Karen Reed
Princeton,TX
Summary
Detail-oriented reimbursement coordinator specializing in insurance verification and claims resolution. Demonstrated success in investigating denials and ensuring compliance with healthcare regulations. Proven track record of driving improvements in reimbursement processes, resulting in increased efficiency and accuracy.
Overview
9
9
years of professional experience
Work History
Reimbursement Coordinator
US RENAL CARE
Plano, TX
05.2017 - 04.2026
- Coordinated insurance verification processes for patient reimbursements.
- Communicated effectively with patients, insurers, and internal teams regarding claims status.
- Maintained confidentiality and integrity of patient data.
- conducted research on rejections investigating issues to appeal claims.
- Determined medical necessity, using individual insurance carrier regulations.
- Advised supervisors and clinicians of billing deficiencies to support charge capture.
- Adhered to federal, state, and local laws governing health care financing activities.
- Investigated insurance denials and reported root causes to inform corrective actions.
- Maintained accurate records of all reimbursements processed in compliance with HIPAA regulations.
Reimbursement Coordinator
Next Step Recruiting
Plano, TX
12.2016 - 05.2017
- Reviewed patient accounts to assess reimbursement amounts according to insurance coverage.
- Resolved inquiries regarding reimbursement status and discrepancies in payments.
- Investigated denials from insurance companies, producing detailed reports on root causes.
- Ensured compliance with federal, state, and local laws related to healthcare financing.
- Advised supervisors and clinicians on billing deficiencies to enhance charge capture efficiency.
Education
GED -
McKinney High
McKinney, TX05-1985
Skills
- Insurance verification and eligibility
- Claims resolution and payment posting
- Explanation of benefits
- Prior authorization processes
- Bookkeeping and financial management
- Microsoft Office proficiency
- Copay collection strategies
- Commercial insurance knowledge
- Team collaboration
- Multitasking and organization skills
Timeline
Reimbursement Coordinator
US RENAL CARE
05.2017 - 04.2026
Reimbursement Coordinator
Next Step Recruiting
12.2016 - 05.2017
GED -
McKinney High