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Karen McDaniel

Name : Karen McDaniel
Experience : 25
Specialty : Mental Health,Neurology,Pediatrics,Urology,
Location : Raleigh,NC
Description :

Karen McDaniel has twenty-five years experience working in the medical field with medical claims processing and customer service.


  • Software: Excel 7.0, CT Vision, On Demand, VI Web, IMACS, PBARIACE System, Navi Net, Group Wise 5.2, Microsoft Office, Millbrooke, Misys Tiger, Medic, Lytec, Medisoft Advanced, Excel, Access, and WordPerfect
  • Knowledge of third party insurances and a variety of other insurances, such as MVA, all Blue Cross Insurances, Medicare, Medicaid, Cigna, Health Partner, and Workers Compensation
  • Experience coding in; Pediatrics, Orthopedics, Ambulatory, ENT, Hospital, Internal medicine& GI, Mental Health, Home Health, Neurology, Urology


Patient Account Representative/Business Office

  • Interfaced with medical insurance companies on a daily basis
  • Processed and recorded all Accounts Payable and Receivables for office
  • Responsible for understanding and timely follow-up on HMO, Commercial, PPO, Auto, Worker’s Compensation, Medicare, Medicaid and Champus Insurances
  • Initiated resubmissions of claim requests and obtained documentation of payment details once status is received
  • Identified billing problems and offered solutions for claim submissions resulting in claim denials or non-receipt by the insurance carrier
  • Completed contractual and other adjustments on Patient Accounts in a timely manner
  • Billing and Coding

Billing Coordinator/Supervisor

  • Prepared daily balancing, daily bank reconciliations and deposits
  • Prepared weekly and monthly reports
  • Cash management, Payroll, monthly statements, Verified insurance, Hospital billing and surgical coding
  • Credentialing, follow up on outstanding and collections, Accounts Receivable
  • Accounts Payable, File electronic claim , Used ICD-9, CPT coding
  • Knowledge of state and federal guidelines, Workers Compensation
  • Assess Patient benefits to ensure proper coverage along with obtaining the necessary authorizations to ensure payment of services


  • Certified Coding Specialist & Billing Specialist
  • Certified Nursing Assistant

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