Karen J. Luster
Front Office Specialist
Kennesaw,GA
Summary
Detailed, compassionate experienced Front Office Specialist- Insurance Collections Specialist with strong interpersonal and time management skills with a proven track record of positive successful results. Known for an interactive approach that encourages high visual standards, product knowledge and above all, excellent customer service. Analytical, flexible and effective in communication both verbal and nonverbal. Team Leader. SKILLS: Administrative, Problem Solving, Customer Satisfaction. Peer Training, Scheduling, Friendly, Professional, POS System, Microsoft, Data Entry, Excel Knowledgeable, Proficient in Epic System, Insurance Verification.
Overview
13
13
years of professional experience
2
2
years of post-secondary education
Work History
Front Office Specialist
Wellstar Neurology
Marietta, GA
01.2022 - Current
- Provide the highest level of customer service to all staff and clients; answer phone calls and schedule client appointments; uphold center services, procedures and policies. Greet patients upon arrival ensuring a smooth check in-check out process. Manage paperwork and collect payments. Perform accurate data entry; help ensure functionality of front office. Attend front office meetings. Assist with problem solving. Send and receive faxes and emails. Verify insurance. Run financial (PRPE) estimates for self pay as well as insurance plans with deductibles. Prep patient charts.
Insurance Revenue Cycle Collector
Ridgeview Institute
01.2020 - Current
- Responsible for timely follow up and collection of behavioral health and dependency claims from various insurance companies
- Serve as the main contact between the facility and insurance companies, and third party payers to resolve outstanding balances owed
- Handle claims, denial management, appeals and accounts receivable
- Understand managed care contracts and knowledge of current regulatory requirements to ensure accurate reimbursement
- Read and understand EOB
- Resolve credit balances within a timely manner.
Patient Intake Coordinator
Fresenius Kidney Care
01.2019 - 01.2020
- Responsible for placing patients through excellent sales and customer service skills
- Perform case management while serving as the primary liaison with referral sources, clinics and discharge planners for dialysis clients
- Obtains chair times, financial clearance through insurance verifications and medical clearance in a timely manner to ensure an expedited admissions process
- Control admissions process by answering phones and assisting callers in a professional manner
- Work closely with applicable insurance verification teams to ensure patient is financially cleared to be placed in an FKC facility
- Communicate with individual clinics as needed based on current admissions process and provides prompt scheduling of patients and forwards necessary documents and records to the appropriate receiving facilities in a timely manner
- Collaborate with facility staff and various levels of management to effectively resolve issues impacting a patient’s admissions
- Karen J
- Luster process
- Communicate to supervisor/manager any admissions denials from clinics or billing groups for further action and communication with management team.
Wellstar Health System (2011-2019)
Wellstar Health System
Marietta, Georgia
01.2011 - 01.2019
- Wellstar Pulmonary: Front Office Specialist
- Provide the highest level of customer service to all staff and clients; answer phone calls and schedule client appointments; uphold center services, procedures and policies; manage paperwork and collect payments; data entry; help ensure functionality of front office; monitor and report all training gaps or issues to Office Manager; maintain office supplies
- Attend front office meetings; take minutes; track action items; support Office Manager in day-to-day tasks; assist with special projects on a deadline; help ensure front office follow-through of tasks assigned by Office Manager; provide direct administrative support of any other duties assigned by Office Manager
- Answer multiple phone lines
- Send and receive faxes and emails
- Verify insurance
- Wellstar Float Pool Front Office Specialist
- Provide the highest level of customer service to all staff and clients; answer phone calls and schedule client appointments, manage paperwork and collect payments; help ensure functionality of front office
- Fill at different Practices / Urgent Care locations as needed
- Wellstar Community Hospice , Clinical Care Partner
- Promote a positive patient experience by partnering with the patient, family and other health care providers to provide excellence in customer service and assistance with activities of daily living and comfort measures
- Answer multiple phone lines
- Support clinical care by performing clerical functions including computer order entry, retrieval of data, maintaining unit supplies, transporting supplies/equipment/patient medications, preparing and maintaining patient charts, providing customer service and acting as the central communication source on the nursing unit and other activities as necessary
- Assign patient rooms
- Admit and discharge patients
- Wellstar Paulding Hospital Clinical Care Partner
- Perform basic patient care functions such as activities of daily living, ambulation, and vital signs
- Perform simple treatments, dressing changes, oral suctioning, and discontinuing foley catheters
- Perform clerical functions including computer entry, retrieval of data, preparing and maintaining patient charts, provide customer service and acting as the central communication source on the nursing unit and other activities as necessary.
Education
Business Management
Chattahoochee Technical College
Marietta, GA 01.2021 - Current
Skills
Problem-solving skills
undefinedTimeline
Front Office Specialist
Wellstar Neurology
01.2022 - Current
Business Management
Chattahoochee Technical College
01.2021 - Current
Insurance Revenue Cycle Collector
Ridgeview Institute
01.2020 - Current
Patient Intake Coordinator
Fresenius Kidney Care
01.2019 - 01.2020
Wellstar Health System (2011-2019)
Wellstar Health System
01.2011 - 01.2019
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