Summary
Overview
Work History
Education
Skills
EXERCISING, BIKING
Timeline
Generic

KAREN HIGHFIELD

LEE
Colliers,West Virginia

Summary

Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information. Capable Medical Billing Supervisor with [Number] years overseeing billing and coding, patient charting, insurance claims and appointment scheduling in a busy medical office setting. Reliable Medical Biller with coding and medical terminology knowledge. Polished and hardworking performer with background overseeing accounts and handling records management tasks. Team-oriented person with great decision-making skills. Competent medical billing professional manages busy medical office and delivers excellent customer service to patients. Competent [Job Title] with [Number] years of experience in handling wide variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices. Reliable and competent Medical Billing professional with exceptional data entry and customer service skills. Organized Medical Biller skilled at accurately auditing patient charts and billing corresponding parties. Organized Office Manager with noted experience in administrative management. Prioritize projects and multitask effectively to achieve project goals. Methodical and detail-oriented team player with expertise in team leadership. Offering these skills and strong work ethic. Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment. Precise Office Administrator with [Number] years of experience. Expert in [Software] and [Type] protocols with training in [Area of expertise]. Distinguished history of decreasing office spending while increasing functionality. Coordinate documentation, inventory and schedules to boost team productivity. Diplomatic and respectful team player with in-depth understanding of report preparation, spreadsheet use and invoicing. Expert in [Software] and [Software]. Capable Office Administrator with outstanding knowledge of effective office coordination with commitment to effective collaboration. Skilled at reorganizing offices for superior functionality. Certified [Area of certification] and [Job Title] versed in [Industry] administrative office management, related regulatory guidelines and [Skill]. Highly knowledgeable in areas of [Area of expertise] terminology and departmental payroll, budgeting and AP/AR activities. Skillful coordinator of staff, resources and daily operations. Organized and efficient [Job Title] supporting corporate level officers and senior management personnel with demonstrated expertise in financial and operational leadership. Adroit professional exemplifies multidisciplinary managerial skill in process, procedure and policy improvement initiatives. Accomplished in workflow optimization techniques implementation which increase productivity, reduce labor and maintain business integrity and quality of service. Driven [Job Title] offering in-depth experience in administration of vital business projects and processes. Excellent communicator and project manager with strengths in daily operations management, workflow improvements and customer service. Dynamic administrative professional and leader with [Number]+ years of experience playing key role in attaining daily objectives and long-term goals across diverse office platforms. Excel in timely and accurate processing of accounts payable and receivable and applying advanced analytical acumen. Strongly committed to raising productivity and service quality via strategic planning and allocation of resources as well as implementation of process improvements. Skilled receptionist and liaison with superior communication, computer, support and organizational skills. Organized simultaneous office functions and direct administrative personnel to meet needs of [Type] professionals. Performance-oriented and driven with in-depth understanding of budgets, payroll and office organization needs. Skillfully coordinate resources and administrative support to keep operations smooth and boost team productivity. Administrative leader offering experience prioritizing and delegating administrative tasks to drive goal achievement. Proficient in schedule coordination, resource allocation and office supply inventory management. Dedicated to training and mentoring top talent while cultivating a productive work culture. Outgoing [Job Title] with experience overseeing multiple tasks and managing employees successfully. Hardworking professional committed to providing outstanding customer service and assistance. Adaptable Office Administrator with [Number] years of background in [Skill], [Skill] and [Area of expertise]. Willing to take on new tasks with enthusiasm and considered valuable and gifted team player. Adaptable Office Administrator with [Number] years of experience with wide range of talents from travel coordination to bookkeeping. Additional experience in assisting executives and coordinating company events. Fast-learner with interest in developing new skills to better support [Industry] staff and management. Engaging [Job Title] with established talents in [Area of expertise]. Adaptable individual with skills in [Skill]. Conversational in [Language]. Interested in leadership position with company in [Industry] sector. Experienced Office Management and Administration Professional experienced optimizing productivity, efficiency and service quality across various environments. Highly dependable, ethical and reliable support specialist and leader that blends advanced organizational, technical and business acumen. Works effectively with cross-functional teams in ensuring operational and service excellence. Detail-oriented Office Administrator with commensurate experience in [Type] roles. Demonstrating advanced knowledge of [Skill] and [Area of expertise]. Leveraging strong negotiating abilities to secure compensable results in account collections, vendor contracts and talent acquisition. Dynamic and resourceful [Job Title] bringing [Type] office management expertise developed over [Number] years of experience. [Area of certification] certified with specialized knowledge in [Area of study]. Offering demonstrated leadership skills and proficiency in effective assignment distribution, schedule creation and [Software] operation.

