Andrea West
Accounts Receivable and Customer Service
Jacksonville, FL 32207
**************@*****.***
Professional Summary
Dedicated Medical Billing Coding Specialist committed to implementing comprehensively organized billing and documentation policies. Interact professionally with all levels of staff and maintain the highest level of confidentiality; known for tact and diplomacy in handling sensitive issues. Willing to relocate to: Jacksonville, FL
Authorized to work in the US for any employer
Work Experience
Member Advocate, Remote
CIGNA HEALTHCARE SOLUTIONS-Jacksonville, FL
September 2024 to Present
• Provided personalized consultations to clients, assessing their healthcare needs and recommending appropriate Medicare insurance options
• Educated clients on the features, benefits, and coverage details of various Medicare insurance plans
• Resolved customer inquiries, concerns, and complaints promptly to ensure high levels of customer satisfaction
Account Receivable Specialist
AirPro Diagnostics-Jacksonville, FL
January 2023 to September 2024
• Every morning daily, we check the dashboard on our monitors for invoices of charges that we approved.
• On the 1st, 15th and end of the month is when billing is performed and we are looking at a spreadsheet with the clients billing information that we also update if necessary.
• Word, Excel, PowerPoint & Access
• Make sure all calculations are accurate and you are focused and well aware of any mistakes that you may make, you catch in a timely manner to go back and correct.
• Check the contracts in the system for individual vehicles of the make models and cars due to the diffrent programs such as diagnostic, programming and calibration scans that are performed on the vehicles. Accounts Receivable Specialist
Fanatics, Inc-Jacksonville, FL
May 2022 to January 2023
Received applications in Bectran (Credit, Collections, & AR Management) from customers who are applying for credit.
Created accounts in Oracle signing into Cisco
Problem solving with analytical skills pertaining to previous accounts Generated invoices upon receipt of billing information and tracked collection progress Reviewed old accounts on a daily basis to assess aging Monitored accounts receivable and billing departments Account Receivable Specialist
CareSpot Urgent Care-Jacksonville, FL
May 2018 to May 2022
Took phone calls from Medicare advantage members (MAPD). Gave in depth information about there denied claims as well as there coverage Explained and defined what the difference is in there premiums, deductibles, coinsurance, etc Made necessary changes such as there demographics
Started a case if there was any denials that's I see forth fitting. Medical Biller
Marion Provider Care Services-Jacksonville, FL
October 2015 to May 2018
• Submitted claims to insurance companies.
• Answered desk phone and handled phone calls and questions.
• Assessed medical codes on patient records and prepared invoices to be submitted to insurance companies.
• Expertly assigned charges and payments for medical procedures.
• Analyzed patient's encounter forms diagnosis codes to validate accuracy, completeness, and specificity. Administrative Assistant
Northwest Orthopeadics-Jacksonville, FL
January 2012 to October 2015
• Created and maintained spreadsheets and developed administrative and logistical reports.
• Processed financial documents including contracts, expense reports, and invoices.
• Tracked and submitted employee timesheets to the accounting department for payroll processing.
• Planned and executed corporate meetings, lunches and special events for groups of 40+ employees. Customer Service Representative Healthcare
Randstad-Jacksonville, FL
April 2008 to January 2012
• Informed customers about billing procedures, processed payments and provided payment options setup assistance.
• Evaluated customer account information to assess current issues and determine potential solutions. Customer Service Representative
CitiStreet-Jacksonville, FL
January 2005 to March 2007
• Counseled clients on financial matters and provide recommendations on investment opportunities, products, and services based on client needs and asset availability.
• Profiled and analyzed investment products to devise financial strategies to meet client financial needs and to forecast opportunities with the highest return on investments. Education
Diploma in Medical Billing and Coding
Everest University-South Orlando-Jacksonville, FL
June 2007 to July 2008
High school diploma
Englewood High School-Jacksonville, FL
August 1992 to June 1993
Skills
• Documentation review
• 50 WPM (7 years)
• Information management
• Call center
• EDI
• Accounts payable
• Microsoft Powerpoint
• Zendesk
• Anatomy knowledge
• ICD-9
• English
• Communication skills
• CPT Coding
• Medical Billing
• Revenue cycle management
• Customer service
• Oracle
• Medicare
• Medical Records
• Customer support
• DME
• Data Entry
• Medical Insurance
• Data entry
• 10 key typing
• Google Suite
• Microsoft Access
• Microsoft Office
• Phone etiquette
• ICD-10
• Insurance verification
• Medical Coding
• ICD coding
• Windows
• Sales
• HIPAA
• Medical billing
• Accounts receivable
• Analysis skills
• Organizational skills
• Ophthalmology
• Upselling
• Microsoft Word
• Medical office experience
• TYPING (7 years)
• Medical terminology
• Medical collection
• Accounting
• Computer skills
• Microsoft Excel
• NetSuite
• EMR Systems
• Microsoft Outlook
• WordPress
• Filing
Certifications and Licenses
Driver's License
Medical Billing Certification
Medical Coding and Billing
June 2007 to July 2008
Certified Medical Coder and Biller, Medical Terminology, ICD9, ICD10, HCPCS, CPT, Medware, Collaborate MD. Mac, IOS, Word, Excel, Spreadsheets
Medical Coding Certification
June 2007
Certified Medication Technician
Additional Information
SKILLS
• Proven accuracy and attention to detail
• Accurate with 10 keypads and 65 wpm typist
• Adapt with communication skills with patients
• Hardworking mentality