Andrea Lawrence
Decatur,GA
Summary
Skilled in reconciling accounts, identifying discrepancies, and resolving billing issues promptly. Strong attention to detail and numerical accuracy, with a commitment to maintaining confidentiality and upholding the highest standards of integrity in financial transactions.
Customer-focused individual with a passion for delivering exceptional service. Strong interpersonal skills with a talent for effectively addressing concerns. Committed to improving customer satisfaction and driving positive outcomes.
Overview
13
13
years of professional experience
Work History
Medical Biller
University Hospital of The West Indies Mona
Kingston, Washington
2017.02 - 2024.10
- Submitted appeals using provider portals and phone communication.
- Compiled and processed data for billing purposes utilizing billing software programs.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Weighed envelopes containing statements to determine correct postage and affix postage.
- Completed efficient drop and bulk filing to maintain well-organized and easily accessed systems
- Processed refunds requests timely and accurately according to established protocols.
- Assisted in auditing process by verifying accuracy of submitted claim forms against documentation provided by physicians' offices.
- Assessed billing statements for correct diagnostic codes and identified problems with coding.
- Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
- Maintained historical records by microfilming and filing documents.
- Handled billing, waivers and claims for private and commercial clients.
- Created monthly aging reports to identify delinquent accounts for review by management team.
- Performed insurance verification, pre-certification and pre-authorization.
- Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
- Monitored customer account details for non-payments, delayed payments, and other irregularities.
- Verified accuracy of information and resolved discrepancies with vendors before entering invoices for payment.
- Researched discrepancies between billed charges and payments received from insurance companies or other third party payers.
- Maintained accurate patient data in electronic health records system.
- Submitted claims to insurance companies.
- Coordinated communications between patients, billing personnel and insurance carriers.
- Enforced compliance with organizational policies and federal requirements regarding confidentiality.
- Monitored past due accounts and pursued collections on outstanding invoices.
- Input details into accounts and tracked payments.
- Processed invoice payments and recorded information in account database.
- Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.
- Maintained billing software by updating rate change, cash spreadsheets and current collection reports.
Front Desk Receptionist
University Hospital of The West Indies Mona
Kingston, Washington
2012.03 - 2017.02
- Answered multi-line phone system and managed calls by routing to proper extensions or taking messages.
- Tracked office supplies inventory levels, placed orders for replenishment as needed and monitored deliveries upon arrival.
- Signed for packages, recorded deliveries and distributed to personnel.
- Answered incoming calls, directed them to appropriate personnel and took messages.
- Collated, bound and stored computer-generated reports.
- Resolved any customer complaints or issues in a timely fashion following established protocols.
- Updated customer information in databases regularly to ensure accuracy of records.
- Compiled and prepared reports and documents as requested.
- Explained policies and procedures to visitors.
- Greeted customers, answered general questions and directed to appropriate locations.
- Received incoming calls and coordinated with staff to fulfill customer requests.
- Greeted visitors warmly and directed them to correct personnel or office.
- Handled payment processing and provided customers with receipts and proper bills and change.
- Answered multi-line telephone with polite tone of voice to provide general information and answer inquiries.
- Maintained client accounts by obtaining, recording and updating personal and financial information.
- Welcomed patrons to front desk and engaged in friendly conversations while conducting check-in process.
CVs Cashier
CVS Pharmacy, Retail
Harwich, Massachusetts
2015.05 - 2015.09
- Maintained current knowledge of store promotions to highlight sales to customers.
- Processed credit card, cash, and check payments, ensuring all transactions were accurate.
- Trained new team members in cash register operation, stock procedures, and customer services.
- Delivered high level of customer service to patrons using active listening and engagement skills.
- Operated cash register efficiently and accurately, processed payments by cash, check, credit card, gift card or automatic debit.
- Processed returned merchandise by strictly following store return and exchange procedures.
- Resolved customer complaints professionally in accordance with company policy.
- Scanned items and checked pricing on cash register for accuracy.
- Verified customer age requirement for alcohol or tobacco purchases.
- Stocked shelves with merchandise when needed.
- Welcomed customers, offering assistance to help find store items.
- Accepted cash and credit card payments, issued receipts and provided change.
- Counted money in cash drawers at the beginning of shifts to ensure amounts were correct.
- Answered customer inquiries regarding store policies and procedures.
- Collected payments and provided accurate change.
- Kept check-out areas clean, organized and well-stocked to maintain attractive store.
- Worked closely with front-end staff to assist customers.
- Operated cash register or POS system to receive payment by cash, check and credit card.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Prioritized and organized tasks to efficiently accomplish service goals.
- Completed day-to-day duties accurately and efficiently.
Education
Bachelor of Science - Dental Science
University of Technology
Kingston2019-11
Skills
- Claims review
- Balance reconciliation
- Information requests
- Medicare and medicaid process
- [Software] use
- Insurance billing
- Patient collections
- Medical claims submission
- Medical billing
- Clerical support
- Customer service
- Data entry
Timeline
Medical Biller
University Hospital of The West Indies Mona
2017.02 - 2024.10
CVs Cashier
CVS Pharmacy, Retail
2015.05 - 2015.09
Front Desk Receptionist
University Hospital of The West Indies Mona
2012.03 - 2017.02
Bachelor of Science - Dental Science
University of Technology