ANDRANITA FRIESON
Houston
Summary
Dynamic individual with hands-on experience in Healthcare and talent for navigating challenges. Brings strong problem-solving skills and proactive approach to new tasks. Known for adaptability, creativity, and results-oriented mindset. Committed to making meaningful contributions and advancing organizational goals.
Overview
6
6
years of professional experience
Work History
Customer Care Specialist
MANHATTAN LIFE
01.2025 - Current
- Assist and resolve claims issues and denials
- Read and explain Explanation of Benefits to Policyholders, Agents and Providers
- Read UB-04 forms and Health Claim Forms
- Verify surgical procedures codes, diagnosis and CPT codes
- Explain and assist with benefits and eligibility verification
- Fax and email Insurance policies, Explanation of Benefits, Pharmacy Cards and Appeals Letters
- Answer 80-100 high volume inbound calls daily
- Update and input policyholders’ demographic information accurately
Senior Patient Access Representative
UT HEALTH
07.2021 - 01.2025
- Ensures all demographic information is correct on all levels of registration
- Perform check in and check-out duties in high volume clinic of specialty physicians
- Financial chart preparation of 120 patients daily
- Clerical support- Inventory of office supplies, ordering, filing documents, scanning and faxing
- Verified insurance eligibility and benefits
- Assist patients with payment arrangements and collections
- Upload and scan referrals, image reports, and medical records
- Answered incoming calls and scheduled appointments
- Coordinated pre-authorization requests with insurers efficiently reducing medical claim denials
- Streamlined appointment scheduling workflows to enhance patient access and reduce wait times
Patient Access Representative III
CONIFER HEALTH
10.2019 - 07.2021
- Collect co-pays, deductibles, co-insurance and other patient’s payments: cash, credit card or check
- Check in patient upon arrival in the Emergency Room and collecting demographic information.
- Inventory and secure patient’s personal items when required before being admitted
- Direct patients to triage treatment areas based on their medical condition and coordinating with nursing staff
- Verified insurance eligibility and benefits
- Explain thoroughly with patients about consents and legal forms (i.e., Advance Directives, Conditions of services, Consent for treatment, Important Message from Medicare, EMTALA, etc.)
- Operate fax, scanners and printers to scan patient demographic information EMR system
Education
High School Diploma -
MacArthur High School
Houston, Tx05.2007
Skills
- EPIC
- CISCO
- ATHENA
- Medical Terminology
- Insurance Verification
- Appointment Scheduling
- Patient Charting
- Multi- Line Phone Proficiency
- Microsoft Word, Excel, PowerPoint and Outlook
- Webex, Teams & Zoom
- Data Entry Skills
- Knowledge of Commercial & Supplement Insurance and Indemnity Policies
Timeline
Customer Care Specialist
MANHATTAN LIFE
01.2025 - Current
Senior Patient Access Representative
UT HEALTH
07.2021 - 01.2025
Patient Access Representative III
CONIFER HEALTH
10.2019 - 07.2021
High School Diploma -
MacArthur High School
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