Karen Cardenas
Summary
Detail-oriented professional with experience in medical coding, insurance claims, and leave administration. Skilled in reviewing documentation, interpreting medical information, ensuring regulatory compliance, and delivering exceptional customer service. Strong background in healthcare and total absence management with proven ability to manage high-volume caseloads and maintain accuracy in fast-paced environments.
Overview
31
31
years of professional experience
2
2
years of post-secondary education
Work History
Leave Solutions Case Specialist
MetLife Insurance Company
Tampa, FL
08.2021 - Current
- Manage case documentation and ensure compliance with company policies.
- Analyze and review case files for accuracy and completeness.
- Manage employee leave of absence claims including FMLA, paid family medical leave, and state leave programs while ensuring compliance with company policies and federal regulations.
- Deliver exceptional customer service by assisting clients with leave-related questions, explaining benefits coverage, and resolving claim issues in a timely manner.
Medical Office and Billing Manager
Lucy C. Love, MD., P.A.
Tampa, FL
07.2006 - 08.2021
- Oversaw daily operations of a busy medical office, ensuring efficient scheduling, patient flow, and administrative support.
- Managed medical billing processes including insurance verification, claim submission, payment posting, and follow-up on denied or unpaid claims.
- Communicated with insurance companies to resolve billing discrepancies, obtain prior authorizations, and maximize reimbursement.
- Handled patient accounts, billing inquiries, and payment arrangements while providing professional customer service.
Medical Office and Billing Admin
Donald Temple, M.D.
Tampa, FL
10.2000 - 04.2006
- Processed medical billing and insurance claims accurately while verifying patient insurance eligibility and benefits.
- Submitted claims to insurance companies and followed up on denied or unpaid claims to ensure timely reimbursement.
- Collected patient payments, processed invoices, and maintained accurate financial and billing records.
- Assisted patients with billing inquiries, payment plans, and insurance-related questions while providing professional customer service.
- Demonstrated strong organizational and multitasking skills while managing billing deadlines and administrative responsibilities.
Medical Assistant
Emilio Echevarria, M.D.
Tampa, FL
04.1995 - 09.2000
- Assisted physicians and nursing staff with patient examinations, procedures, and daily clinical operations in a fast-paced healthcare setting.
- Obtained and documented patient vital signs, medical histories, medications, and chief complaints accurately in electronic medical records (EMR).
- Scheduled appointments, managed patient check-in/check-out, and maintained organized medical records while ensuring patient confidentiality.
- Demonstrated strong multitasking, time management, and attention to detail while managing high patient volumes.
Education
Medical Assistant
Concorde Career College
08.1993 - 04.1995
Chamberlain High School
Tampa, FLSkills
- Medical Billing & Coding
- Insurance Claims Processing
- Claims Review & Documentation
- Medical Records Management
- HIPAA Compliance
- Benefits Verification
- Leave of Absence Administration
- FMLA & Leave Administration Claims Knowledge
- Data Entry & Record Accuracy
- Electronic Medical Records (EMR/EHR)
- Customer Service & Patient Support
Timeline
Leave Solutions Case Specialist
MetLife Insurance Company
08.2021 - Current
Medical Office and Billing Manager
Lucy C. Love, MD., P.A.
07.2006 - 08.2021
Medical Office and Billing Admin
Donald Temple, M.D.
10.2000 - 04.2006
Medical Assistant
Emilio Echevarria, M.D.
04.1995 - 09.2000
Medical Assistant
Concorde Career College
08.1993 - 04.1995
Chamberlain High School