Karen Warriner
Massena,NY
Summary
Self-Motivated and detail-oriented professional with extensive experience excelling as an Account Clerk and Lead Medical Biller. Proven ability to enhance workflow efficiency through teamwork and proactive problem-solving. Proficient in accounting and billing software, with a strong focus on accuracy and compliance in both fields of processes. Adaptable and self-motivated, committed to continuous improvement.
Overview
12
12
years of professional experience
Work History
Collections & Denials Medical Biller, Lead
St. Lawrence Health System, Canton Potsdam Hospital
01.2020 - Current
- Review patient information for completeness, verifying insurance coverage and eligibility details.
- Process medical claims using billing software to ensure accurate and timely submissions.
- Review Errors and Communicated with Coding & Revenue Integrity Depts to resolve billing discrepancies and clarify documentation requirements.
- Collaborate with team members to streamline billing procedures, enhancing overall workflow efficiency.
- Engage in ongoing, biweekly training to stay informed about industry regulations and billing best practices.
- Assist with training new employees with a wide range of skillsets.
- Be available for assistance to any team member.
Accounting, Billing, and Payroll Clerk
Highland Nursing Home, Inc.
02.2014 - 12.2019
- Processed payroll for over 100 employees; complete process from totaling hours, data entry, garnishment payments, tax payments, printing & distributing checks, etc.
- HR Duties: Background Checks on new-hires, Reference checks, Fingerprinting, New-hire paperwork & data entry, WC claims, Disability claims, Unemployment claims follow-up, Health Insurance Renewal process, Monthly OIG Exclusion Checks
- Accounts Payable, Accounts Receivable, Bookkeeping Tasks including maintaining prepaid expenses schedule, post monthly journal entries, Prepare & evaluate P&L & BS monthly - investigate any possible issues and resolve, Reconcile 5 checking accounts
- Retirement & Patient Trust Activity - Payouts, tax payments, reconciliations
- Quarterly Filing: Tax Returns (941, NYS-45, Sales Tax), Medicare Balance Report,
- Annual Reporting/Audits: Cost Report (Medicare), OMIG Audit (Medicaid),
- Medical Billing - entire process from submitting claims to follow-up and posting payments. Review Aging reports and prioritize follow-up of claims.
Education
Bachelor of Science -
Southern New Hampshire University
Hooksett, NH12-2027
Associate of Science -
SUNY Canton
Canton, NY05-2009
Skills
- Accounting & Billing software proficiency
- Teamwork and collaboration
- Problem-solving abilities
- Attention to detail
- Multitasking Abilities
- Adaptability and flexibility
- Proactive and Self-motivated
Timeline
Collections & Denials Medical Biller, Lead
St. Lawrence Health System, Canton Potsdam Hospital
01.2020 - Current
Accounting, Billing, and Payroll Clerk
Highland Nursing Home, Inc.
02.2014 - 12.2019
Bachelor of Science -
Southern New Hampshire University
Associate of Science -
SUNY Canton
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