Blanche Andrade

*** *** ******, **** ***

Brockton, MA 02301

508-***-****

Email: ad45yp@r.postjobfree.com

EMPLOYMENT OBJECTIVE

Exploring options for high energy, inclusive and respectful work environment to utilize my knowledge, skills and abilities with increased employment opportunities.

PERSONAL PROFILE

Experienced team oriented professional with management experience and a strong desire to collaborate and contribute to improve the patient experience. Strong communication skills demonstrated through verbal and written abilities, Patient relations, customer service, training and capacity to produce in-depth reports and correspondence. Strong analytical thinking and meticulous attention to detail.

SKILLS SUMMARY

Excellent Customers Service and Always Patient Focused

Highly Skilled in Medical Billing, Medical Insurance and Collections

Collaborative with Peers, Management, Venders, Insurance Representatives

Written Policies and Procedures, HIPPA Compliance

CPT, ICD-10, HCPCs

IDX, EPIC, MediTech, GE, TriZetto, and Payer Portals

Insurance Claims and Self Pay Posting and Adjusting

Expert in Payer and Referrals and Precertification Policies

Leads by Example

PROFESSIONAL EXPERIENCE

Boston Medical Center – Boston, MA March 2012 – March 2022

Billing Coordinator

AR Follow Up, Collections, Self-pay Credit Balances, Payment Posting and all Billing Work Queues.

Coordinate daily work of billing assistants

Collaborates with Practice Managers, Peers and other Departments to Improve the Revenue Cycle.

The go to for resolving patient billing questions and concerns.

Training New Staff and Creating Workflows and Best Practices

Signature Healthcare – Brockton, MA

Patient Access Representative for

Emergency Department and Outpatient April 2015 – Present

Patient focused customer service/registration

Verification of records, insurance eligibility, copay collection for accurate registration and accurate billing

Provide administrative support and knowledge to all Emergency Department staff

Handle administrative tasks and responsibilities related to admission, transfers and discharge as needed.

Worked to ensure accuracy and completeness on Credit Balance Reports to achieve accuracy in billing and accounts receivables

EOS-CCA Healthcare –

Brockton, MA January 2010 – February 2012

Patient Account Representative

Travelled to client locations to research aged, unpaid receivables

Contacted insurance companies to resolve claim payments, and provided necessary information for claim processing

Trained new co-workers on hardware utilized by clients and the basics of medical billing

Collaborated project strategy and goals with team members and supervisor

Identified billing problems and resolved issues with insurance carriers, as well as, alerted clients of problems and offered advice on the best ways to handle/resolve them

Composed professional, as well as, effective appeal letters to insurance carriers for payment resolution often resulting in the resolution and payment of the most difficult claims

Ohio Pain Clinic – Dayton, OH March 2009 – December 2009

Patient Account Representative

Third party billing/self-pay collections

Contacted health insurance carriers regarding status of unpaid claims for clients

Composed professional and effective appeal letters to insurance carriers for payment resolution

Dealt with collections communicating to patients concern for unpaid balances informing them of problem resolution options with insurance carriers

Assisted in making payment arrangements and also assisted with information sharing on available assistance programs such as free care

Dorchester House Multi

Service – Dorchester, MA August 2006–December 2008

Team Leader/Patient Account

Representative

Provided training to staff and analyzed operations to identify areas that were challenging and/or required improvement

Answered staff inquiries and advised personnel on administrative and clerical matters

Communicated professionally with upper management and customers

Analyzed data and formulated solutions for specific problem areas

Accepted increasing levels of responsibility demonstrating flexibility and capacity to learn quickly and effectively

Dealt tactfully and effectively with difficult customers

Chadwicks’ of Boston – Bridgewater, MA January 2002-April 2005

Data Entry Clerk/Customer Service Representative

Input all customers’ phone and paper retail orders

Answered all customer inquiries via telephone

EDUCATION

Attended Massasoit Community College – Brockton, MA

Medical Terminology Certificate

Coding Certificate

REFERENCES AVAILABLE UPON REQUEST

Contact this candidate