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Insurance Data

Location:
Fernandina Beach, FL, 32034
Posted:
June 08, 2017

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Resume:

Karrin H. Clark

***** ****** *****

Fernandina Beach, FL.

Email: ac0q56@r.postjobfree.com

Cell Phone Number: 904-***-****

Education: University of Phoenix, Jacksonville, FL.

Bachelors of Science in Accounting; Minor in Business, 2002

Coast Georgia College (affiliation with University of Georgia)

Associate in Business Management, 1990

Work Experience:

LSF Health Systems, Jacksonville, FL

Director of Data Analytics,November 2014 – Present

Perform data trending and statistical analysis; plan, coordinate, supervise, develop, interpret, and implement new process mandated by the Department of Children and Families; act as a liaison between the Department of Children and Families and Providers; ensure data supports payments to Providers; plan, coordinate, develop, interpret, and implement ideas, suggestions for software enhancements.

River Region Human Services, Jacksonville, FL

Chief Information Officer April 2000 – October 2010 (subcontractor) October 2010 – November 2014 employee

Grant Management; data submissions to LSF Health Systems for services to support payments; data trending and analysis to ensure funding shifts made appropriately; supervision of Intake, Medical Records, and billing department; began insurance billing processes for private insurance; performed credentialing process for clinicians; policies and procedures for billing private insurance companies; worked with billing company on Medicaid billing; prepared DCF invoice based on software units.

Data Management Services, Fernandina Beach, FL.

Owner/Operator, April 2000 – July 2015

Performed corrections as needed to database tables; corrections to data submissions for billing Department of Children and Families and/or LSF Health Systems; credentialing for insurance billing for independent clinicians; insurance billing; insurance follow-up; data trending for accounts payable and receivables; data trending for services provided by agencies and independent clinicians. Billing/Credentialing for Dental, Chiropractic and Behavioral Health.

Starting Behavioral Health, Fernandina Beach, FL.

Business Office Manager/Chief Information Officer, April 2005 – October 2010

Developed tables within software for private insurance billing; policies and procedures for private, Medicaid and Medicare billing; developed and implemented credentialing processes for clinicians for insurance billing, submissions of data to Department of Children and Families, Supervision of billing (both DCF and insurance), Front Desk, Intake, Medical Records staff; prepared invoice to DCF based on data from software; reviewed data in system for timely corrections.

Robert Friedman, DMD, Fernandina Beach, FL.

Office Manager, November 2005 – October 2010

Collect and submit dental claims for processing; insurance follow-up; gather prior authorizations; weekly reports to owner on claims status through analysis.

Specialized skill sets:

Experience in Non- Profits Experience in For Profits

Credentialing for all types of insurance Private, Medicaid and Medicare billing

Experience in Medical, Dental, Hospital and Behavioral health settings

Experience with Grant and Contract Billing Contract Management

Cost Accounting Budgeting/forecasting

Financial trending/data trending/financial and data analysis



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