Krystle Stout

• Manage Medicare and commercial AR, performing follow‑up, collections, and appeals to resolve outstanding balances.

• Identify unpaid claims using AR work queues and take corrective action to secure timely reimbursement.

• Review and correct claim edits to ensure clean claim submission and compliance with Medicare requirements.

• Analyze denials, research medical policies, and apply LCD/NCD guidelines to resolve medical necessity issues.

• Draft and submit non‑standard appeals for complex cases requiring detailed documentation.

• Prepare delinquent accounts for transfer to self‑pay collections following established protocols.

• Maintain accurate patient demographic and insurance information to prevent billing delays.

• Train new staff on billing workflows, payer requirements, and revenue cycle best practices.

• Stay current on Medicare regulations and billing updates to ensure compliance.

• Verified patient insurance coverage, eligibility, and benefits across Medicare and multiple payer types
• Completed registration updates, MyChart tasks, appointment requests, and incoming message workflows.
• • Managed referral and authorization requirements, ensuring compliance with payer rules.
• • Assessed deductibles, benefit limitations, and out‑of‑network requirements to provide accurate financial guidance.
• • Communicated patient liability estimates and coordinated with Financial Counselors when needed.
• • Identified missing demographic or insurance information and contacted patients to obtain updates.
• • Ensured accurate documentation to support seamless patient access and billing processes.

• Provided EMR go‑live support, diagnosing software and hardware issues to ensure smooth transitions.

• Conducted one‑on‑one and virtual training sessions to improve user proficiency.

• Developed troubleshooting guides and workflow documentation to support ongoing user needs.

• Collaborated with cross‑functional teams to streamline support processes and enhance service delivery.

• Observed end‑users to identify workflow gaps and recommend improvements.