KAREN ESCHBORN
Franklin,USA
Summary
Results-driven Workers' Compensation Collector skilled in denial resolution and insurance negotiations. Manages billing accuracy and patient verification to ensure timely collections while maintaining clear communication with adjusters. Quick to adapt to new billing software and thrives in fast-paced environments.
Overview
27
27
years of professional experience
Work History
WORKERS' COMPENSATION COLLECTOR
Ancillary Management Services
Franklin, USA
01.2023 - Current
- Filed appeals for short payments and denials to secure funds
- Resolved denial issues by analyzing reasons and implementing corrective actions
- Speak to adjuster or WC carrier to clarify the issues
- Submitted requests for retroactive authorization to ensure compliance
- Compiled and reviewed aging reports, ensuring accuracy for timely follow-up
- Assisted supervisor in managing special projects to streamline operations
REIMBURSEMENT SPECIALIST
Advanced RX Management
Tampa, USA
11.2013 - 07.2023
- Managed billing and follow-up for the largest account, Panhandle Orthopaedics, with direct access to their EMR.
- Oversaw collections process for workers' compensation claims, ensuring timely resolution
- Coordinated with adjusters to secure retroactive authorizations for claims processing
- Resolved discrepancies in unpaid and short bills to facilitate accurate billing
- Reached out to provider offices to request missing information and medical notes
- Conducted training sessions for new collection team members
INDEPENDENT CONTRACTOR
Provider's Choice Medical Billing Service
Dublin, USA
04.1999 - 05.2014
- Created claims, submitted and followed up on appeals to ensure timely reimbursements
- Verify patient insurance info
- Patient statements and collections
- Entered data on charges, payments, adjustments, demographics, and coding for accurate record-keeping
- Direct patient contact regarding their balance
- Compiled client reports detailing services provided.
Education
CERTIFIED PROCEDURAL CODER -
AAPC Independent Study Program
02-1999
HIGH SCHOOL DIPLOMA -
Redbank Valley High School
New Bethlehem, PASkills
- Denial resolution
- Eligibility verification
- Insurance negotiations
- Billing accuracy
- Billing software management
- Document management
- Data analysis
- Client correspondence
- Efficient multi-tasker
- Excellent organizational skills
- Adaptability
- Quick learner
- Self-motivated
- Effective communication
Personal Information
Title: MEDICAL BILLER/REIMBURSEMENT SPECIALIST
Timeline
WORKERS' COMPENSATION COLLECTOR
Ancillary Management Services
01.2023 - Current
REIMBURSEMENT SPECIALIST
Advanced RX Management
11.2013 - 07.2023
INDEPENDENT CONTRACTOR
Provider's Choice Medical Billing Service
04.1999 - 05.2014
CERTIFIED PROCEDURAL CODER -
AAPC Independent Study Program
HIGH SCHOOL DIPLOMA -
Redbank Valley High School