Karanja Craigg
Brooklyn
Summary
Efficient Healthcare Professional with 13 years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive.
Overview
11
11
years of professional experience
Work History
Patient Billing Specialist
Memorial Sloan Kettering Cancer Center (MSKCC)
New York, NY
07.2018 - Current
- Liaison between patients, insurance companies, and billing office.
- Maintains strict compliance with HIPAA regulations when handling sensitive patient information during the billing process.
- Update and maintain client demographics, insurance, & financial data
- Collects payments and apply them to patient accounts.
- Insurance Adjustments, claim modifications, corrected claims billing, compliance claim review claim updates
- Prevents financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
Account Representative
New York Presbyterian Weill Cornell
New York, NY
04.2023 - 10.2023
- Managed a portfolio of multiple accounts, ensuring accurate billing to patient accounts and the timely collection of required payments
- Submitted recoupment request to insurances companies for credits via insurance websites directly, mail, or telephone
- Monitored and tracked all insurance recoupment request for recoupment for ninety days
- Adjusted credits as needed for failed insurance recoupment
- Voided and reversed incorrect adjustments and credits on patient accounts
Admitting Representative
Brookdale University Hospital
01.2013 - 07.2018
- Ensured accurate data entry to maintain up-to-date patient records and facilitate smooth billing processes.
- Verified insurance coverage and secured pre-authorizations as needed to guarantee proper reimbursement for services rendered.
- Coordinated bed assignments with nursing staff, optimizing room utilization and improving overall hospital operations efficiency.
- Contributed to the development of departmental policies and procedures, ensuring continued adherence to industry standards and best practices.
Education
Bachelor of Arts - Sociology
CUNY York College
Jamaica06.2012
Skills
- Medical Terminology Familiarity
- ICD-10 Coding
- EPIC, RMS, ETM, & IDX proficient
- Teamwork & Collaboration
- Multitasking & Organization
Education Certifications
Bachelor of Arts, 2012, Sociology, CUNY York College
Affiliations
- Financial Literacy Program Committee
Timeline
Account Representative
New York Presbyterian Weill Cornell
04.2023 - 10.2023
Patient Billing Specialist
Memorial Sloan Kettering Cancer Center (MSKCC)
07.2018 - Current
Admitting Representative
Brookdale University Hospital
01.2013 - 07.2018
Bachelor of Arts - Sociology
CUNY York College