Karen Alex

Supervise and lead the billing team, work closely with the authorization team to ensure that all authorization requests are submitted and received accordingly Process and submit medical claims including Medicaid and commercial insurances for 95-bed inpatient behavioral health hospital and the hospital intensive outpatient clinic Conduct ongoing training with team members to maintain knowledge and understanding of current processes

Business Office Manager - Destiny Springs Healthcare - Surprise, AZ

(2023-02)

• Supervise and lead the billing team, work closely with the authorization team to ensure that all authorization requests are submitted and received accordingly
• Process and submit medical claims including Medicaid and commercial insurances for 95-bed inpatient behavioral health hospital and the hospital intensive outpatient clinic
• Conduct ongoing training with team members to maintain knowledge and understanding of current processes
• Monitor and adjusted payer plans to ensure all payer plans, billing codes and invoices are correct and populate invoices accurately for timely billing
• Process EOM, write-offs, revenue adjustments, refunds, and cash posting to accounts in a timely manner
• Run, review and format reports and provide updates to upper management

Revenue Cycle Team Lead - ResCare Home Care - Phoenix, AZ

(2021-07 - 2023-02)

• Manage the 8-member billing team including self-pay, private pay, long term care insurance governmental and VA payers in 10 states for home care services as well as the residential/community living billing team including Medicaid and governmental payers processing more than $50M per month
• Provide revenue reports, payment back up and aging reports to various teams as needed. Perform revenue analysis and provide information on billing rates and revenue trends
• Monitor for rejections in clearing house and coordinate with collections teams to resolve denial issues to ensure payment of claims
• Work closely with the IT department to ensure all payer plans, billing codes and invoices are correct and populate invoices accurately for timely billing
• Interview, hire and train new team members. Organize and conduct team meetings and team building activities

Head Cashier - Lowe's Home Improvement

(2022-02 - 2022-09)

• Manage front end cashiers to ensure customer's experience is positive, provide excellent customer service and by assisting customers and addressing any issues
• Provide supervision, coaching and support to the front-end team
• Manage all checkout functions and refunds, monitor cash drawers and maintain checkout area
• Oversee coverage of registers and store supply as well as perform opening and closing duties
• Provide overrides, unlock product, administer breaks and assist the return center

Revenue Cycle Manager - Team Select Home Care - Phoenix, AZ

(2019-06 - 2020-08)

• Supervised and led the home care billing team including Medicaid and commercial insurance for 9 branches in 4 states, managed team to ensure all billing was processed and submitted to payers weekly
• Supervised authorization team and medical records team to ensure that all authorization requests and orders were submitted and received accordingly
• Conducted monthly accounts receivable conference calls with executive directors, regional managers and branch managers to communicate on all accounts and updated payment status
• Conducted ongoing training with all teams to maintain team knowledge and understanding of current processes
• Monitored and adjusted payer plans to ensure all payer plans, billing codes and invoices were correct and populated invoices accurately for timely billing
• Processed write-offs, revenue adjustments, refunds, and cash posting to accounts in a timely manner
• Completed provider enrollment and set up EFT and ACH with new payers

Revenue Cycle Supervisor - ResCare Home Care - Phoenix, AZ

(2014-03 - 2019-05)

• Managed the private pay billing team including self-pay, private pay, long term care insurance, governmental and VA payers in 10 states
• Organized and conducted monthly accounts receivable conference calls with executive directors, regional managers and branch managers to communicate on all accounts and payment status
• Worked closely with the IT department to ensure all payer plans, billing codes and invoices were correct and populated invoices accurately for timely billing
• Accurately processed billing of $550K+ per month, invoicing home health care services for 12 branches in 3 states
• Analyzed data and revenue, provided monthly reports with recommendations on billing rates
• Completed the verification of insurance benefits, submitted invoices to insurance companies accordingly
• Processed write-offs, revenue adjustments, refunds, and cash posting to accounts in a timely manner
• Selected as employee of the month multiple times

Accounts Payable Processor - Royal Personnel/Discount Tire - Scottsdale, AZ

(2013-08 - 2014-03)

• Efficiently processed invoices within a 30-day period, obtained proof of delivery, entered invoices into general ledger, filed claims with vendors
• Effectively communicated with stores regarding inventory and deliveries, resolved discrepancies ensuring attention to detail
• Selected as employee of the month

Credit Manager - Quality Distributors - Phoenix, AZ

(2010-01 - 2013-08)

• Regularly achieved monthly collection bonus, collections normally more than $300K per month
• Managed 500+ credit accounts and collections for dealers across the U.S.
• Obtained and reviewed credit reports, determined credit limits for each account, up to $50,000
• Integrated over 2,000 customers with EPAY in 2013, maintained system, created accounts, assigned and increased limits, process contracts, write offs, collections, bad debt, w-9s and check requests
• Selected as employee of the month multiple times during tenure

Nanny - Nooraly Lalji - Scottsdale, AZ

(2020-09 - 2020-11)

• During COVID, worked as a nanny for a doctor and her family assisting with virtual learning, lessons and homework
• Ensured that the personal needs of all 3 children were met daily; bathing and dressing children as required
• General housework including making beds, completing children's laundry, dishes, tidying, putting away groceries
• Organized appropriate creative arts and crafts as well as outdoor activities for children

Cafeteria Clerk - Deer Valley Unified School District - Phoenix, AZ

(2001-08 - 2005-05)

• Collected cash and check payments for student's lunch accounts, balanced accounts and prepared daily deposits. Continued to volunteer at this school until re-entering the workforce in 2010

EKG Technician - Gateway Community College (2021-03 - 2021-07)

Paradise Valley Community College

Paradise Valley High School