Overview
Work History
Skills
Certification
Timeline
Generic

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
Andrea Fifield