Karen Giegler
ac72k1@r.postjobfree.com
Objective
My objective is to use my previous work experience and skills to better the company and myself.
Professional Experience
Bay Care Medical Neuroscience Clinic
Referral Specialist – March 6, 2016 – November 02, 2018
Working physician schedule against Insurance Sights and determining if patient will need referral from Primary Care Physician
Checking demographics and adding insurance correctly before requesting referrals
Calling individual Insurance Companies and getting verbal authorizations for behavioral health
Creating / Requesting and Follow up on Referrals before date of service
Adding and attaching Referrals in patients chart / Scanning into GE
Trained for front desk to help as needed
Ryan Christensen DO LLC
Business office Management - May 2015-September 2016- Part Time – 1 Physician
Accounts Payables/Account Receivables-Invoicing, Reconciling Bank Stmt, Balancing, Deposits
Creating Demographics, Scheduling appt., Collecting Co-pays
Verifying Insurance, Authorizations, Referrals
Billing 15 patients a day – Approximately $3,000.00 a week
Posting of payments – Cash, Mail, Insurance, Electronic Checks
Refunds – Patient and Insurance Overpayments, Researching the reason for credit
Organizing Office
Waldon Family Medicine
Receptionist/Office Manager – January 2014-February 2016- Full Time- 1 Physician 1 NP
Scheduling appointments
Greeting Patients
Collecting co-pays
Billing 50 patients a day – Approximately $10,000.00 a week
Posting payments – Cash, Mail, Insurances, Electronic Checks
Referrals to other physicians and prior authorizations from insurance co. for MRI, CT etc…
Refunds Patient and Insurance Overpayments, Researching the reason for credit
AR/AP
Balancing Money
Collections
Aging Reports
Reconciling Bank Statements
Clarkston Medical Group / Clarkston Ambulatory Care
Billing Supervisor/ Assistant to CFO – May 1979-June 2012- Full Time- 15 Primary Care Physicians, 3 Nurse Practioners, 4 Physician Assistants, 12 Urgent Care Physicians
Billing 150 patients a day – Approximately $150,000.00 a week
Coding
Run Pre Bill reports for insurance and check for mistakes
Send reports to insurances, pull reports back
Posting Electronic checks
Appeals
Denials
Refunds – Insurance and Patient overpayments –Researching reason for credit- $3,000.00 a week
Posting of money collected through mail Approximately $3,000.00 a day
Aging Reports
Collections
Balancing Receptionist Drawers, Scheduling appointments, Check in, Check out
Patient Statements
Phones, Scanning, Filing, worked toward being a total paperless office
Insurance authorizations, Prior Authorizations, Referrals
Deposits
AR/AP- 3 Businesses, Reconciled all bank statements,
Transferred from paper AR/AP to QuickBooks 2004
Summary of Qualifications
I have many years experience in the billing side of Health Care. Duties included: Payment Posting (Electronic and Manual), Working rejections, Researching refunds and the reason behind the overpayments to see if it indeed needed to be refunded and how quickly, Balancing, Collections, Audits, Generating Reports, Customer Service, Prior Authorizations, Referrals, AR/AP 3 Businesses
Education
Clarkston High School
Certified Coder and Certified Office Manager 2005
QuickBooks Training
Electronic Medical Record Training
References
Ryan Christensen DO
406-***-**** Former Employer
Tom Davis – Innotech
248-***-**** Employer
Kari Gorz – Clarkston Medical Group
248-330-881 VP CMG