Andrea Fifield
Mount Vernon,WA
Overview
15
15
years of professional experience
1
1
Certification
Work History
Purchased Referred Care Specialist II
Samish Indian Nation
10.2017 - Current
- Developed and implemented community outreach programs to enhance cultural awareness and engagement.
- Analyzed data trends to inform strategic planning and improve service delivery within the organization.
- Collaborated with stakeholders to coordinate events promoting Indigenous culture and traditions.
- Led training sessions for staff on best practices in community relations and communication strategies.
- Established partnerships with local organizations to expand resources available for tribal members.
- Streamlined reporting processes, improving accuracy of program documentation and compliance measures.
- Advocated for policy changes that support sustainable development initiatives within the tribal community.
- Improved customer satisfaction rates through proactive problem-solving and efficient complaint resolution.
- Championed the adoption of new software tools that streamlined workflows across multiple departments.
- Enhanced customer satisfaction with timely and accurate issue resolution.
- Gathered, organized and input information into digital database.
- Processed claims accurately and efficiently, ensuring compliance with company policies and regulations.
- Coordinated communication between clients and insurance adjusters to facilitate claim resolutions.
- Assisted in maintaining detailed records using claims management software to streamline workflow processes.
- Prepared files, letters and notices.
- Managed a high volume of claims efficiently while maintaining attention to detail resulting in minimized errors and reworkings.
- Maintained strong relationships with service providers for seamless coordination during claim resolutions.
- Processed claims efficiently, ensuring compliance with company policies and regulations.
- Analyzed claim data to identify discrepancies and recommend resolutions.
- Posted payments to accounts and maintained records.
Billing and Insurance Follow Up
Skagit Regional Health
05.2016 - 09.2017
- Worked effectively in fast-paced environments.
- Self-motivated, with a strong sense of personal responsibility.
- Proven ability to learn quickly and adapt to new situations.
- Excellent communication skills, both verbal and written.
- Worked well in a team setting, providing support and guidance.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Managed time efficiently in order to complete all tasks within deadlines.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Developed and maintained courteous and effective working relationships.
- Processed high-volume billing transactions with accuracy and attention to detail.
- Ensured compliance with industry regulations by staying up-to-date on changes in billing rules and guidelines.
- Collaborated with healthcare team to ensure billing codes were accurately applied, optimizing reimbursement from insurance companies.
- Negotiated with insurance companies to resolve disputed claims, securing rightful payments.
Claims Associate III
Premera Blue Cross
01.2011 - 03.2016
- Developed and implemented community outreach programs to enhance cultural awareness and engagement.
- Analyzed data trends to inform strategic planning and improve service delivery within the organization.
- Collaborated with stakeholders to coordinate events promoting Indigenous culture and traditions.
- Led training sessions for staff on best practices in community relations and communication strategies.
- Established partnerships with local organizations to expand resources available for tribal members.
- Streamlined reporting processes, improving accuracy of program documentation and compliance measures.
- Advocated for policy changes that support sustainable development initiatives within the tribal community.
- Improved customer satisfaction rates through proactive problem-solving and efficient complaint resolution.
- Championed the adoption of new software tools that streamlined workflows across multiple departments.
- Enhanced customer satisfaction with timely and accurate issue resolution.
- Gathered, organized and input information into digital database.
- Processed claims accurately and efficiently, ensuring compliance with company policies and regulations.
- Coordinated communication between clients and insurance adjusters to facilitate claim resolutions.
- Assisted in maintaining detailed records using claims management software to streamline workflow processes.
- Prepared files, letters and notices.
- Managed a high volume of claims efficiently while maintaining attention to detail resulting in minimized errors and reworkings.
- Maintained strong relationships with service providers for seamless coordination during claim resolutions.
- Processed claims efficiently, ensuring compliance with company policies and regulations.
- Analyzed claim data to identify discrepancies and recommend resolutions.
- Posted payments to accounts and maintained records.
Skills
- Customer relations
- Expert problem solving
- Analytical thinking
- Documentation management
- Proficient in Microsoft, Excel
- Supply management
- Troubleshooting techniques
- Vendor relations
- Teamwork and collaboration
- Self motivation
- Time management
- Problem-solving
- Multitasking
- Attention to detail
- Organizational skills
- Data analysis
- Multitasking Abilities
Certification
Tribal Assister Certificate- WA Healthplan Finder
Timeline
Purchased Referred Care Specialist II
Samish Indian Nation
10.2017 - Current
Billing and Insurance Follow Up
Skagit Regional Health
05.2016 - 09.2017
Claims Associate III
Premera Blue Cross
01.2011 - 03.2016