Karen Seiler
Cincinnati,OH
Summary
Detail-oriented, organized, and motivated professional with over 10 years of experience in the revenue cycle. I am seeking a position that allows me to utilize my expertise in medical terminology, medical procedures, coding, payer policies, and revenue cycle strategies to improve revenue capture and enhance billing and coding accuracy.
Overview
26
26
years of professional experience
Work History
Revenue Cycle Representative III - Infusion Lead
TriHealth (Remote)
Cincinnati, OH
09.2015 - Current
- Responsible for onboarding new staff, staff training, and daily oversight of the infusion. Pre-Certification team across several service lines (Oncology, Non-Oncology, Office Infusion, Radiation Therapy, ESI, Sleep Studies, and VISCO's).
- Manage the PTO schedule according to business needs.
- Daily oversight of team workflow, allocation of tasks, and addressing any issues or concerns raised by team members.
- Assists the supervisor by participating in meetings, collaborating with physicians, and office staff, contributing input for employee performance evaluations, and helping to identify and implement process improvement initiatives.
- Conducts weekly staff meetings and communicates important process changes and updates.
- Delivers ongoing staff training to enhance performance.
- Able to demonstrate fluency across multiple service lines.
- Ensures ongoing compliance with departmental guidelines and provides support in relation to performance metrics.
- Maintains ongoing knowledge of organizational and payer protocols.
- Develops and adheres to scripting and documentation procedures for precertification to optimize reimbursement for the organization.
- Works on the daily dashboard to verify that all accounts are secured and authorized.
- Claim denial and analysis identify any trends warranting process improvement.
- Performs monthly team audits for quality measures.
- Updates and maintains the resource manual with material that is crucial for team success.
- Addresses quality errors in a timely manner to ensure the accurate transmission of information to billing.
- Facilitates coaching for team members and conveys quality-related concerns to staff in a constructive and positive manner.
Front Office Specialit
TriHealth Heart Institute
Cincinnati, OH
03.2014 - 09.2015
- Screened calls, facilitating efficient routing to appropriate departments.
- Welcomed and registered patients while verifying insurance information for accuracy.
- Evaluated encounter form data, managed co-payment collections, and scheduled patient follow-up appointments, testing, and other procedures as necessary.
- Executed daily bank deposits and performed end-of-day reconciliation duties.
Entered charges and receipts with high accuracy, ensuring financial integrity.
Compiled charge receipt summaries to maintain comprehensive financial records.
Front Office Specialist
TriHealth Maternal/Fetal Medicine
Cincinnati, OH
09.2013 - 03.2014
- Screened calls, facilitating efficient routing to appropriate departments.
- Welcomed and registered patients while verifying insurance information for accuracy.
- Evaluated encounter form data, managed co-payment collections, and scheduled patient follow-up appointments, testing (NST's).
- Executed daily bank deposits and performed end-of-day reconciliation duties. Entered charges and receipts with high accuracy, ensuring financial integrity. Compiled charge receipt summaries to maintain comprehensive financial records.
- Facilitated communication with outside physician office to acquire necessary medical records for patients prior to appointments.
Front Office Specialist
TriHealth - TPP Western Family Physicians
Cincinnati, OH
12.1999 - 08.2013
- Screened calls, facilitating efficient routing to appropriate departments.
- Welcomed and registered patients while verifying insurance information for accuracy.
- Managed scheduling of follow-up physician appointments
- Evaluated encounter form data, managed co-payment collections, and scheduled patient follow-up appointments, testing (CT scans, MRIs).
- Executed daily bank deposits and performed end-of-day reconciliation duties. Entered charges and receipts with high accuracy, ensuring financial integrity. Compiled charge receipt summaries to maintain comprehensive financial records.
- Inventoried and ordered all office supplies.
- Filed and prepared charts for the day.
- Scanned documents into EPIC.
- Charged encounters, added ICD-9 codes.
- Copied and charged for medical records.
- Educated new hires, office manager, and medical assistants on front desk duties and responsibilities.
Education
Court Reporting Certification - Court Reportin
Kentucky Career Institute
Florence, Kentucky05-1991
High School Diploma -
Colerain High School
Cincinnati, OH06-1987
Skills
- Understanding basic concepts of process improvement
- Familiar with CPT, HCPCS, and ICD-10 coding
- Anatomy and medical terminology proficient
- Fluent in chart notes and clinical documentation
- Exceeds daily productivity and quality goals
- Maintains collaborative and strong working relationships with payers, providers, specialists, and revenue cycle departments
- Adheres to strict deadlines, ensuring timely project completion
Affiliations
EXTRACURRICULARS
- TriHealth LifeStyles Wellness Champion 2017 - present
- Providing lifestyle improvements to team members helps ensure their overall well-being and promotes a healthier, more productive team environment.
- Ensure team members are knowledgeable about the Personify app.
Provide clear communication regarding the activities they can complete to earn credits toward the $375 benefit.
TriHealth Lifting Caregivers April 2025
- Being accessible to all TriHealth Team Members when they need to discuss challenging or difficult situations.
Timeline
Revenue Cycle Representative III - Infusion Lead
TriHealth (Remote)
09.2015 - Current
Front Office Specialit
TriHealth Heart Institute
03.2014 - 09.2015
Front Office Specialist
TriHealth Maternal/Fetal Medicine
09.2013 - 03.2014
Front Office Specialist
TriHealth - TPP Western Family Physicians
12.1999 - 08.2013
Court Reporting Certification - Court Reportin
Kentucky Career Institute
High School Diploma -
Colerain High School
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