Karina Pedroza Email & Phone Number

● Adjusted patient accounts ● Reviewed contract negotiations ● Reviewed insurance negotiations ● Correspondence ● Benefits eligibility ● Submitted appeals/reconsiderations● Translated for Spanish speaking patients● Maintained monthly reports● Responsible to turn 30+ and older balances to collections● Completed HIPPA training● Completed medical records request● Post insurance/patient payments

Fort Wayne, Indiana Area

● Scrubbed and submitted electronic/paper claims● Corrected and resubmitted any claim denials● Processed all medical records requests● Posted credit card and EFT insurance and patient payments● Set up patients on payment arrangements.● Updated all patient demographics and verified insurance coverage and benefits.● Assisted pharmacists with all prescription inquiries.● Maintained patients’ month-to-month orders● Prepared interviews and meetings● Called patients to collect debt collections● Worked with major healthcare companies (Medicare, Medicaid, UHC, BCBS..etc)● Experience in Ingenious Med, Medisoft, and Athena● Worked with EMR Systems (Epic, CPSI, and Cerner)

Fort Wayne, Indiana Area

● Maintained eligible auto insurance and demographics.● Scheduled/rescheduled/canceled daily appointments.● Kept attorneys up to date with all PI patients.● Submitted services auto insurance.● Resubmitted any denials.● Submitted medical records to insurance companies and attorneys.● Took vitals on initial visit.● Maintained a weekly plan with patients pertaining exercises & stretches on the doctors behalf.● Maintained 10-25 patients on a daily basis.● Prepared patients for the doctor.● Maintained notes in order for the doctor.● Trained future employees for over 3 weeks