Kelly Karanik
Dickinson,TX
Summary
Seeking full-time position as an Office Administrator / Management Position. I have 20+ years of experience in medical billing/coding & Insurance auditing. I'm dedicated, motivated and a team player. Authorized to work in the US for any employer Dedicated Office Assistant with over 20+ successful years of clerical experience in busy office environments achieving superior levels of administrative effectiveness. Excels in telephone support and greeting arriving patients.
Overview
20
20
years of professional experience
Work History
Office Administrative Assistant
Psychiatric Medical Care
10.2022 - 07.2024
- Coordinated with healthcare providers to process and manage patient prescriptions. Ensured accuracy in prescription details and timely submission to pharmacies.
- Processed and managed prior authorization requests for medications and treatments, working closely with healthcare providers and insurance companies to obtain necessary approvals.
- Efficiently managed patient check-in and check-out processes, including verifying personal and insurance information, collecting co-pays, and updating electronic health records (EHR).
Office Manager/Administrator
Hope Physical Therapy
05.2018 - 10.2022
- Manage all front desk duties
- Update patient accounts with registration, insurance, demographic, scheduling, and billing data
- Assign/delegate duties to Physical Therapy Technicians
- Coding & Billing medical claims for reimbursement
- Follow up on insurance claim status, resolve denials & rejections, submit re-bills, re-submit claims, and file appeals
- Extensive knowledge with most Insurance Carrier's including Worker's Compensation
- Obtaining Insurance authorization's and PCP referrals when required.
Billing & Coding Specialist / Administrative Assistant
Family Practice P.A
05.2004 - 03.2018
- Reviewing patient current and past medical records, entering data into electronic medical record system
- Transcription/dictation of medical records
- Assign accurate codes to physician medical diagnosis to insure correct level of billable services
- Filing medical appeals, configuring denials, processing proper documentation for clear reimbursement
- Submission of claims to primary and secondary insurances; electronic and paper (HCFA)
- Post and reconcile insurance and patient payments
- Research EOB rejections and denials
- Clear understanding of allowable and negotiated contract rates
- Verify insurance and initiate authorizations for outpatient testing and referrals
- Managing front office duties; appointment scheduling, medical records, review patients current and aging balances
- Prioritize daily work assignments for front office staff in order to meet required deadlines
- Back office duties; Medication management, E-prescribing, Lab orders, Patient care & vitals.
Education
High school Diploma -
Clear View High School
01.2002
Skills
- Medical Billing & Coding
- Receptionist
- Microsoft Suite
- CPT Coding
- ICD-10
- Healthcare Management
- EMR/EHR Systems
- Triage
- Insurance Verification
- Supervising experience
- Prescription Management
Additionalinformation - Knowledge
- Knowledgeable in medical insurance billing procedures, electronic processing of claim transactions, CPT, ICD-9/10, HCPCS coding.
- EMR; Electronic Medical Records. (Prognosis, Allscripts, EHR, Practice Manager.)
- Broad knowledge in most major and private insurance carriers including Medicare, Medicare supplements and replacement plans, HMO, PPO, POS.
- Excellent clerical and computer skills; 65 WPM.
- Strong ability to multitask, organized, disciplined and detail oriented.
Timeline
Office Administrative Assistant
Psychiatric Medical Care
10.2022 - 07.2024
Office Manager/Administrator
Hope Physical Therapy
05.2018 - 10.2022
Billing & Coding Specialist / Administrative Assistant
Family Practice P.A
05.2004 - 03.2018
High school Diploma -
Clear View High School
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