Karen Osmon

Motivated, trustworthy, and reliable administrative professional. Organized, accurate, and detail oriented. Trustworthy team member with a track record of maintaining high standards. Unwavering dedication to organizational goals and objectives. Adept at balancing multiple responsibilities with accuracy and efficiency.

Patient Navigator at Healogics (2025 – Present)

• Maintain all patient communication including scheduling, documenting in iHeal
• Monitors patient accounts, Collects and enters patient payments
• Verifies patient insurance, submits & documents prior authorization requests
• Greets patients with warmth & compassion, makes them feel welcome
• Collaborates with nursing team regarding processes, patient requests

Sales & Marketing Support Executive at HUMANA (2012 – 2024)

• Created presentations, managed calendar, arranged travel, produced sales reports and other duties as assigned.
• Event planning including local conference room, large off-site meetings, convention booth setup and décor
• Oversaw annual budget ranging from $500K and $800K for advertising and sales efforts, reviewing and approving agent expense accounts
• Created training materials preparing associates for new procedures or changes in processes.
• Established and cultivated relationships with community strategic partners
• Subject Matter Expert “SME” on CRM Tool “Connection Hub”, expense reporting system “Concur” and Marketing Resource Center.
• Received recognition for hiring and training 2 Support Executives, while maintaining above-average workload.
• Named “Well-Being Champion” on national team and SME of Humana’s employee benefits for earning points and biometrics and coordinating volunteer days in community, team 5Ks, and other well-being activities for employees.

Billing Specialist & Office Manager at ATLANTA ONCOLOGY

Directed management and oversaw 2 different clinics. Provided administration and scheduling for 5+ physicians. Responsible for submitting claims, insurance/benefit review, claims appeals documentation as necessary, processing insurance payments. Presented treatment plans to patients and arranged payment options if appropriate.

Employee Health & HR Assistant at ST. JOSEPH HOSPITAL

Managed all hospital employee leave of absence cases to ensure compliance with company policies and federal and state regulations. Responded to HR issues and inquiries.

Delegation Consultant at AETNA

Developed national tracking system for state legislation. Facilitated development and release of policies and procedures. Supervised unit relations, reviewed state regulatory alerts, and assessed / completed revisions.

Billing Specialist at SCOTT SMITH, D.D.S.

Implemented weekly accounts receivable system to track current status for patient payments and insurance claims. Conducted case presentations to aid patients in understanding treatment needs, costs, and alternatives.

Member Retention Representative at UNITED HEALTHCARE (Secure Horizons)

Completed provider updates, monthly communication reports, and senior plan growth analysis / charts. Increased new member retention through provider-specific education.

Property Claims Controller at ALLSTATE

Responsible for the triage and assignment of property claims in Georgia and Alabama. Prior to being promoted to Controller, held positions as inside claims adjuster and outside large loss claims adjuster. Assured claims were processed fairly and accurately in compliance with policy guidelines. Worked with vendors to mitigate damages and the policy holder to finalize settlement.

Bachelor of Science (BS) in Sociology – California State University - Fullerton