Summary
Overview
Work History
Education
Skills
Timeline
Generic

KAREN FORBES

Loris,SC

Summary

Results-driven Insurance Specialist offering 10 years proven success in maximizing reimbursement from wide range of insurance providers. Accomplished in improving accounts receivable and account management when providing exceptional service to patients. Eager to bring talent and expertise to growing Dental organization. Responsible, flexible and hardworking with the drive to succeed.

Overview

13
13
years of professional experience

Work History

Business Assistant

Heartland Dental
09.2022 - Current
  • Scheduled and cancelled appointments for dental patients.
  • Greeted visitors and patients to determine needs, check appointments and direct accordingly.
  • Prepared insurance claim forms, explained benefits and outlined pricing details for procedures and services.
  • Adhered to strict HIPAA guidelines to protect patient privacy.
  • Secured dental charts and encounter forms to safeguard sensitive data and information.
  • Completed patient referrals to other medical specialists.
  • Obtained payments from patients & Insurance, scanned identification and insurance cards.
  • Assessed data and information to verify entry, calculation and billing code accuracy.
  • Verified deposits, rectified discrepancies and processed end-of-day paperwork using Dentrix with accuracy.
  • Submitted cash and check deposits and generated cash receipts to record money received.
  • Responded to inbound inquiries regarding accounts and payments.
  • Reconciled accounts receivable ledger to verify payments and resolve variances.
  • Handled account payments and provided information regarding outstanding balances.

Sales Brand Ambassador

ZeNa Agency & Team Enterprises
05.2021 - Current
  • Promote various drinks with products to help contribute for increased sales at bars and stores. Educated customers about the brand to incite excitement about the company's mission and values.
  • Analyzed consumer usage patterns to identify trends and target key demographics.
  • Planned and organized sampling events by working hand-in-hand with retail store managers and leaders.
  • Used Microsoft Word and other software tools to create documents and other communications.
  • Worked flexible hours; night, weekend, and holiday shifts.
  • Maintained excellent attendance record, consistently arriving to work on time.

Insurance Coordinator

Coastal Eye Group
04.2018 - 07.2022
  • Carried out administrative tasks by communicating with clients, distributing mail and scanning documents.
  • Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
  • Posted payments to accounts and maintained records.
  • Generated, posted and attached information to claim files.
  • Prepared insurance claim forms or related documents and reviewed for completeness.
  • Checked documentation for accuracy and validity on updated systems.
  • Communicated effectively with staff members of operations, finance and clinical departments.
  • Obtained prior authorization and precertification for outpatient procedures.
  • Verified insurance and communicated coverage to staff and patients.
  • Reviewed accounts receivable reports and weekly/monthly financial reports.
  • Obtained data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims.

Receptionist, Optometrist Assistant

Highland Optometry
02.2017 - 08.2017
  • Conducted visual field tests to measure field of vision. Accurately measured bridge and eye size, vertex distance, temple length, pupillary distance and optical centers of eyes.
  • Helped patients select frames according to desired style and color. Recommended lenses, lens coatings and frames to suit client needs.
  • Confirmed appointments, communicated with clients and updated client records.
  • Managed multiple tasks and met time-sensitive deadlines.
  • Provided clerical support to company employees by copying, faxing and filing documents.
  • Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
  • Kept reception area clean and neat to give visitors positive first impression.
  • Sorted, received and distributed mail correspondence between departments and personnel.

Registrar/Admissions & Switchboard Operator

Mid-Hudson Regional Hospital of Westchester Medical Center
06.2015 - 05.2016
  • Document all information necessary to complete registration and admission.Provide excellent customer service.
  • Utilizes Appropriate systems to obtain missing registration data elements where appropriate.
  • Utilizes online resources to confirm insurance coverage and eligibility.
  • Collect all copays due at time of visit.
  • Recept all patients coming in by personal vehicle, ambulance & law enforcement. Obtain all signatures on consents required during visit. Provide appropriate forms that pertain to each patient.
  • Provide each patient with privacy rights and Bill of rights.

Sales Brand Ambassador

Tasteful Experience
07.2010 - 11.2015
  • Promote various drinks with products to help contribute for increased sales at bars and stores. Educated customers about the brand to incite excitement about the company's mission and values.
  • Planned and organized sampling events by working hand-in-hand with retail store managers and leaders.
  • Analyzed consumer usage patterns to identify trends and target key demographics.
  • Successfully maintain clean, valid driver's license and access to reliable transportation.
  • Maintained energy and enthusiasm in fast-paced environment.
  • Maintained excellent attendance record, consistently arriving to work on time.
  • Worked flexible hours; night, weekend, and holiday shifts.

Education

Ulster Boces School of Practical Nursing
2015

High School Diploma -

Valley Central High School
2004

Skills

  • Memorization and Recall
  • Documentation and reporting
  • Professional demeanor
  • Verbal and written communication
  • Time management
  • Organization skills
  • Administrative support
  • Scheduling
  • Insurance Knowledge, Claims & Denial Processes
  • Customer service and assistance
  • Accounts Receivable
  • Problem-solving
  • Medical billing and ICD-10 coding
  • Proficient in Microsoft Word & Excel
  • Prior authorization processing

Timeline

Business Assistant

Heartland Dental
09.2022 - Current

Sales Brand Ambassador

ZeNa Agency & Team Enterprises
05.2021 - Current

Insurance Coordinator

Coastal Eye Group
04.2018 - 07.2022

Receptionist, Optometrist Assistant

Highland Optometry
02.2017 - 08.2017

Registrar/Admissions & Switchboard Operator

Mid-Hudson Regional Hospital of Westchester Medical Center
06.2015 - 05.2016

Sales Brand Ambassador

Tasteful Experience
07.2010 - 11.2015

Ulster Boces School of Practical Nursing

High School Diploma -

Valley Central High School

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