Karen Lakomec
Pinebluff,NC
Summary
I have been in the medical billing and compliance industry since 2010 where I have medicated loss and increased profits for the companies I have been employed with. I understand the importance of accurate record retention for medical record keeping and billing. I have built relationships with billing companies and medical professionals across south eastern NC. I am currently leading a team of specialists were I oversee quality control for Mobile Integrated Health for Novant Health.
Overview
15
15
years of professional experience
Work History
Transport Billing Specialist
Novant Health New Hanover Regional Medical Center
07.2015 - Current
- Responsible for maintaining knowledge of all current federal and state rules, regulations and guidelines related to mobile integrated health (ambulance, air medical and non-transport pre-hospital care) coding and billing.
- Ensures all charts are are accounted for as well as complete with and correct for all documentation necessary for reimbursement purposes(i.e PCS forms, AOB, ABN, Pre-authorization, EMTALA) before submission to the billing partner.
- Create patient medical record numbers and/or encounters such that prehospital records align with network electronic medical record.
- Primary contact with aviation services billing departments and ensures accuracy and timely processing of air medical records.
- Responsible for maintaining departmental compliance audit scores at a passing level.
- Ensures all insurance-require prior authorizations are processed submitted before or the same day as patient transport.
- Collaborate with direct patient care professionals regarding documentation that supports the need for ambulance service, etc according to CMS and departmental guidelines. Collaborates with the Regional Transfer Center, Case Management, Compliance and other applicable areas as needed.
- Educates clinical teams on CMS requirements and documentation expectations as needed, Prepares in-services as needed or as requested by the manager to internal and external partners. Responsible for training of new Transport Billing Specialists,
- Research and resolved billing discrepancies to enable accurate billing. Assist with billing inquiries and provided timely responses to enhance customer satisfaction. Monitor customer accounts to identify and rectify billing issues.
Regional Communication Specialist
Novant Health New Hanover Regional Medical Center
03.2013 - 10.2015
- Communicated with EMS personnel from around the region, Emergency Department staff, physicians, outlying medical facilities/physicians offices, and 911 Centers to collect and document pertinent patient transport information.
- Answered emergency and non-emergency transport radio and telephone calls and uses standard work to document and promptly share information with appropriate staff.
- Operated transmitting and receiving two-way radio console, weather radar system, computer database, mapping system and related equipment as designed.
- Ensured effective communications are maintained between pre-hospital and hospital teams.
- Connected pre-hospital providers to appropriate hospital staff with in the hospital system.
- Communicated with ED charge nurse to maintain current knowledge of bed availability and coordinates appropriate bed assignments for patients entering department as necessary.
- Activates symptom codes and alerts for time sensitive patients and disaster scenarios as per standard work and policy. Maintained awareness of all communication systems.
Owner
Alliance Management Services
06.2012 - 12.2013
- Maintained REO(Real Estate Owned) propertied for multiple banks, HUD, Fannie Mae.
- Responsible for lawn maintenance, property inspections, winterization, lock changes and hazard claims.
- Maintained employee payroll and files. Ensured job completion rate at 98% on time.
- Managed multiple crews and crew chiefs. Provided quality control of properties and inspections.
Quality Assurance Manager
First Med EMS
11.2010 - 12.2013
- Liaison for major medical providers to skilled nursing facilities and hospitals by building a network base with key personnel in senior management staff.
- Trained appropriate personnel on Medicare/Medicaid guidelines for ambulance services.
- Monitored saturation of territory via the dispatch software, updated spreadsheets for upper management for utilization.
- Assisted the billing department with collecting over due statements from facilities.
- Contract negotiations between facilities and upper management.
- Addressed complaints from facilities , handled the complaint directly or addressed it with senior staff.
Loan Assistant
First Bank
08.2008 - 10.2010
- Processed loan documents for commercial and consumer loans.
- Monitored insurance policies, expiration dates, updated financials.
- Completed lien searches and lien filings as well as credit checks.
- Answered incoming calls, directed calls to appropriate personnel. Set up appointments for the VP of Development.
Education
Associate of Science - Science
SUNY Broome Community College
Binghamton, NYSkills
- Proficiency with Word and Excel
- Working knowledge of medical terminology, clinical medical concepts, human anatomy and physiology
- Experience in EMS patient care charting and EPIC eMR systems
Timeline
Transport Billing Specialist
Novant Health New Hanover Regional Medical Center
07.2015 - Current
Regional Communication Specialist
Novant Health New Hanover Regional Medical Center
03.2013 - 10.2015
Owner
Alliance Management Services
06.2012 - 12.2013
Quality Assurance Manager
First Med EMS
11.2010 - 12.2013
Loan Assistant
First Bank
08.2008 - 10.2010
Associate of Science - Science
SUNY Broome Community College
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