Karen Saverson
Land O Lakes,FL
Summary
Results-driven healthcare professional specializing in medical revenue cycle management, recognized for enhancing operational efficiency and maximizing revenue. Proven track record of leading teams towards achieving organizational goals through strategic planning and effective leadership. Expertise in process optimization, compliance, and financial analysis aims to contribute to a forward-thinking healthcare organization.
Dynamic operations professional with a proven ability to streamline processes and enhance efficiency, leading to notable improvements in financial performance. Adept at utilizing analytical skills and strategic planning to drive organizational growth. Committed to contributing expertise in a challenging role within a forward-thinking company.
Results-driven Medical Information and Full Revenue Cycle Management leader with 36 years of experience across various medical specialties. Expertise in managing payer relationships, clearinghouses, and EMR/PM Health Information Systems complements strong supervisory skills. Notable achievements include optimizing processes that enhance operational efficiency and significantly improve revenue performance. Committed to leveraging extensive industry knowledge to implement innovative solutions in a dynamic healthcare environment.
Overview
39
39
years of professional experience
Work History
Communication Corner and More DBA as Kids Spot
02.2019 - 01.2025
- Balanced previous day's receipts, including co-pay lists.
- Created report for missed copays to be collected
- Obtained authorization for therapy sessions from various insurance providers, including Commercial and Medicaid.
- Post all previous day’s receipts into IMS and email Kids spot and 5 Star
- Managed entry of all private payment transactions in IMS.
- Verified Medicaid eligibility on the 1st of each month for upcoming appointments.
- Request authorizations for Medicaid and Commercial insurance as per insured policy.
- Manage State of Florida Disability request for medical records and post any revenue received
- Track all Private Pay packages and post monies to accounts
- Ensured accurate routing of incoming faxes to relevant departments.
- Send Medical records request from other medical facilities (Florida Pediatric still working old AR)
- Monitored claims exceeding 90-day thresholds to confirm resolution status.
- Provided assistance regarding account-related questions through phone communication and email correspondence.
- Take payments over the phone on accounts that parents pay
- Gardiner billing – bill out claims once a week to Gardiner (Step up for Kids), also post monies received from Gardiner
- Monitored daily commercial insurance visits, ensuring accurate logging.
- Monitor and document daily ATA Medicaid visits.
- Supported office manager with various tasks as required.
- Working older AR prior to 11/01/2020 – Clean up
- Executed patient address clean up, note clean up, and old AR clean up tasks.
GE Centricity System Administrator
Florida Orthopaedic Institute
Temple Terrace, FL
08.1996 - 10.2018
- Maintained GE Centricity PM ( Now Athena IDX): Responsible for all daily operations of the Practice Management System (software and hardware)
- Manage system parameters/constants (billing formats, Face sheets, Charge tickets, Forms, Collections Plus, Task Manager, providers, users, Insurance codes, fee schedules, charges, claims, remits, eCommerce, creation and maintained custom reports, data extraction, Special programs, Statements)
- Responsible for Data verification – ensure daily system changes are accurate to company policies and procedures
- Managed and resolved helpdesk requests for efficient Centricity system functionality.
- Managed timely execution of system close activities each day and month.
- Managed implementation of system updates.
- Partnered with GE Centricity service desk to identify and resolve technical issues.
- Attended GE conferences to keep updated on GE Centricity.
Business Office Billing Manager
Florida Orthopaedic Institute
Temple Terrace, FL
01.2010 - 12.2016
- Supervised team of 5 in payment posting operations.
- Developed comprehensive policies for payment posting functions.
- Implemented performance evaluations, counseling protocols, and disciplinary measures.
- Analyzed data, detecting patterns to provide findings to management.
- Supervised incoming electronic payment transactions via 835 remit files.
Moline Orthopaedic
Moline, IL
01.1986 - 12.1996
- Data entry (entered charges and payments), medical record scanning
- Backup for the System Coordinator for daily and month system processes
- IDX ( Centricity/Athena IDX EMR)
Education
High School Diploma -
Bloomington High
Bloomington, IN09-1979
Skills
- IMS (EMR)
- Account Assessment
- Analytical Report Creation
- Revenue Cycle Optimization
- Data Validation Management
- Raintree (EMR)
- Clinical Authorization Expertise
- GE Centricity (IDX-Centricity Group Management EMR)
- System Administrator for Centricity, now Athena IDX
- HL7 Data Management
- Ecommerce Operations Management
- Analyzer – GE Report Module
- Nextech (EMR)
- Filemaker – Relational database
- AIX Command Line Operations
- RCx Rules – Integrated Claim scrubber
- Proficient in Excel Functions
- Proficient in Microsoft Word
- Proficient in Microsoft Outlook
- Proficient in Microsoft Teams
- Monarch – Report mining tool
- QAS – Address verification
References
Available upon request.
Letter Of Recommendation
Available upon request.
Skills - Systems Programs Software
- IMS – (EMR)
- Account review
- Reports
- Revenue Cycle
- Data integrity
- Raintree – (EMR)
- Therapy clinical authorizations
- GE Centricity (IDX-Centricity Group Management)
- System Administrator
- Data connect (HL7)
- Ecommerce – GE Claims Clearinghouse
- Analyzer – GE Report Module
- Nextech – EMR
- Filemaker – Relational database
- Unix – Run AIX commands
- RCx Rules – Integrated Claim scrubber
- Microsoft Office – Excel, Word, Outlook, Microsoft Teams
- Monarch – Report mining tool
- QAS – Address verification
References
References available upon request.
Timeline
Communication Corner and More DBA as Kids Spot
02.2019 - 01.2025
Business Office Billing Manager
Florida Orthopaedic Institute
01.2010 - 12.2016
GE Centricity System Administrator
Florida Orthopaedic Institute
08.1996 - 10.2018
Moline Orthopaedic
01.1986 - 12.1996
High School Diploma -
Bloomington High
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