KAREN ALFARO

Managed front desk operations at a healthcare facility, coordinating patient check-ins and schedules with measurable improvements in wait-time management.

Maintains accurate patient records and verifies identity/consent details at intake, ensuring documentation integrity and reducing downstream corrections.

Communication between reception, nursing, and providers during peak periods, enabling faster handoffs and preserving appointment punctuality.

Worked flexible hours across night, weekend, and holiday shifts.

Completed paperwork, recognizing discrepancies, and promptly addressing for resolution.

Used critical thinking to break down problems, evaluate solutions, and make decisions.

Verified patient insurance eligibility and benefits via phone and web, reducing claim delays and improving payment accuracy.

Identified and re-submitted rejected claims to increase successful reimbursements and reduce outstanding balances.

Reviewed and appealed unpaid and denied claims to recover revenue and improve collection rates.

Prepared superbills and updated insurance forms to ensure accurate billing information for patients.

Prepared and mailed insurance claims to payers to maintain timely submission workflows.

Researched individual and group claims using knowledge of major medical plans to resolve complex billing issues.

Assisted office staff with administrative tasks to support clinic operations and reduce bottlenecks.

Billed secondary insurances when primary did not crossover to capture additional payer reimbursement.

Coordinated between insurers and providers to expedite claim processing and secure timely payments.