KAREN N. ROSS
Waxhaw,NC
Summary
Dedicated Social Worker provides exceptional professional care and implements appropriate interventions. Utilizes variety of resources to identify unique needs and assist vulnerable populations. Adept at establishing strong rapport with individuals from diverse backgrounds.
Overview
22
22
years of professional experience
1
1
Certification
Work History
MSW Intern
Plexus Health Lancaster
01.2024 - Current
- Apply assessment, planning, and intervention to client cases;
- Learn about diversity issues and share experiences during supervision;
- Engage in various work assignments, and activities as part of professional development;
- Share assessment views from client session.
- Researched evidence-based practices to inform treatment strategies and improve service delivery.
- Participated in professional development and training opportunities to enhance clinical skills.
Billing and Coding
Plexus Health
01.2019 - Current
- Counsel patients regarding billing inquiries and work with them to resolve issues involving financial hardship;
- Monitor claim rejections and work to resolve including submitting appeals;
- Actively participated in departmental meetings, sharing knowledge on emerging trends in the field of medical billing and coding practices.
- Ensured accurate billing and coding practices, leading to a reduction in claim denials by 80%.
- Participated in ongoing training sessions to stay current on industry best practices for medical billing and coding procedures.
- Collaborated closely with healthcare providers to ensure accurate billing and coding practices.
MSW Intern
Bethel Shelters
01.2022 - 01.2023
- Conducted intake assessment;
- Worked directly with clients in partnership identity, set personal goals, and action plan;
- Utilized Homeless Management Information System (HMIS) to enter client data for collection, management, and reporting standards;
- Provided crisis counseling and intervention services to clients in emergency situations.
- Enhanced client satisfaction through timely follow-ups and consistent communication, addressing concerns and providing support.
Caregiver
Home Instead Senior Care
01.2020 - 01.2021
- Assisted clients with their daily activities and personal care in a variety of settings;
- Administered care plan; ensure client safety;
- Maintained detailed records regarding services rendered and changes in client health or safety;
- Communicate client health status and changes to Healthcare Agency and Family.
Auditor
Jamaica Hospital
01.2017 - 01.2019
- Responsible for regularly reviewing medical and reimbursement records to ensure services were achieving maximum reimbursement. Prepared detailed appeal letters where required and submitted with supporting documentation re medical services performed;
- Responsible for Records Management, including Medicare billing, approvals, appeals and overall Compliance.
- When requested, delivered special projects for Management.
Medical Billing, Coding and Records Management Specialist
01.2004 - 01.2017
- Associated Firms:
- North Shore LIJ Health System
- Queens/Long Island Medical Group PC
- Family Wellness Center
- Provided Client support regarding medical services options and providers, as well as billing concerns;
- Trained Physicians, support personnel, new employees, and externship program participants; re systems and procedures. Prepared training documentation;
- Responsible for Client Support, Billing, Records Management, Quality Control, Supervision and Compliance;
- Performed in-house audits to ensure execution accuracy and managed associated findings;
- Ensured Client privacy maintained re medical, billing and financial information;
- Coordinated and supervised all in office coding activities for various medical departments;
- Responsible for various facility administration activities including scheduling, referrals, bank deposits.
Education
M.S.W. -
Winthrop University
Rockhill, SC01.2024
Basic Life Support Certification - undefined
Lancaster, SC01.2024
Community - Coding & Billing Specialist - CH-CBS
01.2020
B.F.A. - undefined
Molloy College
Rockville Centre, NY01.2014
Certificate - Certified Professional Coder (CPC)
American Academy of Professional Coders
01.2008
Certificate - Medical Billing and Insurance
Computer Career Center
01.2005
A.A. - Applied Science Childcare
Nassau Community College
Uniondale, NY01.2000
Skills
- Case Management, Case Reports, Electronic Records Management, Report and Documentation Management;
- Client Advocacy, Client Plan and Treatment Goals; Client Privacy;
- Team coordination with family and health care providers;
- Team Player, Leader, and Mentor; Highly effective communicator
- Prioritization, Critical Thinking, Problem Solver and Decision-making;
- Medical Terminology, Anatomy and Physiology; Training and documentation, OSHA & HIPAA Regulations;
- Various Medical Coding and Billing applications;
Affiliations
- Active Member of the American Academy of Professional Coders
- 2010 President, Nassau Central Local Chapter
- 2009 Vice President, Nassau Central Local Chapter
- 2008 Secretary, Nassau Central Local Chapter
Certification
- Licensed [Job Title] - [Timeframe]
Timeline
MSW Intern
Plexus Health Lancaster
01.2024 - Current
MSW Intern
Bethel Shelters
01.2022 - 01.2023
Caregiver
Home Instead Senior Care
01.2020 - 01.2021
Billing and Coding
Plexus Health
01.2019 - Current
Auditor
Jamaica Hospital
01.2017 - 01.2019
Medical Billing, Coding and Records Management Specialist
01.2004 - 01.2017
Basic Life Support Certification - undefined
Community - Coding & Billing Specialist - CH-CBS
B.F.A. - undefined
Molloy College
Certificate - Certified Professional Coder (CPC)
American Academy of Professional Coders
Certificate - Medical Billing and Insurance
Computer Career Center
A.A. - Applied Science Childcare
Nassau Community College
M.S.W. -
Winthrop University