KARLA A. MESSENGER, A.S., C.P.C.

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

DOTHAN, AL 36303

CELL: 334-***-****, WORK DIRECT: 270-***-****

ad133i@r.postjobfree.com

Summary of Qualifications

• More than three year(s) experience working with clients (physician offices and clinics), vendors, attorneys, insurance companies and their representatives for meeting the needs of physician offices, their billing and coding practices, credentialing, obtaining fee schedules, contract language and fees.

• More than fifteen year(s) experience as a legal secretary/paralegal working with attorneys in various fields of law; real estate, family, bankruptcy, workers’ compensation and employment.

• Thorough knowledge of approved methods and practices ICD-9-CM, CPT-4 and HCPCS coding rules and guidelines.

• Knowledge of CMS 1500 completion.

• Great knowledge of the laws, regulations, and procedures pertaining state laws with regards to insurance laws, contracts, and business practices.

• Excellent general office skills including use of all MS Office product; answering of phones, filing, typing, scheduling, customer service, AR and AP; HR functions such as review of resumes, interviewing prospective employees, completing new hire documents, i.e. I-9, and all tax documents.

• Remarkable knowledge of most computer operating systems.

• Uncommon ability to work in fast paced office settings with the ability to multi-task.

• Excellent communication and human relations skills. Summary of Experience

• Innovations Start-Up & Consulting, LLP – Dothan, AL 855-***-**** January 2012 – present: Senior Partner – Credentialing and Contracting Partner in Medical Practice Opening and Credentialing/Contracting; Made sure that all physicians of practices opened were participating with Medicare, Medicaid and all commercial payers within the practice demographic.

• Physician Services Nationwide – Bowling Green, KY 270-***-**** February 2011 – July 2013 Credentialing/Contracting Specialist - Red-Line review of physician contracts; analysis of Fee Schedules; worked closely with Practice Opening Specialist to complete credentialing and contracting of payers to consult with physicians and managers on determining billed charges by specialty. Customer service to all physician clients; review of all contracts; legal research for state insurance laws; CPT code research and application; create and maintain fee schedules from insurance companies; excel spreadsheet creation of fee schedule comparison; maintained HR files and database; AR; answered phones; processed mail; assisted with credentialing.

• Health Business Navigators – Bowling Green, KY 270-***-**** From 2008 to 2011 (Moved to Dothan)

Senior Navigation Specialist

Customer service to all physician clients; review of all contracts; legal research for state insurance laws; CPT code research and application; create and maintain ContractMaster®; obtain fee schedules from insurance companies; excel spreadsheet creation of fee schedule comparison; maintained HR files and database; AR; answered phones; processed mail; assisted with credentialing.

• Draughons Junior College – Bowling Green, KY 270-***-**** From 2007 to 2008 (Graduated)

Full Time Student

Obtained Associates Degree as Medical Biller and Coder.

• Ferreri & Fogle, Bowling Green, KY 270-***-**** From 2004 to 2006 (Changed Professions)

Paralegal

Workers’ Compensation Paralegal; drafted pleadings; legal research; maintained files; answered phones; entered time for billing purposes; dictation and transcription; processed mail.

• Hughes and Coleman – Bowling Green, KY 270-***-**** From 2002 to 2004

Legal Secretary/Paralegal

Workers’ Compensation Paralegal – Employment Law Legal Secretary: drafted pleadings; heavy client interaction; legal research; maintained files; answered phones; entered time for billing purposes; accepted payments; dictation and transcription; processed mail.

Summary of Certification

• C.P.C – Certified Professional Coder (since 2008) Summary of Education

• Draughons Junior College

January 2007 to June 2008

Associates Degree: Medical Billing and Coding

• Draughons Junior College

January 1999 to May 2000

Associates Degree: Paralegal Studies

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