Blanche Andrade
Brockton, MA 02301
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