Karen A. Rees

**** *. ***** ***., ************, IN 46227

cell: 317-***-****

adxg7i@r.postjobfree.com

Objective

To obtain a position within a company that will allow me to grow and expand with the company. Education

2008-2009 Sanford Brown Institute Tampa, FL

Medical Billing and Coding Specialist

* CPT, ICD-9, HCPCS Coding

* Medisoft, Medcin, Electronic Heath Records training

* Health Insurance, Reimbursement

* Scheduling, Charge entry & payment posting

1988-1992 Martinsville High School Martinsville, IN

* Business / Home Economics

Skills

* Typing 35 wpm, 10-key adding machine

* Basic Knowledge in Word and Excel, IDX, PAPERS, Soarian

* Customer Service, Work will with others, fast learner

* Certificate of Completion on: CMS Form 1500

Experience

10/2019-03/2023 Pinnacle Healthcare Consulting LLC ( Pinnacle Healthcare Revenue Solutions) Use to be Solutions Healthcare Management

Main Office - Centennial, CO 80112 - Local Office - Indianapolis, IN 46227 Cash Application Specialist - Physician side - Nephrology and OBGYN

* Cash posting/balancing all batches that start at $0.0 to $150,000.00 manually and electrically enter them in our Billing Software the client(s) uses, would finish the batch all the way through to the end.

* Would run and post Patient Credit card payment either sent from Customer Service through email or from the Lockbox from the bank.

*Work with Payor codes and unidentified payments, insurance take-backs.

*I was a back-up for several Clients if needed.

* I work with Centricity, Athena, and Epic.

* I would pull the remits or make calls to the different Insurance Companies to verify patient/payment Information when there is missing Information for them. Some examples are:

* Anthem/BCBS * United Healthcare * Medicaid * Medicare * Aetna * Tricare

*I help with researching Patients/Insurance payments to make sure the payments have been made.

*Called Insurance Companies to verify payment/patient information on payments that are being made when information is missing.

06/2013-10/2019 - Advanced Healthcare Associates, LLC (Alteon Health) Indianapolis, IN 46203

Cash Poster/Patient Account Representative/Credit Dept. - Physician side - Post Acute Care

* I work the payment posting/credits on OGOV, Managed MCR & MCD & all other Insurance Payor's, I also work the Guarantor Accounts - Research the credits to determine whether or not they need to be refunded .

* Work with Payor codes and unidentified payments, insurance take—backs.

* I work off different reports: >30 Work list, Pending Refund & Discrepancy Work list in order to work all the different credits that are created every day.

* I work with in Specialty PM Vital Works, Centricity, Athena, and gEHRIMed

* Pull remits from different Payor Websites

* I would make calls to different Insurance Companies to verify patient /payment Information when there is missing Information for them. Some examples are:

* Anthem/BCBS * United Healthcare * Value options * Medicare * Aetna * Tricare

* Manually enter Payment/Charges when needed when we were in transition between our Legacy System- Center and new system -Athena

07/2012-06/2013 Fresenius Medical Care Billing Group Indy Billing Group, Carmel, IN

Patient Account Representative/Credit Dept.

* I work the credits on OGOV, Managed MCR & MCD, I also work the Guarantor Accounts.

* Research the credits to determine whether or not they need to be refunded.

* Work with Payor codes and unidentified payments, insurance take-backs

* I work off different reports: >30 Work list, Pending Refund & Discrepancy Work list in order to work all the different credits that are created every day.

* I work with in Ecube Financial in Soarian, LazerFiche, and ViaTrack

* Pull remits from different Websites

* I do make calls to different Insurance Companies to verify patient/payment information when there is missing information for them. Some examples are:

* Anthem/BCBS * United Healthcare * Value options * Medicare * Aetna * Tricare 2/2012-7/2012 That’s Good HR/at Fresenius Medical Care Billing Group Indy Billing Group, Carmel, IN

Patient Account Representative/Credit Dept.

* I work the credits on OGOV, Managed MCR & MCD, I also work the Guarantor Accounts.

* Research the credits to determine whether or not they need to be refunded.

* Work with Payor codes and unidentified payments, insurance take-back

* I work off different reports (>30 Work list, Pending Refund & Discrepancy Work list) in order to work all the different credits that are created every day.

* I work with in Ecube Financial in Soarian, LazerFiche, and ViaTrack

* Pull remits from different Websites

* Do make calls to different Insurance Companies to verify patient/payment information when there is missing information for them. Some examples are:

* Anthem/BCBS * United Healthcare * Value options * Medicare * Aetna * Tricare 9/2009-1/2012 K-force/at Clarian Health/ IU Health Physician & Professional Revenue Cycle Services

Shadeland office, Indianapolis,

In

PFS Analyst/Cash Posting Department—Physician side

* Cash posting/balancing all batches that start at $0.0 to $150,000.00 manually and electrically enter them in our Papers and IDX system’s will finish the batch all the way through to the end.

*Work with Payor codes and unidentified payments, insurance take-backs.

*I am also one of the back-ups with Anthem/Blue Cross Blue Shield also help with Medicare.

*I help with researching Patients/Insurance payments to make sure the payments have been made,

*Called Insurance Company's to verify payment/patient information on payments that are being made when information is missing.

*I do help another department of the morning Splitting batches that came from the bank to get them ready to be sent to the scanning department so they can be posted. 2009-2009 Expert Claims (Externship) Riverview, FL Medical Billing

* Called Insurance Company's to verified patients claim status or to check on their eligibility with the company

* Worked with different web sites to verify patient eligibility and claim status on the computer (Emdeon, Availity)

* Entered new patients into Medics Elite from Practice Suite transferred their information over (address, insurance, guardian information)

* Entered Insurance payments and patients payments into Medics Elite

* Scanned paperwork from the doctor offices on their chargers and payments from the insurance companies and from the patients (EOB's) into the computer and then placed them in different folders for the different days and doctors for safe keeping and to free up space for the next month.

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