Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Katina Clark

East Orange,NJ

Summary

Seasoned Denial Specialist with solid experience in medical billing and insurance claims. Strong understanding of denial management processes, claim reviews, and appeals procedures. Demonstrated ability to work well under pressure while maintaining high attention to detail and accuracy. Proven record of improving efficiency within healthcare revenue cycle management

Overview

20
20
years of professional experience

Work History

Denials Specialist

Conifer Healthcare Solutions
Irving, Texas
10.2022 - Current
  • Oversaw systematic preservation and maintenance of historical medical records.
  • Performed detailed analysis to uncover discrepancies in documentation, coding, and reporting procedures.
  • Transmitted data electronically to CMS.
  • Cataloged documents to facilitate appeal rights.

Senior Account Audit Specialist

New Jersey Veterans Memorial Home
Paramus, NJ
12.2017 - 08.2022
  • Cut audit expenses by internalizing billing and coding operations for PDPM Medicare Part A claims.
  • Managed annual audit processes using QIES to maintain report accuracy.
  • Streamlined coordination efforts with healthcare staff for on-time processing of registrations.
  • Processed insurance verifications and clinical authorizations to ensure coverage of services. MSP billing. Coordinated peer-to-peer review meetings.
  • Charged expenses to accounts and cost centers by analyzing invoice and expense reports.

Senior Billing Analyst

Bright Point Health
New York, NY
11.2011 - 12.2017
  • Provided assistance with any medical billing issues that arose during check-in or check-out process.
  • Verified adherence to CMS standards for NY State Medicaid participation.
  • Processed incoming mail related to medical billing claims and payments from insurance companies, demonstrating attention to detail.
  • Executed comprehensive FQHC billing procedures for Adult Day Health Clinics across NYC boroughs.

Billing Specialist

PORT Human Services
Greenville , NC
04.2005 - 04.2010
  • Identified third-party payers to verify insurance coverage for targeted demographic groups.
  • Facilitated timely posting and management of patient payment records.
  • Handled accounts receivable tasks related to rehab, detox therapy, and mental wellness services.

Education

Associate of Science - Health Sciences

Essex County College
Newark, NJ
12-2025

Certified Billing & Coding Specialist - Revenue Cycle Managment

National Health Career Association
East Orange, NJ
08-2016

Skills

  • Appeals processing
  • Claim adjustment
  • Eligibility determination
  • ICD-10 proficiency
  • Claims analysis
  • Commercial insurance
  • Medical billing
  • HCPCS knowledge
  • Utilization review
  • Denial management
  • Documentation review
  • Medicaid guidelines
  • HIPAA compliance
  • Payment posting
  • Provider relations
  • Medical coding
  • Insurance verification
  • Medicare regulations
  • Policy analysis
  • Claims adjustment
  • Large-sum computations
  • Organizing and prioritizing work
  • Multitasking Abilities
  • Insurance rate standards
  • Allocating claims
  • Adaptability and flexibility
  • Regulatory compliance
  • Liability management
  • Multitasking capacity
  • Account management
  • Initiative-taking
  • Data entry software
  • Insurance confirmation

References

References available upon request.

Timeline

Denials Specialist

Conifer Healthcare Solutions
10.2022 - Current

Senior Account Audit Specialist

New Jersey Veterans Memorial Home
12.2017 - 08.2022

Senior Billing Analyst

Bright Point Health
11.2011 - 12.2017

Billing Specialist

PORT Human Services
04.2005 - 04.2010

Associate of Science - Health Sciences

Essex County College

Certified Billing & Coding Specialist - Revenue Cycle Managment

National Health Career Association

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Katina Clark