Summary
Overview
Work History
Education
Skills
Languages
Timeline

Karen Vasquez

Missouri City,TX

Summary

Motivated individual with experience in insurance collections, reconciliation and revenue recovery. Experienced in building relationships with third party vendors, buyers, and colleagues. Have strong ability to communicate with customers. Ability to recognize patterns in insurance and collections payments to avoid late payments.

Overview

9
9
years of professional experience

Work History

OR Coordinator/Business office

Memorial Hermann Hospital System TMC
11.2019 - Current
  • Provide continuous support to all members of the team in accordance with operating standards.
  • Analyze and reconcile various payments for accuracy. Track accounts and report issues to management. Reconcile vendor invoices, and create itemized statements.
  • Process claims, including late charges and generate reports and reconcile them to provide management with statistical data trends.
  • Submit medical records, reconsiderations, and appeals to insurance payors.
  • Review over/underpayment accounts per fee schedule.
  • Communicate with vendors in a timely manner to collect implant invoices.
  • Coordinates with vendors and suppliers to facilitate timely payments.
  • Provides training and education to new employees.
  • Charges monthly more than $1,000,0000.
  • Use various software programs such as Surginet, Health Quest, Anesthesia Record Viewer) to verify patient info, documents for surgical procedures, and anesthesia records.

Patient Service Representative II

Solis Mammography
06.2019 - 07.2020
  • Greet patients in a professional and friendly manner
  • Completely and accurately register patients including input of demographic and insurance information into RIS (Radiology Information System) software and verifying accuracy of existing information;
  • Explain forms to patients and assist with form completion, via paper or tablet, as necessary
  • Process necessary paperwork by scanning documents that need to be linked to patient's medical record and maintaining confidentiality
  • Responsible for collecting patient payments which can include explaining benefits given from insurance verification when necessary;
  • Escort patient to dressing area, explain dressing procedure, and report wait time if assigned
  • Prepare paperwork for future appointments incorporating additional paperwork needed for specific exams or payers as necessary
  • Ensure all diagnostic tests have required orders, request as needed, and follow up on outstanding requests
  • Schedule and reschedule patients as necessary
  • Generate daily invoice journal at end of each day and reconcile payments using Daily Reconciliation Report
  • Ability to effectively communicate information one-on-one and small group basis to pertinent individuals
  • Participate in front office training to stay abreast of front office policy and procedures.
  • Completed 80 patient registrations or more daily based on clinic needs.

Patient Access Representative II

Memorial Hermann Hospital System TMC
01.2018 - 05.2019
  • Schedules patient appointments and enters required information in the computer system in an accurate and timely manner
  • Obtains demographic, insurance and financial information from patient or guarantor
  • Enters information in computer system with a high degree of accuracy
  • Explains all required forms to the patient or guarantor and obtains the necessary signatures
  • Ensures medical necessity compliance by obtaining necessary data, reviewing Compliance System, communicating information to patient or guarantor and obtaining necessary signatures
  • Verifies insurance eligibility and benefits and ensures all notifications and authorizations are completed within the required timeframes
  • Posts payments in the computer system and generates the appropriate patient receipts.

Customer Service Representative III

Texas Department Of Public Safety
09.2014 - 01.2018
  • Meets and deals with the general public in professional and courteous manner; answers general questions pertaining to applications for various types of driver licenses and identification cards
  • Determines the legal needs and requirements of driver license and identification applicants
  • Screens applicant to ensure qualification
  • Collects appropriate license fee and prepares receipts ensures and accepts accountability
  • Receives balance with receipt issued; captures photograph of applicants their signatures and fingerprints.

Education

Bachelor of Nursing - Nursing

Western Governors University, Salt Lake City, UT
2026

Skills

  • Highly productive in fast paced environment
  • 9 years of Excellent Customer Service experience
  • Strong written and verbal communication skills
  • Experienced in use of computers, internet, and office equipment
  • Experienced in Microsoft Word, Excel, Powerpoint
  • HealthQuest
  • Anesthesia Viewer
  • Care4
  • Surginet

Languages

English
Native or Bilingual
Spanish
Native or Bilingual

Timeline

OR Coordinator/Business office - Memorial Hermann Hospital System TMC
11.2019 - Current
Patient Service Representative II - Solis Mammography
06.2019 - 07.2020
Patient Access Representative II - Memorial Hermann Hospital System TMC
01.2018 - 05.2019
Customer Service Representative III - Texas Department Of Public Safety
09.2014 - 01.2018
Western Governors University - Bachelor of Nursing, Nursing
Karen Vasquez