Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

ANDREA COVERT

Palos Heights,United States

Summary

Detail-oriented professional billing specialist, skilled in medical billing, coding, accounts receivable, collections, payment posting and insurance reimbursement. Seeking to make a positive financial contribution to a physician group or medical practice.

Overview

31
31
years of professional experience
1
1
Certification

Work History

Senior Biller

Southwest Pediatrics
12.2014 - 12.2024

Ensured efficient posting of electronic and paper remittances, including resolving denial issues.

Coded and scrubbed physician charges to guarantee accurate claim submission.

Maintained accounts receivable under company standards, ensuring financial stability.

Delivered exceptional customer service addressing billing issues, questions, and payment inquiries.

Reconciled and corrected discrepancies in claim reports with Clearinghouse, enhancing accuracy.

Managed capitation payments effectively, optimizing financial operations.

Monitored and updated reimbursement against fee schedule for financial alignment.

Collaborated with departments to streamline billing processes and enhance operational efficiency.

Senior Biller

Idilus
12.2009 - 12.2014

Facilitated timely collections for medical clients, enhancing cash flow and patient satisfaction.

Posted all incoming payments from insurance providers and patients accurately and efficiently.

Reconciled daily financial sheets to ensure accuracy in accounts receivable records.

Generated comprehensive monthly billing reports for assigned physician practices, improving financial oversight.

Acted as liaison between Idilus and physicians, ensuring smooth communication and operational efficiency.

Resolved billing inquiries promptly, strengthening relationships with both patients and healthcare providers.

Collaborated with team members to improve billing processes, leading to increased efficiency in collections.

Primary Care Practice Manager

MacNeal Hospital
12.1993 - 12.2004

Streamlined daily operations of two primary care clinics, enhancing efficiency and staff performance.

Oversaw human resources requirements for clinical staff and employed physicians to optimize workforce productivity.

Supervised billing departments in both practices, ensuring compliance and accuracy in financial operations.

Executed a comprehensive system conversion to electronic medical billing platforms, including electronic medical records (EMR).

Managed cash flow and expenditures, contributing to financial health and sustainability of clinics.

Conducted cost analyses to ensure operational sustainability and informed decision-making for practice management.

Developed and launched targeted marketing campaigns, increasing patient engagement and clinic visibility in the community.

Trained management and staff on billing protocols, fostering adherence to best practices and regulatory standards.

Education

Bachelor of Science - Science and Marketing

St. Xavier University
Chicago, IL

Skills

  • ICD10, CPT, HCPCS coding
  • Billing software navigation
  • Microsoft Office, Word, Excel
  • Waystar and Change Clearinghouses
  • Medical terminology
  • Effective communicator
  • Patient relations
  • Self-disciplined and organized
  • HIPPA compliance
  • Independent problem solver
  • Accurate data entry
  • In-depth financial analysis
  • Knowledge of billing regulations
  • Auditing and compliance
  • Efficient account reconciliation

Certification

Comer's Children's Hospital yearly pediatric billing and coding certificate 2019-2025

Timeline

Senior Biller

Southwest Pediatrics
12.2014 - 12.2024

Senior Biller

Idilus
12.2009 - 12.2014

Primary Care Practice Manager

MacNeal Hospital
12.1993 - 12.2004

Bachelor of Science - Science and Marketing

St. Xavier University
ANDREA COVERT