Summary
Overview
Work History
Education
Skills
Affiliations
Timeline
Hi, I’m

Karen BOZEK

Insurance Specialist
North Bend,OR

Summary

I am a motivated, experienced and highly organized individual. In me, you’ll discover a reliable, detail-oriented, and extremely hard-working associate. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.

Overview

20
years of professional experience
1
year of post-secondary education

Work History

Bay Area Hospital
Coos Bay, OR

Insurance Follow up Specialist
12.2019 - 07.2024

Job overview

  • Supported team members in resolving complex issues, fostering a collaborative work environment focused on continuous improvement.
  • Provided exceptional customer support to patients and insurance companies, fostering positive relationships and maintaining a high level of client satisfaction.
  • Collaborated with insurance companies to expedite claim processing, improving cash flow management.
  • Boosted revenue recovery by identifying and resolving errors in billing and coding practices.
  • Monitored aged account receivables closely to identify trends affecting payment cycles.
  • Implemented efficient workflows for claim submissions, reducing processing delays from insurers.
  • Enhanced claim resolution rates by diligently reviewing and analyzing outstanding insurance claims.
  • Participated in regular staff meetings to discuss and strategize action plans for problematic accounts, resulting in improved collections performance.
  • Streamlined follow-up processes for improved efficiency, ensuring timely resolution of unpaid claims.
  • Investigated and resolved customer inquiries and complaints quickly.
  • Issued refunds to patients and insurance companies.

Medical Services/CSO Financial, Inc.
North Bend, OR

Patient Service Representative
10.2012 - 12.2019

Job overview

Demonstrates understanding of all client needs as it relates to work flow.

Effective use of time management.

Contact patients in a pleasant, professional and efficient manner.

Negotiate payment terms and methods when correct party is reached.

Accurately reflect the content of patient contact and/or action taken in notes on accounts.

Knowledge of Financial Assistance Program

Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.

Worked closely with Bay Area Hospital to improve their medical collections, both with early out services, setting up payment plans, and collecting payments.

Conducted regular inventory assessments of office supplies, ordering necessary items proactively to prevent stock shortages.

Responsible for daily banking operations.

Quest Diagnostics, Inc.

Medical Billing Specialist
04.2004 - 07.2012

Job overview

Excellent customer service skills

Efficient in time management and multitasking.

Submit billing data to insurance providers.

Work claims and claim denials to ensure maximum reimbursement for services provided.

Managed Financial Assistance Program.

Communicated with insurance providers to resolve denied claims and resubmitted.

Communicated effectively and extensively with other departments to resolve claims issues.

Located errors and promptly refiled rejected claims.

Identified and resolved patient billing and payment issues.

Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.

Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.

Participated in departmental meetings, sharing insights and ideas for improving overall medical billing efficiency and revenue generation.

Monitored changes in payer requirements, adjusting billing practices accordingly to minimize disruptions in the revenue cycle.

Maintained and updated collections tracking spreadsheet to help organize payment information.

Education

Allied Business Schools
Laguna Hills, CA

Certificate from Medical Coding, Medical Terminology, Anatomy and Physiology
2016

University Overview

Career Education Institute
Henderson, NV

Certificate from Medical Administration
2003.09 - 2004.08 (11 months)

University Overview

Skills

MS Word, Excel, Outlook, Microsoft Edge, Microsoft Teams

Knowledge of EPIC

  • Identifying Errors
  • Filing Appeals
  • Basic Medical Terminology
  • Insurance Understanding
  • Healthcare Common Procedure Coding System (HCPCS)
  • Insurance Coverage Verification
  • Billing Procedures
  • Account Follow-Up

Affiliations

Affiliations

Career Education Institute Valedictorian 2003

Career Education Institute Dean’s List 2002-2003

Timeline

Insurance Follow up Specialist
Bay Area Hospital
12.2019 - 07.2024
Patient Service Representative
Medical Services/CSO Financial, Inc.
10.2012 - 12.2019
Medical Billing Specialist
Quest Diagnostics, Inc.
04.2004 - 07.2012
Career Education Institute
Certificate from Medical Administration
2003.09 - 2004.08 (11 months)
Allied Business Schools
Certificate from Medical Coding, Medical Terminology, Anatomy and Physiology
Karen BOZEKInsurance Specialist