Overview

47
47
years of professional experience

Work History

Medical Billing Supervisor

NARDONE CHIROPRACTIC NORTH
WEIRTON , WV
2007.04 - Current
  • Enforced operational compliance with state and federal laws and Joint Commission standards.
  • Maintained current accounts through aged revenue reporting.
  • Reviewed services rendered and completed to reconcile codes.
  • Complied with HIPAA privacy and security regulations to protect patients' medical records and information.
  • Researched and followed up on denied insurance claims.
  • Oversaw billing for Medicaid PCA, waiver and skilled claims, commercial insurance and private pay clients.
  • Submitted electronic and paper claims to insurance companies, Medicare and Medicaid to collect medical payments.
  • Prepared billing statements for patients and verified correct diagnostic coding.
  • Posted payments and collections on regular basis.
  • Collected payments and applied to patient accounts.
  • Reviewed patient diagnosis codes to verify accuracy and completeness.
  • Adhered to established standards to safeguard patients' health information.
  • Liaised between patients, insurance companies and billing office.
  • Managed billing calendar and scheduled claims for payments.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Trained new employees on multiple medical billing programs and data entry software.
  • Delivered timely and accurate charge submissions.
  • Filed and updated patient information and medical records.
  • Reviewed patient records, identified medical codes and created invoices for billing purposes.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Scheduled patients in Medical Manager System.
  • Posted charges, payments and write-ups for cardiovascular procedures.
  • Confirmed backup and proper storage of sensitive information in event of data breach or outage.
  • Verified proper ICD-9 coding on claims.
  • Analyzed medical records to satisfy insurance company mandates.
  • Followed up on legal claims.
  • Reviewed outgoing bills for eligibility and accurateness.
  • Assisted patients by determining financial assistance available and setting up payment plans.
  • Devised new methods to improve billing workflows.
  • Participated in workshops and other training opportunities to remain current on billing procedures, regulations and industry updates.
  • Gathered information from multiple sources to simplify billing and organize accounts.
  • Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies.
  • Set up and maintained new electronic billing system.
  • Prepared accounts with past due balances and transferred those cases to collection agency.
  • Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
  • Orchestrated medical coding, payment posting, accounts receivables and collections.
  • Posted surgical charges for practice providers.

Medical Office Manager

Gastroenterology Of Weirton Wv
Weirton , WV
2001.03 - 2007.04
  • Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing and accounts receivable.
  • Assessed processes and procedures, complying with OSHA and HIPAA regulations.
  • Communicated effectively with staff members, physicians and patients, employing active listening and interpersonal skills.
  • Provided proper scheduling of patients, ensuring timely and effective allocation of resources and calendars.
  • Implemented onboarding for new employees, which enabled each to effectively learn tasks and job duties.
  • Developed policies and procedures for effective practice management.
  • Oversaw accounting, budgeting and financial reporting.
  • Developed close working relationships with front office and back office staff.
  • Built relationships with physicians to create steady referral pipeline.
  • Addressed and remedied all patient or team member issues.
  • Leveraged patient feedback and performed continuous process improvements to streamline day-to-day business operations and patient satisfaction.
  • Created and implemented organizational policies and procedures.
  • Oversaw day-to-day business and clinical activities by establishing goals, objectives, standards of performance and policies and procedures when managing $[Amount] annual budget.
  • Developed and maintained electronic record management systems to analyze and process data.
  • Consulted with healthcare professionals on business decisions.
  • Assisted with regulatory issues such as compliance.
  • Managed [Number] employees with various personalities and from different cultures for large [Number]-physician practice.
  • Recruited, hired and educated staff on state and federal statutes on sleep service and independent diagnostic testing facility(IDTF) guidelines.
  • Performed patient assessments and contributed to development of interdisciplinary care plans.
  • Recommended ways to reduce overhead and cut printing costs, effectively saving practice $[Amount].

