Lisa Andrews

*** ***** *****

Townsend, DE *****

443-***-****

ad3i4v@r.postjobfree.com

EDUCATION

Gloucester County College – Sewell, NJ

Administrative / Clinical / Financial Healthcare

Business Management Courses – Corporate Finance and Managerial Accountant

CGPA: 3.2

MAJOR QUALIFICATIONS

• Over twenty-eight years of direct experience working in Medical Billing/Payment and Management field

• Extremely familiar with medical, banking and finance terminology

• Computer – MS Office Suite, MS Teams, Excel, Workday, MediSys and QuickBooks

PROFESSIONAL EXPERIENCE

First State Orthopaedics – October 2023 - Present

Patient Accounts/Billing Asst Supervisor

●Ensure AR is properly stated and enhances company’s cash management

●Ensure all deposits, ACH,etc. are retrieved, posted and balanced

●Provide solid leadership to the department

●Review plan, policies, and billing procedures for existing and new services and recommend changes to ensure maximization of revenue

●Preparation of Excel reports for administrator and collection agencies

●Contract review, update fee schedules in system

●Interact with a variety of personalities and situations that require tack, judgment, poise and professionalism

●Manage and assist staff members with multiple payer website portals

●Complete and manage set-up of EDI/ERA/ACH with clearinghouse

●Assist with AR follow-up

●Promote patient rights; responding appropriately to emergency situations; sharing problems relating to patients or staff with immediate supervisor in a timely manner

●Motivate staff members to perform assigned functions and achieve objectives

●Other duties as assigned

Richards, Layton & Finger, PA - Wilmington DE March 2023 – Oct 2023

Accounts Receivable Specialist

●Cash posting and reconciliation

●Execute account transfers between the firms bank accounts

●Identify overpayments

●Process credit memos

●Initiate/follow up on collections of aged outstanding accounts receivable balances

●Effectively and credibly interact and communicate with Finance team leadership and team members, attorneys, administrative staff, clients and other third parties

●Verify the firm’s banking information and completing onboarding request from clients

●Distribute weekly cash receipts reports to attorneys

●Other duties as assigned

Ventra Health, Inc. - Dallas TX 100% Remote January 2023 - March 2023

Bank Reconciliation Analyst

●Reconciles client bank statements monthly and confirms that all monies are accounted for

●Ensures accurate reconciliation between cash and AR

●Navigate websites to obtain Explanation of Benefits (EOB)

●Identifies issues and communicates those issues to Reconciliation Supervisor and Manager

●Resolves any discrepancy between bank statement and posting to provide accurate and timely reporting to each client

●Coordinates with posting team to locate and correct discrepancies, including client trends between multiple systems

●Oversee one or two Reconciliation Coordinators to prepare all documentation for reconciliation

●Performs special projects and other duties as assigned

Christiana Care Health System – Newark DE / February 2018 – March 2023

Staff Assistant/Reconciliation Analyst

●Download/Save daily bank statements from two different banks (PNC & Fulton) for 9 entities

●Reconcile bank statements to billing system / staff daily deposits / vendor deposits / ACH / Credit Cards

●Reconcile check / credit card payments processed in old billing system

●Reconcile check / credit card payments processed in current billing system

●Reconcile ACH / Credit Card payment / Retractions from 3rd party vendor

●Reconcile patient payments received into M&T bank

●Process current billing system daily Financial Payment Report for 2 entities

●Process & enter accounting system return checks (stop payment / NSF)

●Sort all New Jersey (CCHI – 5 practices) form the Financial Payment Report

●Process vendor payments enter accounting tool

●Track all patient related paper checks where the ERA has already been posted to the system, complete deposit of those checks for 2 entities

●Complete Ad Hoc G/L for 2 entities

●Complete necessary research (Invoice / PO numbers) to achieve correct RC/SC, Cost Center and Location number

●Verify contracts with payer and supplies

●Communicate verbal and written with Staff / Management / Leadership members

●Assisted with getting the PNC Deposit OnSite process setup and complete. Created a training manual for users.

