KAREN MEDINA
Tampa,FL
Summary
Experienced and efficient billing specialist with over 20 years of experience with outstanding problem-solving skills. Seeking career advancement as a billing specialist with strong familiarity with claim procedures, collections techniques, and customer query resolution. Great knowledge of preparing invoices, processing payments, and pursuing past-due balances.
Overview
20
20
years of professional experience
Work History
Billing Specialist
Advocate RCM
12.2023 - Current
- Follow up on past-due balances, denials, and appeals
- Submit disputes for invalid rejections as needed
- Work effectively with medical payers such as Medicare, Medicaid, and commercial insurance to obtain timely and accurate payments
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Verified accuracy of accounts payable payments, resulting in [Number]% reduction in payment errors and check reissues.
Billing Specialist
Instinct Health
06.2022 - 12.2023
- Analyzed complex explanations of the benefits of the medical plans
- Prepared billing statements for patients and verified correct diagnostic coding
- Submitted electronic and paper claims to different insurance companies.
- Verified accuracy of accounts payable payments, resulting in [Number]% reduction in payment errors and check reissues.
Billing/Collections Assistant
Rad Partners Radiology
09.2004 - 09.2022
- Follow up on past-due balances, denials, and appeals
- Submit disputes for underpayments and invalid rejections as needed
- Work effectively with medical payers such as Medicare, Medicaid, and commercial insurance to obtain timely and accurate payments
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Contributed to a positive work environment with strong interpersonal skills and proactive teamwork attitude.
- Current
Education
Robinson High School
05.1983
Skills
- Fluent in Spanish
- Fluent in English
- Problem-solving
- Attention to detail
- Advanced knowledge using Imagine Software
- Advanced knowledge using Advanced MD Software
- CPT Coding
- Insurance A/R
- Spreadsheets
- Microsoft Excel
- Aim Software
- Soho software
- Microsoft teams
- Phicure software
- Availity Software
Timeline
Billing Specialist
Advocate RCM
12.2023 - Current
Billing Specialist
Instinct Health
06.2022 - 12.2023
Billing/Collections Assistant
Rad Partners Radiology
09.2004 - 09.2022
- Current
Robinson High School
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