Krystle N. Pleasant
**** ****** **** **. ********* Tx 77469
Home Phone 713-***-**** Alternative Phone 713-***-****
Objective
To utilize my skills in the Medical Field, Administration or Business Office Manager with an organization
that has learning capacity and advancement potential.
PROFESSIONAL EXPERIENCE
09-12 / Present OGA Patient Account Specialist
Responsible for verifying and interpreting insurance benefits. Obtain referrals and authorizations for
scheduled and unscheduled patients. Utilizes appropriate documentation as required to determine
authorization requirements. Calculates, quotes and secures patient uninsured amount. Forwards information
regarding unfunded patients to the Financial Counseling team. Preregisters patients using procedure
scheduling area reservation form or physician order and gathers required information by phone or direct
interview. Possesses and maintains a well-founded knowledge of patient management processes and
functions, the managed care environment, third party reimbursement.
09-10 / 09-12 Kelsey Seybold Clinic Account Rep II
Researched and responded to all phone inquiries, resolved billing and insurance inquiries. Worked closely
with my supervisor to address issues/problem accounts. Provided appropriate information and feedback to
patient and various personnel within a timely manner. Recommended follow up/collection activity on
accounts for timely reimbursement. Entered accurate and do timely account resolution. Monitored work
(including telephone calls) volumes and adjust assignments appropriately to maximize customer service and
productivity. Maintained working knowledge of billing mechanics to properly ascertain patients’ portion due.
Updated appropriate patient information via computer system as required. Investigated credit balances on
accounts, made adjustments, refunds, etc., when indicated and per department guidelines, completed proper
refund request paperwork, obtained appropriate approvals as needed.
06-07 / 09-10 Kelsey Seybold Clinic ASR II
Responsible for providing assistance to patients with check-in/out, registration and cashiering for all visits.
Worked WQ so that claims were submitted correctly too 26 of our contracted insurance company for proper
payment. Collected on past due and bad debt accounts and going over billing and insurance issue with
patients. Reviewed charges to make sure proper CPT’s and ICD-9 were entered correctly. Made
appointments. Verified / loaded insurance. Explained insurance benefits to patients when procedures were
being done. Improved production. Answered incoming calls about KSC concerning billing and coding issues
from insurance, patients and doctors. Other duties asked by supervisor.
07-05 / 06-07 RCI Administrative Assistant
Performed highly responsible and complex secretarial and administrative work for the CFO, COO, & VP.
Answered the telephone and screened calls, maintained electronic appointment calendar, schedules meetings,
and maintains files. Composed letters and memoranda. Maintained program files, compiles reports and other
project information, purchases supplies, Handled, opened and distributed incoming and outgoing
correspondence daily, processed invoices for A/P. Assist in Payroll and employee profiles. Other clerical,
human resource and accounting duties as needed.
06-01 / 7-05 Volt Service’s Group Senior Administrative Assistant
Temporary positions as an Administrative Assistant and Accountant Duties for different firms. Performed a
variety of executive support tasks that were highly confidential and sensitive. Coordinated development
office activities for department and committee meetings. Read and screened incoming correspondence. Made
preliminary assessment of the importance of materials and organizes documents; handled some matters
personally and forwarded appropriate materials to the staff.
11-97 / 5-01 Tryco Enterprises Executive Secretary
Made travel arrangements, prepared travel requests, expense reimbursements, leave authorization requests.
Maintained payroll and time and attendance records. Compose complex correspondence, often of a
confidential nature, from basic information and route appropriately. Process monthly expense reports
reflecting supporting documents and budget code. Answered incoming calls for UHC for behavioral health
about medical claims and benefits.
05-98 / 06-99 Bennigan’s Assistant Manager
Started as Host and Worked to Assistant Manager. Special projects for Accountants Receivable and Assisted
the General Manager with inventory. Human Resource, Order products and kept inventory of all supplies.
Answer customer complaints and inquiries. Initiate and assist in scheduling meetings, arranging for
conference rooms, and catering. Interviewed and sent back ground checks for potential new employees.
Education
WGU January ’13 – Current enrolled for a BSBA
Houston Community College June 2010 – November 2010 Health Information Specialist
University Of Houston June ’99 – April ‘02
Willowridge High School Graduate of May ’99 High School Diploma
INTERESTS & ACTIVTIES
1995 to 2001 Judge of Precinct 2 Teen Court 2010 to Present NAACP
2001 to Present Notary Public of Texas 2010 to Present Phi Beta Lambda
2001 to Present Order of Eastern Star 2013 to Present AHIMA
2008 to Present American Business of America
Honors & Awards
MVP 2010 for Kelsey Seybold
1st, 3rd and 4th Quarter Highest Collect in Region for Kelsey-Seybold for unpaid accts 2009
1st, 2nd and 4th Quarter Highest Collect in Region for Kelsey-Seybold for unpaid accts 2010
2010 Highest Percentage Collected for over 21 Clinics
Skills
ICD-9 CPT Team Player
Leader Epic Care Microsoft Word
WordPerfect IDX Microsoft Access
Quick Books Certified Typist Microsoft Excel
Multi-Line Phone System Notary Public Microsoft Power Point
Mail Machine Lotus Notes AS 400
Microsoft Outlook Typewriter Insurance Billing
Medical Coding Medisoft Medical Terminology
Misys E Clinical Works Avality
References
Upon Request