●Complete check deposits via Deposit OnSite

●Receive and complete deposit for Workday Customer payments

●Assist staff members with various websites that I am an Admin

Christiana Care Health System – Newark DE / April 2017- February 2018

Billing Representative

●Reviews and submits UB-04 forms to third party insurance companies.

●Performs follow-up with commercial insurance carriers to obtain payment status and resolve claim issues.

●Review payment vouchers to ensure proper reimbursement.

●Interacts directly with CCHS staff and third party payer representatives to resolve account discrepancies.

●Evaluates credit balances for resolution.

●Review and process Medicare Bad Debt write-offs.

●Provides trend analysis to management and to insurance carriers in a liaison role.

●Writes and submits appeals when claims are rejected incorrectly

●Utilizes the Soarian/Cerner billing system for reporting and claims follow-up, updates and documentation.

●Performs other related duties as required.

Arete Healthcare Services – Newark DE / May 2016 – April 2017

Billing Manager

●Review daily charges, enter charge into system

●Submit daily claims either via clearinghouse or paper claims

●Verify patient health insurance eligibility/benefits

●Complete daily deposit

●Apply payments received

●Review denials and either correct previous billing or appeal if necessary

●Maintain and manage Medicare and Medicaid to include Medicare/Medicaid Advantage plans as well as many private insurances and TPA’s.

●Maintained and managed both patient A/R collection and insurance carrier A/R collections.

Dr. Charles Wang, MD – Wilmington, DE / December 2015- April 2016

Billing/ Collections/ Payment Posting

●Review daily charges, complete ICD-10 coding, enter charge into system

●Submit daily claims either via clearinghouse or paper claims

●Obtain necessary authorization for treatment or surgery

●Complete daily deposit

●Apply payments received

●Review denials and either correct previous billing or appeal if necessary

●Maintain and manage Medicare and Medicaid to include Medicare/Medicaid Advantage plans as well as many private insurances and TPA’s.

●Maintained and managed both patient A/R collection and insurance carrier A/R collections.

●Account Payable – code all invoices received and input into accounting system, match checks to vendor invoices for payment, issue payments.

Perioperative Services LLC– Newark, DE April 2003 – 11/14/2015

Reimbursement Analysis / Implementation Lead / Director of Operations Assistant / Resolution Specialist Team Member

●Oversee and supervise forty-two practices (and growing) to meet and exceed monthly revenue goals

●Work with practices accounting firm reconciling monthly and annually to the bank statements as well as internal financial documentation

●Work with auditors for compliance to state and federal governmental guidelines

●Assisted with preparation and attend monthly P&L meetings

●Daily and Monthly balancing to bank accounts

●Develop production improvements between medical practices and financial institutions

●EDI / ERA Setup and Enrollment

●Coordinate with Client Managers, IT, Data Quality Control Center, Accounts Receivable Team, and Reimbursement Analysis Team in the development of processes, and governmental guidelines to establish and maintain billing for medical practices across the nation

●Manage and train intercontinental subcontractor processes ensuring quality services and compliance to HIPAA directives and governmental guidelines

●Monitor and maintain client refunds and reimbursements

●Payroll processing and scheduling of the Reimbursement Analysis Team

●Review denials and appeal, if necessary

●Maintained and managed both patient A/R collection and insurance carrier A/R collections.

●Maintained and managed Medicare and Medicaid to include Medicare/Medicaid advantage plans as well as many private insurances and TPA’s for multiple states across the country.

●Serves in the Advisory Committee in the process of setting up new practices and establishes flow down procedures for practice transition to Perioperative Services LLC

●Manage and analyze day-to-day functions associated with billing, balancing, abstracting and revenue cycle

ADDITIONAL CAPABILITIES

• Excellent written and verbal communication skills

• Initiative-taking personality with positive approach

• Proven ability to speak in a confident and assertive manner

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