KAREN 2014 UPDATED RESUME
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Karen Culliver is a medical billing and coding specialist with over 20 years of experience in hospital and medical office settings. She has extensive experience with insurance billing, coding, collections and resolving rejected claims. Her most recent role was as an Insurance Resolution Specialist at Getix Health where she acted as a liaison between departments to resolve billing and reimbursement issues. She has certifications in advanced collections techniques and is proficient in various medical billing software.
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- 2. Alegent Health System - Omaha, NE Completed appropriate claims paperwork, documentation and system entry. Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills and knowledge. Reviewed and billed Workers Compensation claims with third party insurance company Researched and resolved escalated issues with claimants and employers Customer Service. Lead Medical Billing Specialist May 2002 to December 2003 Veterans Hospital - Omaha, NE Completed appropriate claims paperwork, documentation and system entry. Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills and knowledge. Lead biller over staff of 5 Billed Champion's claims for disabled veterans Reviewed and resolved issues for claimants concerning benefits Verified insurance benefits. Medical Billing Specialist October 2000 to March 2002 Dr. Nadim Zacca M.D - Houston, TX Coded and billed medical claims for non-invasive cardiology procedures. Researched newly identified diagnoses and/or medical procedures to expand skills and knowledge. Scheduled appointments, registered patients. Completed appropriate claims paperwork, documentation and system entry. Applied knowledge in Medical Record Filing Review medical records in order to determine correct billing and coding is applied Verify insurance benefits for cardiology patients applied knowledge in accounts receivable and payables. Resolved third party insurance questions issues with patients. Medical Billing and Collection Specialist September 1993 to September 2000 Nebraska Health System - Omaha, NE Billed medical claims for Surgical Anesthesia, Medicare and Blue Cross and Blue Shield of Nebraska. Completed appropriate claims paperwork, documentation and system entry. Thoroughly researched medical procedures to expand skills and knowledge. Advanced collections of past due in and out patient balances. Financial Counseling Customer Service Insurance Verification. Education and Training High School Diploma: Speech Pathology-Audiology, May 1986 Burke High School - Omaha, NE Business Management University of Nebraska at Lincoln - Lincoln, NE Bellevue University - Omaha, NE