KAREN MANZANERA
Aventura,USA
Summary
Detail-oriented Medical Billing and coding professional. skilled in ICD-10 coding and EHR systems. Proven ability to enhance billing accuracy and streamline processes, ensuring compliance with HIPAA regulations. Bilingual in English and Spanish, I excel in communication and problem-solving, consistently improving patient service and operational efficiency.
Overview
1
1
Certification
20
20
years of professional experience
Work History
Charge Entry Specialist
HCA Healthcare
Aventura, FL
04.2024 - Current
- Reviewed and posted accurate patient charges into electronic medical records and billing system, ensuring capture of all billable services.
- Assigned and and verified appropriate CPT, HCPCS,and ICD10 codes based on provider documentation.
- Reconcile charges against patient encounters and correct discrepancies.
- Identified and corrected missing, duplicate, or incorrect charges to maintain billing integrity.
- Processed payments and adjustments using advanced billing software systems.
- Engaged with insurance companies to obtain updated claim status and resolve discrepancies.
- Collaborated with providers and clinical staff to gather missing or incomplete documentation.
Front Office Administrator
MyCare Medical
Aventura, FL
07.2021 - 06.2023
- Managed front desk operations and provided excellent patient service.
- Scheduled appointments and coordinated office calendars efficiently.
- Maintained patient records using electronic health record systems.
- Trained new staff on front office procedures and best practices.
- Verified insurance eligibility of patient coverage benefits
- Obtained authorizations and precertifications for patient procedures.
- Provided financial counseling at check-in to clarify patient benefits and liabilities.
Registrar
Nicklaus Children's Health System
Aventura, FL
05.2019 - 06.2021
- performs full registration , and ensures that insurance is verified and all patient's information is correct.
- explained consent for treatment , financial liability ,and HIPPAA to patients and obtained signed forms .
- Proofread documents carefully to check accuracy and completeness of all paperwork.
- scheduled follow-up ,Managed appointment cancellations to optimize clinic workflow., and edits appointments and records no-show patients accurately.
- Answered telephone calls and responded to financial questions and inquiries.
Receptionist /. Referral coordinator
Ecc pediatrics
Doral, FL
07.2015 - 04.2019
- Verify insurance coverage, answer billing questions, Collect copay and balances
- Balances daily batches and reports; prepares income reports and statistics
- Maintains patient demographic information and data collection systems using EMR
- Obtained and process referrals, authorizations and physician orders,coordinate referrals with insurance companies , primary care providers,and specialists.
- submit and follow up on insurance claims and resolve billing issues ,collect copaymetns ,deductibles and outstanding patient balance.
- Review charges and ensure accurate documentation for billing and coding.
HR Coordinator
Lifetime Home Healthcare
Kendall, FL
12.2013 - 01.2015
- Coordinated recruitment processes for clinical and administrative positions.
- Managed employee onboarding and orientation programs for new hires.
- Facilitated training sessions on company policies and compliance standards.
- Assisted in the development of employee engagement initiatives and activities.
- Maintained HR databases and employee records with accuracy and confidentiality.
- Supported performance evaluation processes through feedback collection and documentation.
- Conducted employee onboarding activities including orientation, benefits enrollment, and new hire paperwork.
- Maintained employee records in accordance with legal requirements and company policy.
Paralegal Assistant
Punancy & Cosentino, PA
Coral Gables, FL
10.2006 - 12.2013
- Conducted legal research to support case preparation and documentation.
- Drafted legal documents, including pleadings and motions, for attorney review.
- Assisted attorneys during client meetings by taking detailed notes and providing summaries.
- Maintained contact with clients regarding case updates or changes in procedures.
- Organized case files, including maintaining filing systems, photocopying documents and scanning records into databases.
- Screened incoming calls from potential clients seeking legal advice.
- Reviewed legal documents for accuracy and completeness.
- Responded to client calls and inquiries to deliver applicable information.
- Filed pleadings and paperwork with court clerk to meet strict deadlines.
- Oversaw legal team appointments, hearings and depositions schedules.
Education
Certificate - Medical billing and coding
Penn foster
Arizona City, AZ10-2027
Bachelors - health service administration
Florida international university
Miami, dade05-2014
Associate in Arts (AA) -
Miami Dade College
Miami-Dade County, FL07-2011
Associates - Heath science
Florida National University-Main Campus
Miami, FL06-2008
High school diploma -
Hialeah-Miami Lakes Senior High School
Hialeah, FL05-2005
Certification
- CPR Certification, 10/01/23, 10/31/27
- Certified Billing and coding, 10/01/23, 10/31/27
Languages
- Spanish, Fluent
- English, Fluent
Timeline
Charge Entry Specialist
HCA Healthcare
04.2024 - Current
Front Office Administrator
MyCare Medical
07.2021 - 06.2023
Registrar
Nicklaus Children's Health System
05.2019 - 06.2021
Receptionist /. Referral coordinator
Ecc pediatrics
07.2015 - 04.2019
HR Coordinator
Lifetime Home Healthcare
12.2013 - 01.2015
Paralegal Assistant
Punancy & Cosentino, PA
10.2006 - 12.2013
Certificate - Medical billing and coding
Penn foster
Bachelors - health service administration
Florida international university
Associate in Arts (AA) -
Miami Dade College
Associates - Heath science
Florida National University-Main Campus
High school diploma -
Hialeah-Miami Lakes Senior High School