Karen Herrington
Smiths Station,AL
Summary
Strategic professional in business operations known for high productivity and efficiency in task completion. Specialize in process optimization, project management, and data analysis, ensuring streamlined workflows and enhanced operational efficacy. Excel in communication, problem-solving, and leadership, leveraging these soft skills to drive team success and achieve organizational goals.
Overview
17
17
years of professional experience
Work History
Medical Billing Coordinator
Alliance Orthopedics
Fair Lawn, NJ
09.2023 - Current
- Conducted audits of patient bills ensuring accuracy in data entry processes.
- Submitted electronic and paper claims to insurance companies.
- Investigated denied or rejected claims due to incorrect coding or lack of authorization.
- Reviewed medical records for accuracy and completeness prior to billing.
- Monitored accounts receivable status to ensure timely payments from patients or insurers.
- Worked collaboratively with other departments to resolve discrepancies on invoices.
- Identified trends in denials and underpayments through analysis of historical data.
- Resolved coding issues by working closely with healthcare providers.
- Provided customer service support regarding billing inquires and disputes.
- Checked claims coding for accuracy with ICD-10 standards.
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
- Trained new team members on company policies and accounting systems to keep team operations productive and efficient.
Claims / Billing Specialist
MSN LLC
Columbus, GA
08.2014 - 08.2024
- Using coded data to produce and submit claims to insurance companies
- Working directly with the insurance companies and the Healthcare Providers
- Reviewing and appealing unpaid and denied claims
- Verify Patient insurance
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
- Handling collections on unpaid accounts
- Maintain patient accounts by obtaining, recording, and updating personal and financial information
- Prepare correspondence between medical providers and their patients
- Quality Customer Service
- Managing each facilitys Accounts receivable reports.
- Calculated billing charges, prepared and submitted claims to insurance companies.
- Tracked changes in legislation that could affect billing procedures.
- Answered customer inquiries regarding billings, payments, account status.
Office Manager
Columbus Regional Hospital Wound Center
Columbus, GA
02.2012 - 07.2014
- Created and updated electronic health records for patients
- Ensured smooth operation of a medical facility on a daily basis
- Schedule & coordinate appointments
- Verify Patient insurance
- Maintenance of Operations by Adherence to Policies & Procedures
- Completion & Submission Insurance Claims
Head Vault Teller
Kinetic Credit Union
Columbus, Geor
09.2007 - 02.2012
- Managed cash flows
- Replenished cash for Cash Dispensing Machine
- Replenished corporate checks and money orders
- Keeping records of all in and out finances through General Ledgers and Excel Spreadsheets per location
- Mentored and trained newly hired tellers to familiarize each with job responsibilities and organizational procedures.
- Maintained communication with other departments regarding Vault matters
- Coordinated delivery of funds between branches within established timelines
- Assisted in developing new procedures for more efficient operations within the vault area.
Education
Technical Diploma In Advanced Studies -
Russell County High School
Seale, AL05.2003
Skills
- Possess Warm & Outgoing Personality
- Exceptional Telephone Etiquette
- Knowledgeable in Administrative & Clerical Task
- Reliable & Dependable; High Personal Standards & Detail Oriented
- Advanced Skill Level with MS Word, PowerPoint, Spreadsheet & Internet
- Extensive Data Entry Experience
- Accustom to Meeting Deadlines
- Excellent Monitoring, Organizational & Supervisory Skills
- Inventory & Quality Control Experience
- Records Management
- Electronic Health Record Software
- Medicaid and Medicare Knowledge
- Medical coding understanding
- Account Management
- Insurance claims processing
Contact - Summary
Highly organized and detail-oriented professional with extensive experience as a billing specialist. Proven track record of consistently exceeding performance standards while ensuring accuracy and compliance. Skilled in customer service, data entry, and researching billing discrepancies.
Timeline
Medical Billing Coordinator
Alliance Orthopedics
09.2023 - Current
Claims / Billing Specialist
MSN LLC
08.2014 - 08.2024
Office Manager
Columbus Regional Hospital Wound Center
02.2012 - 07.2014
Head Vault Teller
Kinetic Credit Union
09.2007 - 02.2012
Technical Diploma In Advanced Studies -
Russell County High School
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