaining a strict level of client confidentiality.

• 

  McKesson Provider Technologies

  May 2008 - Feb 2011

  Accounts Receivable Specialist and Charge Entry Specialist

  This position consisted of the filing of insurance claims with proper documentation, claims denial follow up, claims appeals, record management, patient phone calls, data entry, daily transmission of batch files to an off site vendor, adherence to HIPAA regulations and confidentiality policies, as well as verifying insurance coverage.

• 

  Healthcare Resource Group

  Feb 2011 - Oct 2013

  Patient Accounts Specialist

  Worked on three clean up projects for two different clients and learned each clients’ unique computer programs. Acted as a liaison for my team with the client's on-site HIM team and assist in training new employees. Focused on researching outstanding claims issues with Tricare, the VA and workman's comp. This position consisted of patient account clean up, including follow up on claims denials, acquisition of necessary authorizations, reconciliation of credit balances through direct contact with payers, and a strict adherence to federal HIPAA confidentiality regulations. Also served on the company's Health and Wellness Committee. Show less

• 

  Physical Therapy Services

  Oct 2013 - Aug 2014

  Billing Specialist

  Responsible for batching and posting daily payments and balancing transactions. Monitored accounts receivable aging and follow up on past due accounts with patients, and insurance companies. Submitted insurance claims both electronically and via hard copy. Tracked weekly and monthly charges and collections utilizing practice management reports. Reviewed and generated monthly patient statements. Managed entire revenue cycle, including: patient scheduling, answering phones, addressing patient financial inquires, insurance verification, prior authorization requests, records maintenance, charging and billing, and maintaining HIPAA compliance Show less

• 

  Jacobus Consulting

  Sept 2014 - Jan 2017

  Revenue Cycle (SWAT) Consultant

  This position requires weekly travel to a given client site, some in remote locations and contact with hospital staff at all levels. I have worked on a number of projects for various clients and have accomplished the following:-Participated in Denials Management Improvement program, including analysis of high risk denials-Process Analysis throughout the Denials Management project-Performed charge analysis to identify trends and determine risk-Led team in 14 month project to recover lost revenue and improve cash collections process throughout hospital-Oversaw cash acceleration process to recover over 1.3 million in revenue for hospital-Utilized Aged Trial Balance Analysis tool to determine account recommendations and future steps for over 2,000 accounts-Accelerated collections by identifying and resolving revenue management trends-Followed up on aged accounts including appeals and identifying root cause issues-Worked in tandem with PFS staff to research payments and adjustments-Follow up and resolution of high risk accounts-Monitored and reported Key Performance Indicators throughout the revenue cycle-Maintained HIPAA compliant procedures and environments and other confidentiality requirements-Coordinated and booked weekly travel, including airfare, rental car and hotel within a given budget Show less

• 

  Liberty Mutual Insurance

  Jan 2017 - Jun 2021

  • Senior Claims Resolution Rep, NF

    Feb 2018 - Jun 2021

  • Claims Customer Care Associate

    Jan 2017 - Feb 2018
• 

  Parker, Smith & Feek

  Jun 2021 - now

  Associate Account Manager II
• 

  IMA Financial Group, Inc.

  Sept 2022 - now

  • AAM II – Healthcare

    Jan 2025 - now

  • Crew Team Lead | AAM II

    Sept 2022 - Jan 2025