Summary
Overview
Work History
Education
Skills
Timeline
Generic

Karen Roach

Catonsville,MD

Summary

Hardworking Billing Manager proficient in overseeing team operations, implementing improvements and reducing delinquency. Offering 48 years of experience in Medical Billing and excellent skills. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.

Overview

48
48
years of professional experience

Work History

Billing Manager

The Pediatric Center, LLC
11.2001 - 03.2023
  • Reviewed billing problems, researched issues, and resolved concerns.
  • Trained and mentored staff on procedures, compliance requirements, and collections techniques.
  • Worked with customers to develop payment plans and bring accounts current.
  • Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
  • Performed testing for billing modules, enhancing new functionality and process improvements.
  • Conducted performance reviews and implemented improvement plans.
  • Established internal audit procedures to validate and improve accuracy of financial reporting.
  • Analyzed business processes to identify cost savings and operational efficiencies.
  • Developed strategic plans for day-to-day financial operations.

Medical Billing Manager

Seton Medical Group
10.1998 - 11.2001
  • Worked with customers to develop payment plans and bring accounts current.
  • Reviewed billing problems, researched issues, and resolved concerns.
  • Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
  • Performed billing, collection, and reporting functions for office generating over $1,000.000 annually.
  • Trained and mentored staff on procedures, compliance requirements, and collections techniques.
  • Established and checked coding procedures, monitored reports and updated internal files.
  • Developed strategic plans for day-to-day financial operations.
  • Supported financial director with special projects and additional job duties.

Billing Representative

The Pediatric Center, LLC
01.1979 - 10.1998
    • Reviewed and solved account and billing discrepancies.
    • Assessed accounts for payment status and reached out to customers.
    • Coordinated with intermediate parties to obtain payments and resolve issues.
    • Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
    • Identified, researched, and resolved billing variances to maintain system accuracy and currency.
    • Received incoming information and entered into database system.
    • Performed quality assurance evaluations of processes and previous bills.
    • Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
    • Researched and resolved billing discrepancies to enable accurate billing.

Billing Representative

The Pediatric Center, LLC
10.1974 - 01.1979
    • Reviewed and solved account and billing discrepancies.
    • Assessed accounts for payment status and reached out to customers.
    • Coordinated with intermediate parties to obtain payments and resolve issues.
    • Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
    • Identified, researched, and resolved billing variances to maintain system accuracy and currency.
    • Received incoming information and entered into database system.
    • Performed quality assurance evaluations of processes and previous bills.
    • Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
    • Researched and resolved billing discrepancies to enable accurate billing.

Education

No Degree -

CCBC
Catonsville, MD

High School Diploma -

Catonsville High School
Baltimore, MD
06.1971

Skills

  • Plan Budgets
  • Risk Assessment and Classification
  • Financial Reporting and Analysis
  • Interest Calculations

Timeline

Billing Manager

The Pediatric Center, LLC
11.2001 - 03.2023

Medical Billing Manager

Seton Medical Group
10.1998 - 11.2001

Billing Representative

The Pediatric Center, LLC
01.1979 - 10.1998

Billing Representative

The Pediatric Center, LLC
10.1974 - 01.1979

No Degree -

CCBC

High School Diploma -

Catonsville High School
Karen Roach