Medical Biller and Collections

DR AMRIK CHATTHA
WEIRTON , WV
1985.02 - 2000.03
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Reviewed patient records, identified medical codes and created invoices for billing purposes.
  • Prepared billing statements for patients and verified correct diagnostic coding.
  • Posted payments and collections on regular basis.
  • Filed and updated patient information and medical records.
  • Collected payments and applied to patient accounts.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Reviewed patient diagnosis codes to verify accuracy and completeness.
  • Managed billing calendar and scheduled claims for payments.
  • Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies.
  • Prepared accounts with past due balances and transferred those cases to collection agency.
  • Liaised between patients, insurance companies and billing office.
  • Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.

WINDOW DISPLAY

DIANA SHOP
STEUBENVILLE , OHIO
1979.06 - 1980.06
  • Solved merchandising issues and adjusted sets to create and maintain inspiring presentations.
  • Merchandised cases from backroom to sales floor to fill display units or shelves with products.
  • Inspired guests to discover solutions through compelling visual merchandising.
  • Assembled and disassembled promotional materials such as signs, banners and cardboard displays.
  • Created visual marketing and styled window displays.
  • Monitored and replenished display inventory and restructured according to available stock.
  • Enhanced overall store appearance by applying careful consideration to product and display locations.
  • Organized store merchandise racks by size, style and color.
  • Promoted seasonal products and trends to move stock and prepare for incoming inventory.
  • Created interior displays to promote products in alignment with corporate sales objectives.
  • Presented store update suggestions and layouts to management and stakeholders.
  • Arranged consistent shelves, bins and racks at [Number] locations by following established planograms.
  • Developed merchandising strategy to efficiently move overstock.
  • Completed stock orders and managed inventory levels.
  • Partnered with sales representatives and managers to coordinate delivery and merchandising schedule.
  • Updated floor design for [Number] square foot facility to more effectively present products to patrons.
  • Organized and tracked departmental receipt flow for new and reordered merchandise.
  • Traveled to market, visited vendors and assisted buyers with merchandise selection.
  • Coordinated communication with merchandise operations and vendors for PO creation and maintenance.

RETAIL SALES

CARLISLES
STEUBENVILLE , OHIO
1973.01 - 1977.05
  • Helped customers complete purchases, locate items and join reward programs.
  • Checked pricing, scanned items, applied discounts and printed receipts to ring up customers.
  • Monitored sales floor and merchandise displays for presentable condition, taking corrective action such as restocking or reorganizing products.
  • Worked closely with shift manager to solve problems and handle customer concerns.
  • Maintained clean sales floor and straightened and faced merchandise.
  • Informed customers of current store promotions to encourage additional sales purchases.
  • Used POS system to process sales, returns, online orders and gift card activations.
  • Stocked merchandise, clearly labeling items and arranging according to size or color.
  • Provided accurate information about promotions, customer programs and products, helping drive high customer retention.
  • Worked with loss prevention in monitoring shopper behavior.
  • Greeted customers and helped with product questions, selections and purchases.
  • Answered questions about store policies and addressed customer concerns.
  • Increased sales and customer satisfaction through personalized servicing.
  • Organized store merchandise racks and displays to promote and maintain visually appealing environments.
  • Balanced and organized cash register by handling cash, counting change and storing coupons.
  • Folded and arranged merchandise in attractive displays to drive sales.
  • Issued receipts and processed refunds, credits or exchanges.
  • Volunteered for extra shifts during holidays and other busy periods to alleviate staffing shortages.
  • Used consultative sales techniques to understand customer needs and recommend relevant products and services.
  • Supported efficient and timely replenishment of sales floor merchandise.
  • Opened and closed store independently and prepared nightly bank drop for manager.
  • Trained new associates on cash register operations, conducting customer transactions and balancing drawer.

