Karisma Allen
Dallas
Summary
Healthcare professional well-versed in reimbursement processes and billing practices. Known for ensuring compliance and accuracy in healthcare claims while driving operational efficiency. Committed to team collaboration and adaptable to changing needs, with expertise in medical coding and billing systems.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Reimbursement Coordinator
Cigna
Remote
03.2022 - Current
- Handled prior authorizations, verify benefits, appeal claim denials, and liaise between patients, insurers, and medical staff.
- Ensured accuracy in documentation to prevent payment delays.
- Partnered with billing and provider teams to reconcile coding discrepancies, accelerating adjudication and strengthening providerrelationships through clearer communication
Medical Coder
Blue Cross and Blue Shield
Remote
01.2020 - 12.2024
- Reviewed and coded medical records utilizing ICD-10 and CPT coding systems for accuracy.
- Ensured compliance with federal regulations and payer guidelines to minimize claim denials.
- Collaborated with healthcare providers to clarify documentation, enhancing coding precision.
- Conducted audits of coding practices, identifying areas for process improvement and training needs.
Patient Intake Coordinator
Advocate Health Care
Remote
03.2017 - 03.2021
- Coordinated insurance verification and authorization, streamlining pre-visit processes for improved efficiency.
- Assisted patients in navigating healthcare systems, providing resources for care continuity and support services.
- Facilitated patient registration process to ensure accurate data collection and compliance with healthcare regulations.
Education
Associate of Science - Health Information Technology
Mountain View College
Dallas, TX12.2022
Skills
- Prior authorization
- HCPCS coding
- Software Proficency
- Analytical Thinking
- Attention to detail
- Payer Regulations
Certification
- CCS - Certified Coding Specialist
- CRC - Certified Risk Adjuster Coder
- CPC - Certified Professional Coder
- CPB - Certified Professing Biller
Timeline
Reimbursement Coordinator
Cigna
03.2022 - Current
Medical Coder
Blue Cross and Blue Shield
01.2020 - 12.2024
Patient Intake Coordinator
Advocate Health Care
03.2017 - 03.2021
Associate of Science - Health Information Technology
Mountain View College