Karen Sagastume
Miami,FL
Summary
Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.
Overview
5
5
years of professional experience
Work History
Medical Coding and Billing Specialist
Medical Account Services
Miami, FL
03.2019 - 08.2020
- Attained up-to-date knowledge of coding requirements through continuing education courses and certification renewal.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
- Reviewed patient charts to better understand health histories, diagnoses and treatments.
Billing/Collector
Med Care Infusion
11.2017 - 08.2018
- Verified insurance
- Followed up with patients regarding accounts payable
- Resubmitted and modified claims
- Set up payment plans
- Answered incoming phone calls
Debt Collector Specialist
Andreu Palma Lavin and Solis PLLC
04.2016 - 07.2017
- Provided innovative customer service
- Answered high volume phone calls
- Followed up with patients regarding accounts payable
- Provided complete compliance standards for Federal and State collection laws on a weekly basis
- Ran ACH payments on accounts and provide payment plans to customers/debtors.
Medical Debt Collector
One Advantage LLC
05.2015 - 06.2016
- Provided innovative customer service
- Reported to TransUnion, Experian and Equifax
- Followed all compliance regulations for collection accounts
- Assisted debtors with health insurance verification on their past due accounts
Education
Miami Jackson Senior High School
Skills
- Keyboarding 40wpm
- Customer service and management experience
- Filing
- Microsoft Office (Word, Excel,
- Outlook)
- Data analyzing
- Communicating with all levels of management
- Training new employees
- Managing billings and collections
- Accounts Receivable
- Handling cash, checks, and credit card
- Transactions
- Medical Billing Processing
Accomplishments
- Answer Multi Line phones (3-5 lines) Call center Basic Medical terminology
Timeline
Medical Coding and Billing Specialist
Medical Account Services
03.2019 - 08.2020
Billing/Collector
Med Care Infusion
11.2017 - 08.2018
Debt Collector Specialist
Andreu Palma Lavin and Solis PLLC
04.2016 - 07.2017
Medical Debt Collector
One Advantage LLC
05.2015 - 06.2016
Miami Jackson Senior High School
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