Looking for a job

Karen Karen Rodriguez

@karenkarenrodriguez

Medical Billing Specialist at HANSEI SOLUTIONS reviewing insurance eligibility, claims, and denials.

At HANSEI SOLUTIONS, I review patient insurance eligibility and benefits before claim submission, and check claims data for accurate coding and documentation.

Previously, at AMS SOLUTIONS and SIMITREE SOLUTIONS, I reviewed coded services, corrected denied claims, and entered patient payments. I also identified billing trends and worked to ensure claims followed payer guidelines and HIPAA requirements.

Experience

Work history, roles, and key accomplishments

Current

Medical Billing Specialist

Current

Hansei Solutions

Jan 2024 - Present (2 years 9 months)

Review and validate patient insurance eligibility and benefits prior to claim submission using electronic verification tools. Accurately enter and review claims data to ensure proper coding, charge capture and documentation before submission.

Medical Billing Insurance Verification Claims Processing CPT ICD 10 HCPCS Denial Management HIPAA Reporting

AR and Billing Specialist

AMS Solutions

Jun 2023 - Oct 2024 (1 year 4 months)

Review coded services and identify errors before submitting claims to insurance companies. Review denial management and submit proper corrections needed.

Accounts Receivable Medical Billing Denial Management Claims Processing HIPAA Payment Posting

AR and Billing Specialist

Simitree Solutions

Jan 2019 - Dec 2023 (4 years 11 months)

Review coded services and identify errors before submitting claims to insurance companies. Review denial management and submit proper corrections needed.

Accounts Receivable Medical Billing Denial Management Claims Processing HIPAA Payment Posting