Kelena Stapleton

• Process medical and vision claims using ICD-10 and CPT coding guidelines.
• Verify patient eligibility and benefits before submitting billing requests.
• Post payments and adjustments accurately to patient accounts.
• Track claim denials and correct errors for resubmission.
• Assist patients with billing questions and explain account statements clearly.

• Supported departmental goals by consistently meeting or exceeding productivity expectations while maintaining high-quality work standards.
• Leveraged advanced knowledge of medical terminology, CPT codes, and ICD-10 coding to ensure accurate charge entry for a variety of procedures and diagnoses.
• Maintained detailed knowledge of payer-specific guidelines, ensuring all charges were submitted according to required standards.
• Coordinated with medical coders and physicians to resolve questions regarding correct diagnosis and procedure code selection.
• Worked remotely without direct supervision.

• Managed housing eligibility, intake, and recertification processes with accurate case documentation.
• Coordinated client housing plans, landlord communication, and placement follow-up for stable outcomes.
• Reviewed applications, verified supporting records, and ensured compliance with program and funding requirements.
• Calculated tenant rent amounts to prepare leases and contracts.
• Assisted applicants in filling out housing applications and verifying assets.
• Established positive rapport with clients by providing exceptional customer service and addressing their unique needs.

• Coordinated patient navigation through hematology/oncology treatment plans and follow-up care.
• Verified insurance coverage and resolved benefits questions for complex oncology services.
• Assisted patients with prior authorization, referral, and documentation requirements.
• Communicated with physicians, nurses, and billing staff to resolve care access barriers.

Certified Professional Coder