Karen Joseph
New York,NY
Summary
Highly skilled and enthusiastic professional with more than 20 years of experience managing operations in patient-centric medical offices. Successfully oversee human resources, budgeting, supply management, and patient services. Develop and lead productive and efficient office staff. Contribute to high-volume medical practices by providing exceptional customer service.
Overview
15
15
years of professional experience
Work History
Patient Accts Supervisor
Saint Barnabas Hospital
06.2019 - Current
- Includes Investigations, A/R, Ambulatory Care registrations, Financial Counseling and Cash Application
- Supervise and coordinate the activities of the billing and collection process under policies, guidelines, and systems established by the Corporation including preparation of third-party forms for billing, follow-up of collection cycle procedures, and maintenance of documentation flow for reimbursement.
- Ensure accounts have correct insurance plans and financial class, in addition, to reflecting accurate expected reimbursement amounts.
- Review periodically, admissions/discharges and Ambulatory Care cases to expedite productivity
- Review backlogs and aged cases to capture revenue to the fullest
- Review the Collection Agency Referrals process, suggest efficient approaches and methods for problem-solving and follow up
- Implement and recommend new procedures and interpret policies and procedures established
- Serve as department liaison between Patient Accounts and other departments within the hospital and/or other outside agencies
- Represent the department head at various meetings
- Prepare complex reports, data, surveys, and management information on billing, collections, accounts receivable,personal activities, and employee relations activities of the section.
- Discussed medical histories with patients in an effort to provide the most effective medical advice.
- Spearheaded and implemented new projects to expand the scope of engagement.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient privacy.
- Collected and entered patient demographic and insurance data into a computer database to establish patient medical records.
- Established and maintained effective communication with staff, physicians, and community organizations to promote high-quality patient care.
- Recruited, hired, and trained all staff, providing direct supervision, ongoing staff development, and continuing education to employees.
- Liaised with other healthcare professionals to develop comprehensive patient care plans and provide the highest quality of care.
- Designed and introduced leadership development, coaching, and team management models, resulting in the promotion of employees to increased levels of responsibility.
AR/AP Billing Coordinator
Saint Barnabas Hospital
06.2014 - 06.2019
- Works and corrects system edits related to charge entry as assigned
- Coordinates with practice personnel to resolve registration issues
- Reviews accuracy of billing documents and notifies Billing Manager of issues staff may encounter
- Maintains supporting documentation in accordance with departmental policies
- Maintains and updates tracking logs as required.
- Updated documentation, reports and spreadsheets with financial information.
- Answered telephone and in-person inquiries with friendly demeanor and full knowledge of billing department processes.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Completed appeals of denied claims on patient bills.
- Entered details into accounts and tracked payments.
- Oversaw daily operations for billing department handling $[Amount] per month in payments.
- Monitored customer accounts to identify and rectify billing issues.
- Worked with multiple departments to check proper billing information.
- Reviewed and reconciled customer accounts to manage accuracy of payments.
Medical Biller
Saint Barnabas Hospital
11.2008 - 06.2014
- Revenue management
- Knowledge of accounts receivable aging reports
- Ability to identify, investigate and resolve outstanding claims and ensure timely reimbursement
- Communicating with patients to collect outstanding balances.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Posted payments and collections on regular basis.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Adhered to established standards to safeguard patients' health information.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Delivered timely and accurate charge submissions.
Education
Bachelor of Science - Environmental Science
Lehman College of The City University of New York
The Bronx, NY05.2022
Skills
- Schedule Development
- Business Development
- Staff Management
- Process Improvement
- Strategic Planning
- Data Analytics
Apt
Apt 2i
Timeline
Patient Accts Supervisor
Saint Barnabas Hospital
06.2019 - Current
AR/AP Billing Coordinator
Saint Barnabas Hospital
06.2014 - 06.2019
Medical Biller
Saint Barnabas Hospital
11.2008 - 06.2014
Bachelor of Science - Environmental Science
Lehman College of The City University of New York
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