Summary
Overview
Work History
Education
Skills
Timeline
Generic

Karen Engel

Clarks,NE

Summary

Adept at HIPAA compliance and delivering professional customer service, I significantly enhanced patient financial processes at Merrick Medical Center Bryan Health. My expertise in claims processing and regulatory compliance, coupled with a knack for training and improving team efficiency, has consistently ensured high-quality patient support and streamlined operations.

Overview

41
41
years of professional experience

Work History

Hospital Billing and Patient Financial Specialist

Merrick Medical Center Bryan Health
03.2018 - Current
  • Assisted patients with payment plans, ensuring timely payments and reducing outstanding balances.
  • Trained new hires on company policies, software usage, and effective communication strategies to ensure consistent quality service across the team.
  • Maintained up-to-date knowledge of industry regulations, ensuring compliance in all financial transactions and communications with patients.
  • Advised patients on available financial assistance programs, helping them navigate the application process to secure support with medical expenses.
  • Review and analyzes all erred claims for correct and complete patient and insurance information, service dates, and charges.
  • Ensures all billing forms are completed and are accurate based on billing regulations for all payers to ensure appropriate and timely reimbursements are received and all compliance standards are maintained.
  • Analyzes all outstanding unbilled claims and reports any concerns to the Revenue Integrity Manager
  • Maintains knowledge of current billing guidelines and third party payer regulations.
  • Responsible for processing returned claims and rework requests for information and filing resubmissions or appeals as necessary. Very experienced in NaviNet.
  • Reviews assigned credit balances for appropriate refund or adjustment process and reviews refund requests from payer for a refund or appeal if Bryan Health disputes the refund request
  • Reviews coverage manager for insurance updates, applies appropriate coverages to patient visits and ensure accuracy of billing
  • Organizes and scans patient financial services documents
  • Performs timely follow-up of all outstanding claims and takes the appropriate action to ensure accurate reimbursements
  • Works claim edits and rejections daily to ensure timely and accurate reimbursement
  • Investigates reason for errors by communicating with specified department personnel and makes the necessary corrections within the system
  • Actively researches State and Federal regulations and billing guidelines to stay current to ensure compliance
  • Reviews late charges/credits; and where appropriate requests claim re-bill to complete billing process.
  • Contacts patients or employers as necessary for correct health plan information by calling or sending correspondence as needed
  • Acts as primary billing resource for assigned area; cross-trained with other billing Payers and another Critical Access Hospital
  • Follows Medical Center protocols in communicating and releasing patient information
  • Communicates new processes or changes in Medicare, Medicaid, Commercial and third party billing documentation requirements to co-workers, to include legal compliance information.
  • Performs other related projects and duties as assigned
  • Evaluates financial options, including full payment, loan program and payment contracts with patients/guarantors according to Medical Center policy
  • Researches and verifies the accuracy of patient demographic and insurance information, prior correspondence, contacts and assists with payments.
  • Screens patients/guarantors, in person or over the phone, for financial assistance, evaluates financial attachments, which may include tax forms, bank statements, and payroll stubs; analyzes all information for accuracy and makes a recommendation to Management at Bryan Health for funding
  • Researches motor vehicle accidents and tort claims to establish liability; prepares and files liability liens based upon statutory requirements
  • Analyzes collection agency and attorney payments, adjustments and charges to confirm accurate reimbursement on outstanding balances
  • Reviews and prepares write-off summaries on denied charges due to non-covered status, timely filing guidelines, appeal denials.
  • Researches patient concerns and complaints to establish resolution and responds by phone, in person or by mail correspondence within a timely manner
  • Follows Medical Center protocols in communicating and releasing patient protected health and financial information

Accounts Payable Specialist

Diamond Plastics
09.2016 - 03.2018
  • Ensured timely payments for all invoices, maintaining strong relationships with vendors and suppliers.
  • Reduced invoice processing time with accurate data entry and timely vendor communication.
  • Reached out to vendors and customers to verify information and follow up on client issues.
  • Facilitated dispute resolution between company departments and vendors regarding payment issues or discrepancies in invoicing.
  • Responsible for data entry of all trucking and vendor invoices for 7 locations in the United States
  • Weekly Check run of vendor and trucking company payments ensuring accuracy of payee details
  • Customer Service Representative for Vendor and Trucking Company inquiries and Disputes


Accounts Payable Specialist

Aurora Cooperative
05.2008 - 09.2016

Processed all Accounts Payable invoices for the company

Performed monthly Accounts Receivable and billing

Established excellent relations with over 1400 Vendors and company Mangers in five states

Performed daily data entry, check and ACH Payment processing info

Reconciled statements and accounts applying discounts

Verified State and City Sales Tax for all Vendors

Setup new vendor information in three accounting systems

Worked with computer specialists in development of a new accounting program/inventory control/speciality reports

Designed and produced a promotional mailer for vendors introducing the new accounting system