Cashier Supervisor

DENMARKS
WEIRTON , WV
1970.07 - 1975.06
  • Trained and coached cashier team members on checkout procedures and strategies to maximize customer satisfaction.
  • Modeled outstanding customer service and held cashier team accountable for consistently delivering expert support.
  • Verified accuracy of daily cashier batches by checking receipts, checks and cash.
  • Backed up cashiers and customer service employees on questions such as rules on refunds and defective items.
  • Resolved customer issues for front-line and departments throughout store by employing strong operations knowledge and problem-solving abilities.
  • Replenished checkout lines with printer paper and change throughout shifts to prevent any customer service delays.
  • Met coverage demands by setting effective work schedules and breaks, and effectively delegating assignments.
  • Observed associate flow and identified areas for mentoring and retraining, as well as highlighted associates exceeding expectations.
  • Used point-of-sale productivity metrics to monitor associate efficiency and encourage improvements.
  • Shifted personnel resources based on current customer levels to consistently balance demand against operational requirements.
  • Drove staff to exceed promotional objectives by motivating closings through contests and other motivational strategies.
  • Oversaw employee performance, corrected problems and increased efficiency to maintain productivity targets.
  • Built positive relationships with customers to increase repeat business.
  • Quickly and accurately counted drawers at start and end of each shift.
  • Established objectives to offer team members clear roadmap to help company achieve overall goals.
  • Monitored areas for security issues and safety hazards.
  • Offered hands-on assistance to customers, assessing needs and maintaining current knowledge of consumer preferences.
  • Coached employees and trained on methods for handling various aspects of sales, complicated issues and difficult customers.
  • Kept orderly and accurate accounting records by monitoring sales documentation.
  • Created employee schedules to align coverage with forecasted demands.
  • Mentored team members to enhance professional development and accountability in workplace.
  • Fostered positive work environment by consistently treating all employees and customers with respect and consideration.
  • Multiplied earnings through sales goal achievement, customer service improvements and commitment to team objectives.
  • Analyzed data and profit and loss statements to compose store budget.
  • Assessed sales reports to identify and enhance sales performance, support inventory oversight and capitalize on emerging trends.
  • Recruited and retained top talent, with focus on completing timely performance evaluations, providing positive feedback and rewarding superior performance.

Education

High School Diploma -

BROOKE HIGH SCHOOL
Wellsburg, WV
1970.06 - 1970.06

Skills

Collection calls

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EXERCISING, BIKING

I LOVE A CHALLENGE!! DO 5K WALKS EVERY YEAR FOR PAST 10 YEARS.

Timeline

Medical Billing Supervisor

NARDONE CHIROPRACTIC NORTH
2007.04 - Current

Medical Office Manager

Gastroenterology Of Weirton Wv
2001.03 - 2007.04

Medical Biller and Collections

DR AMRIK CHATTHA
1985.02 - 2000.03

WINDOW DISPLAY

DIANA SHOP
1979.06 - 1980.06

RETAIL SALES

CARLISLES
1973.01 - 1977.05

Cashier Supervisor

DENMARKS
1970.07 - 1975.06

High School Diploma -

BROOKE HIGH SCHOOL
1970.06 - 1970.06
KAREN HIGHFIELDLEE