Karen HenryMinnich

Worked 2 assignments through Robert Half, an OBGYN and a GI office.

Both required all aspects of billing professional claims with heavy emphasis on coding claims based on physicians notes.

• Adapted quickly to new programming languages and tools as required by projects.
• Engaged in continuous learning of best practices in coding and software development methodologies.
• Maintained high coding standards by adhering to industry best practices and staying current with emerging technologies.
• Reviewed patient charts to better understand health histories, diagnoses, and treatments.
• Correctly coded and billed medical claims for various hospital and nursing facilities.

• Processed insurance claims using Epic and other billing systems to ensure timely reimbursement.
• Collaborated with healthcare providers to resolve billing discrepancies and uphold patient satisfaction.
• Streamlined billing workflows by implementing best practices, reducing errors in claim processing.
• Handled sensitive patient information responsibly, adhering strictly to privacy regulations while working efficiently.
• Verified insurance of patients to determine eligibility.
• Communicated with insurance providers to resolve denied claims and resubmitted.
• Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
• Ensured compliance with federal regulations and internal policies.
• Led initiatives to reduce claim denials and enhance collection rates.
• Reduced claim denials, maintaining thorough knowledge of Medicare regulations and guidelines.
• Identified trends in claim denials, recommending process improvements that led to reduced error rates.

• Processed Medicaid claims using advanced billing software to ensure timely reimbursements.
• Reviewed patient accounts for accuracy and compliance with federal and state regulations.
• Collaborated with healthcare providers to resolve billing discrepancies and enhance service delivery.
• Trained junior staff on Medicaid billing procedures, fostering a culture of accuracy and efficiency.
• Boosted team morale and cohesiveness by fostering a positive, supportive work environment for all billing department staff members.
• Contributed to successful annual state audits by maintaining accurate records and thorough documentation of all Medicaid billings activities.
• Coordinated with other departments to ensure seamless integration of coding, patient registration, and claim submission processes for optimal efficiency in Medicaid billing operations.
• Achieved timely reimbursements for services rendered by closely monitoring aged accounts receivables reports and taking appropriate action as needed.
• Upheld the highest standards of integrity and ethical conduct in all Medicaid billing activities, ensuring compliance with state regulations and organizational policies.