Administrative Support & Risk/Healthcare Professional
Resume:
KAREN R. KNIGHT
*************@*****.***
United States
PROFILE SUMMARY
Dependable, organized Administrative Assistant seeking a career utilizing experience in Risk Management or Healthcare; Integrity, team-player, initiative, excellent interpersonal skills; Open for new opportunities and willing to learn
SUMMARY OF QUALIFICATIONS
• Over 20 years of Customer Service
• Proficient in MS Word, Data Entry
• Knowledge of Worker’s Comp regulations
• Medical Insurance Claims experience
• Accounts Receivable, Collections
• Finance/Loan experience
EXPERIENCE
Methodist Orthotic & Prosthetics Meridian MS
Secretary February to Present
Greet patients upon entering the facility
Answer incoming calls
Schedule appointments, ensure all insurance, demographic and eligibility information is obtained and enter it into the system accurately.
Document progress notes to the patient’s file and the hospital computer system
Participate in ongoing training programs as requires.
RNR Tire Express Meridian, MS
Account Manager November 2020 to February 2022
Contact all customers whose Rental Agreements have expired for non-renewal and determine the customer’s need, expectation or problem.
This will most often be done by phone but may require going to the customer’s residence to either discuss their account or pick up the merchandise either at the customer’s request or as a dictated by Company Policy.
Demonstrate diligence, urgency, impartiality and consistency regarding accounts management.
Contact references on all accounts that do not return calls.
Van Zyverden Meridian, MS
National Accounts Sales January 2020 to November 2020
Work closely with manager and other members of the sales team.
Ensure delivery of excellent customer service through fast and accurate processing of orders, communication, and coordinating with other departments to resolve inquiries.
Process orders via calls from customers and sales reps email and fax.
Process drops ship orders from various suppliers.
Perform administrative duties for the sales team as directed by manager.
Complete other tasks as assigned by manager or supervisor.
Parallon Meridian, MS
Patient Benefits Advisor April 2016 to January 2020
Screen and evaluate patients for existing insurance coverage, federal and state assistance programs, or hospital charity application.
Re-verifies benefits and obtains authorization and/or referral after treatment plan has been discussed, prior to initiation of treatment.
Ensures appropriate signatures are obtained on all necessary forms.
Obtain legally relevant medical evidence, physician statements and all other documentation required for eligibility determination.
Complete and file applications. Initiate and maintain proper follow-up with the patient and government agency caseworkers to ensure timely processing and completion of all mandated applications and accompanying documentation.
Ensure all insurance, demographic and eligibility information is obtained and enter it into the system accurately. Document progress notes to the patient's file and the hospital computer system.
Participates in ongoing, comprehensive training programs as required.
Follows policies and procedures to contribute to the efficiency of the office. Covers and assists with other office functions as requested.
DIRECTV Home Services Meridian, MS
Claims Administrator July 2007 to December 2015
Assisted employees with workers compensation claims, communicating with injured employees on workers compensation requirements and responsibilities
Handled all WC claims and maintained contact with Liberty Mutual; Input OSHA claims
Communicated with HRBP and Site managers, providing information regarding the injured worker, including doctor’s notes and follow up appointments
Coordinated with employees, site manager and case manager after a lost time injury, determining if modified duty was available to accommodate the physician’s restrictions
Ensured the employee stayed within the restrictions set forth for modified work and maintained records
Communicated with council as necessary regarding claim related matters ensuring the information that was needed for settlement of claims was received in a timely manner
Kept abreast of state issues, changes, and regulations that may impact workers compensation
Trained new field supervisors and new administrators on how to report claims
Skills
Insurance Accounting, Assistants, A/R Management, Insurance claims, Workers Compensation
Insurance Adjusting, Accident Claims, Adobe Photoshop, Account Management, Worker’s
Compensation Claims
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