Karen Fredrick
Glenn,TX
Summary
Dynamic Medical Billing Specialist with proven success at UTSW Medical Center, adept at reducing accounts receivable aging and resolving billing variances. Skilled in medical billing and coding, with strong communication and problem-solving abilities. Committed to enhancing client satisfaction and streamlining processes for improved efficiency.
Overview
10
10
years of professional experience
Work History
Billing Representative II
UTSW Medical Center
11.2019 - Current
- Process to insure timely billing for all Commercial/Managed Care, Champus and Workers Comp payers
- Reduce accounts receivable aging from aging to high dollar claims
- Identified and resolved billing variances to maintain system accuracy
- Analyze consecutive/combined Cancer Series/OP/IP/DS/ED related diagnosis for proper action
- Contributed to efforts to simplify billing process as necessary
- Manage late charge claim to reduce late charge write offs
Medical Billing/Collections
LabRCM
06.2019 - 10.2019
- Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.
- Adaptable individual with exceptional interpersonal skills and talent for building relationships. Known for delivering outstanding service and enhancing client satisfaction. Focused on fostering positive interactions and creating collaborative environment.
- Organized and detail-oriented with a strong work ethic.
- Developed strong communication and organizational skills through working on group projects.
- Reconciled accounts by lowering discrepancies by identifying root causes
Medical Billing/Collections
Surgical Care Affiliates Inc.
12.2016 - 06.2019
- Completed timely billing, recognizing discrepancies and promptly addressing for resolution for Ambulatory claims in Omaha Nebraska
- Exercised leadership capabilities by successfully motivating and inspiring others on working overtime projects.
- Handled contracted/non-contracted HMO,PPO,Workers Comp and third party reimbursements
- Participated in team projects, demonstrating an ability to work collaboratively and effectively
- Work all denials and appeals working closely with management
- Meet and maintain Coding standards, updates collection metrics and goals
- Manage rejections in clearinghouse
Medical Billing/Collections
Crescent Medical Center Lancaster
07.2015 - 09.2016
- Paid attention to detail while completing assignments for billing and collecting on payers such as Commercial and Managed Medicaid, Managed Medicare and Traditional Medicaid in CPSI to insure proper reimbiursement
- Gained extensive knowledge in data entry, analysis and entering missing diagnosis and physician charges for HOPD billing
- Demonstrated strong organizational and time management skills while managing multiple projects when contacting Attorneys, Insurance and patients due to MVA.
- Proven ability to learn quickly and adapt to new situations
Education
Medical Billing And Coding
Mountain View College
Dallas, TX08-2010
Skills
- Medical billing and coding
- Communication Skills & Problem Solving
- Medical/Business office administration
- Account management/monitoring
- Microsoft office
- Denials/Appeals
- HIPAA Compliance
- Quality assurance controls
- Account reviews
Accomplishments
Six Sigma Lean Training
RISE Certified Yellow Belt
Certified CPR AED
Timeline
Billing Representative II
UTSW Medical Center
11.2019 - Current
Medical Billing/Collections
LabRCM
06.2019 - 10.2019
Medical Billing/Collections
Surgical Care Affiliates Inc.
12.2016 - 06.2019
Medical Billing/Collections
Crescent Medical Center Lancaster
07.2015 - 09.2016
Medical Billing And Coding
Mountain View College
Similar Profiles
Joshua Hilliard, MS, PA-CJoshua Hilliard, MS, PA-C
ACHD Surgical Coordinator/Pediatric CT Surgery APP at UTSW Medical Center/Children's Medical CenterACHD Surgical Coordinator/Pediatric CT Surgery APP at UTSW Medical Center/Children's Medical Center
Edmundo Zarate MoraEdmundo Zarate Mora
Delivery Coordinator/Stores Clerk at UTSW Medical Center (Animal Resource Center)Delivery Coordinator/Stores Clerk at UTSW Medical Center (Animal Resource Center)
Esther RobbinsEsther Robbins
Cashier at UTSW Medical CenterCashier at UTSW Medical Center
Deborah WhiteDeborah White
Multi-Clinical Laboratory Director at BSWH Heart and Vascular HospitalMulti-Clinical Laboratory Director at BSWH Heart and Vascular Hospital
Laura JonesLaura Jones
Executive Administrative Assistant at PepsiCo/Frito LayExecutive Administrative Assistant at PepsiCo/Frito Lay