Assisted in implementation of new program on a PC/Desk Scanner

Created EXCEL spreadsheets for recurring large accounts

Performed garnishment, court order data entry and check payments

Reviewed company accounts managed by other employees, identifying sources of high error frequency and submitting recommendations to supervisors

Recovered finances of duplicate payments and incorrect payments to wrong vendors issued by other employees by professional customer service contact to these vendors

Provided professional, friendly customer service to all

Postmaster

United States Postal Service
08.1995 - 05.2008
  • Assisted customers in determining proper postal service to align with individual needs.
  • Managed all aspects of post office staffing, including hiring, training, scheduling, and performance management to ensure a high-performing team.
  • Maintained a clean and organized post office environment, ensuring smooth daily operations and optimal working conditions for employees.
  • Monitored inventory levels to ensure adequate supplies were available for daily operations while minimizing waste from overstocking items.
  • Accurate and timely sortation/delivery of mail and parcels in nine Post Offices
  • Provided retail and postage sales transactions with explanations of delivery schedules and the addition of special services
  • Supervised fourteen city route carriers, thirteen rural route carriers and nine sales and service associates
  • Maintained records of daily income, credit card reconciliations and prepared agency's bank deposits
  • Computed and prepared monthly billings for post office box rent customers, achieving a record of exceptional accuracy with collections
  • Calculated and submitted weekly time entry data for payroll processing with special attention to sick leave, family medical leave and vacations
  • Conducted and documented weekly/required safety training
  • Scheduled monthly entrance exam locations and conducted three hour exams with accurate submission of completed exams
  • Scheduled week long training sessions in Omaha NE for newly hired sales and service associates on the POS and IRT Computer Systems
  • Wrote a step-by-step instruction manual on the functions of the IRT Computer System for sales and service associates
  • Maintained cordial working relations while explaining and clarifying others' clerical errors
  • Interviewed and hired three clerical staff members
  • Managed two post offices as the Office-In-Charge during a Postmaster vacancy
  • Scheduled travel accomodations and mileage reimbursements for employees attending required training
  • Audited postal facilities in the Central Plains District for permit mailing accuracy
  • Acted as a Mystery Shopper to audit postal clerks on Customer Service and accuracy of job knowledge skills
  • Created an efficient filing system, transforming haphazard records into readily retrievable form
  • Coordinated wide range of logistics for office functions
  • Supervised repairs of office equipment
  • Ordered Supplies
  • Paid Bills
  • Ordered postage and retail products
  • Researched sources/selected new office equipment
  • Completed timely required daily, weekly, quarterly and annual reports
  • Conducted monthly clerk/postmaster and vault audits for stamps/cash

Teller/Bookkeeping Assistant

Farmers National Bank
05.1984 - 10.1989
  • Balanced cash drawer daily and resolved discrepancies to provide accurate data regarding cash flow.
  • Disbursed cash and checks accurately while maintaining security of cash drawers.
  • Balanced cash drawers daily, identifying discrepancies and taking corrective actions as needed.
  • Processed customer transactions promptly, minimizing wait times with accuracy for deposits, savings and loan payments
  • Remove deposits from night depository, count and balance cash in deposits
  • Audited and balanced vault and cash drawers monthly
  • Opened and closed depository accounts
  • Input account information on computer system; follow up to ensure accuracy
  • Sell certificates of deposit, cashier's checks and money orders
  • Order related depository supplies for bank customers
  • Scan and encode necessary documents daily
  • Assist customers with checkbook balancing
  • Answer customer inquiries concerning accounts, overdrafts, fees, etc.
  • Assist customers with access to safe deposit boxes
  • Comply with policies, procedures and regulations concerning access to safe deposit boxes and sensitive account information
  • Accept stop payment requests
  • Provide excellent customer service communication with customers, management and co-workers

Education

No Degree - Computer-EXCEL Processing

Central Community College
Grand Island, NE

No Degree - Computer Science

National College of Business
Rapid City, SD

No Degree - Secretarial Science/Math

Central Community College
Columbus, NE

High School Diploma -

Fullerton High School
Fullerton, NE
05-1979

Skills

  • HIPAA compliance
  • Claims processing
  • Patient registration
  • Insurance verification
  • Professional Customer Service
  • Regulatory Compliance

Timeline

Hospital Billing and Patient Financial Specialist

Merrick Medical Center Bryan Health
03.2018 - Current

Accounts Payable Specialist

Diamond Plastics
09.2016 - 03.2018

Accounts Payable Specialist

Aurora Cooperative
05.2008 - 09.2016

Postmaster

United States Postal Service
08.1995 - 05.2008

Teller/Bookkeeping Assistant

Farmers National Bank
05.1984 - 10.1989

No Degree - Computer-EXCEL Processing

Central Community College

No Degree - Computer Science

National College of Business

No Degree - Secretarial Science/Math

Central Community College

High School Diploma -

Fullerton High School
Karen Engel