Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Karen Tillman

Florence ,MS

Summary

Hardworking and passionate job seeker with strong organizational skills eager to utilize current skills and eager to learn new processes and skills.

Overview

20
20
years of professional experience
1
1
Certification

Work History

Provider Experience Specialist

ChiroHealthUSA
07.2017 - Current
  • Follow-up with providers within network to ensure correct information, ease of use with program, and assisting with questions or concerns within providers office monthly, quarterly, and yearly.
  • Assisted providers and members with questions regarding network on all aspects of network from compliance, fees, and general questions.
  • Assisted providers in enrollment process. I also traveled to events and seminars, when needed, to educate providers on compliance within profession.
  • Researched and resolved any questions or concerns with providers and members of network.
  • Conducted routine outreach to support understanding of policies and procedures within network.
  • Developed strong relationships with providers to increase trust within the team and network.

Billing Specialist

Medical Management Services
10.2015 - 07.2017
  • Responsible for data entry to include, claims and payment of patients and insurance companies.
  • Responsible for billing and coding of medical claims, including appeals for services denied services within timely manner.
  • Assisted patients and providers with questions and concerns related to patient accounts.
  • Review of medical charts to ensure accuracy of billing and coding procedures.
  • Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
  • Contacted patients with past due accounts for collection and to set up payment plans.
  • Billing specialties included pain management and urology. Assisted in billing of orthopedics and coding for the emergency department.
  • Assisted with provider credentialing in Medicare, Medicaid, and other insurance companies.

Billing

East Lakeland OB-GYN
10.2014 - 10.2015
  • Researched and resolved billing discrepancies to enable accurate billing.
  • Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
  • Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
  • Reviewed and reconciled customer accounts to manage accuracy of payments.
  • Set appointments for patients.

Billing Specialist

The RANE Center
02.2004 - 08.2012
  • Responsible for billing and coding of claims in the specialty of vascular surgery.
  • Verified claim payments to ensure proper payment of claims.
  • Assisted RN in daily operations in the clinic.
  • Researched and resolved billing issues on denied claims.
  • Assisted with prompt payment options and collections of past due accounts.

Education

Bachelor of Arts - Business Administration

Ashford University
Clinton, IA
08.2011

Associate of Applied Science - Accounting Technology

Hinds Community College
Pearl, MS
05.2006

Skills

  • Empathy and understanding
  • Technical proficiency
  • Interpersonal skills
  • Creative thinking
  • Training and development
  • Effective communication
  • Team collaboration
  • Attention to detail

Certification

  • Certified Professional Coder, AAPC - August 2016
  • Accounting Fundamentals, NACPB Certification - Currently in process

Timeline

Provider Experience Specialist

ChiroHealthUSA
07.2017 - Current

Billing Specialist

Medical Management Services
10.2015 - 07.2017

Billing

East Lakeland OB-GYN
10.2014 - 10.2015

Billing Specialist

The RANE Center
02.2004 - 08.2012

Bachelor of Arts - Business Administration

Ashford University

Associate of Applied Science - Accounting Technology

Hinds Community College

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Karen Tillman