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Manager Customer Service

Location:
Miamisburg, OH, 45342
Posted:
October 20, 2010

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Resume:

KAREN S. ROBISON

937-***-****

EMAIL ADDRESS: *******@*****.***

PROFILE

KETTERING MEDICAL CENTER NETWORK 8/29/05-Present

. Presently Refunds Representative- handling credit balance accounts

resolving credit issue by either refunding patient/insurance company

or correcting contractual. Work projects as requested. I work about

over 2,000 accounts. We have 5 hospitals with another one to be added

by the end of the year. When I first started working credit accounts

I had over 9,000 accounts this was half of what we had 18,000+

accounts. I worked the non government accounts and someone else had

the government accounts. We've added more people to our department so

we are down to about 2,000 + account per person now.

. Phone Representative-started out working as phone representative until

a position opened up. Calls mostly custom service with patient

question about accounts.

AHC, I NC 2/2005-6/2005

. Senior Claims Representative-follow up/resolve accounts received by 6

hospitals to get additional payment from the insurance company.

Request information, call insurance companies/patients for

information.

PEROT SYSTEM HEALTHCARE 9/2003-12/2004

. Consultant going into hospital in different states with a project team

to bring in more money for the hospital. We would gather information

to advise the hospital of bullet points to improve their billing,

follow up to bring in more money. The accounts I worked were

commercial, Anthem & United Healthcare. I worked previously with

this same company when it was under the name of Advanced Receivables

Strategy in 9/2000 - 12/2002. Ross Perot bought ARS out. This was a

very stressful position. Going into a hospital where the billing

office felt you were going to take over their jobs, but really we were

brought in to show them what was causing their A/R to be so high.

ZOOK CONSULTING 1/2003-5/2003

. Consultant- worked 4 months in a hospital in Florida doing the same

thing as I did with Perot System Healthcare. Also, trained hospital

employees on collections, refunds, reading EOB's, cash posting and

adjustments. Advised of problems with system and/or procedures in

collection and follow up.

ADVANCED RECEIVABLES STRATEGY, INC. 9/2000-12/2002

. Consultant-going into hospital to help clear up the hospitals account

receivables. Followed up on insurance payments verifying they paid

contract rate. Cash Posting Manager at Children's Hospital in

Minneapolis, MN with ARS. Made sure all payments and zero payments

posted, balance daily cash log, correction of errors/locating missing

payments as Cash Posting Manager. Covered for Customer Service

Manager, following up on phone calls and helped out with the Billing

Department. Recorded stats for quarterly bonus. Kept track of 12

cash posters vacation/sick leave. Meetings with other managers,

insurance representatives and hospital administrators. Keeping

spreadsheet of daily accounts posted.

MONARH MARKING 1/1999-6/2000

. Payroll clerk-posting time for employees, sort checks by department,

keep track of short term disability

MANPOWER OF DAYTON, INC 1997-1998

. Payroll clerk-data entry of time slips for temps, run payroll checks,

sort mail

SEILER/SHCARF ANESTHESIOLOGISTS, INC 1991-1996

. This is where I started my career in medical billing. Data entry of

info received from St. Elizabeth hospital. I would go over in the

morning and get patient information from St. Elizabeth hospital and

get anesthesia cards to take back to the office to add info the system

to bill out the anesthesiology charges. I also printed off claims and

statement to patients. I followed up with insurance companies on

denials and contact patient for information from patient if insurance

denied as not covered. I also requested refunds and would contact

patient for payments or set up payment plan.

Typing Speed 77 WPM

Keystrokes 10,000 +

Lapse in time is due to time in between jobs and/or working temporary

positions until I found a full time position.



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