Andrea Millan, CPC
Suffern,NY
Summary
Energetic and organized individual with knack for multitasking and problem-solving. Possesses solid foundation in project planning and coordination, with strong skills in time management and communication. Dedicated to driving project success and contributing to team objectives.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Revenue Cycle Project Coordinator
ColumbiaDoctors of the Hudson Valley, (Hudson Hear
01.2021 - Current
- Supports projects and initiatives related to revenue cycle activities (charge review, denials, billing and coding, patient estimates etc.)
- Assists Manager to build project plan, manage tasks, reporting progress, communication, and mitigating issues. Monitors various work queues and reports to identify pending charges, adjustments, write offs and works to resolve issues.
- Researches coding errors to identify resolutions. Provides feedback to providers to correct errors.
- Recommend sound billing/coding best practices that are able to withstand audits.
- Identify pre-bill and post-bill claim edits involving any type of clinical or coding review or required modifier based on services rendered.
- Performs periodic review of codes and works with patient billing regarding bundling and unbundling services as delineated in CMS and CCI edits.
- Researches technical guidance in CPT/HCPCs Guide, Medicare Manuals, etc. to resolve billing issues and promote regulatory compliance.
- Works on special projects as required.
- Participates in required regulatory change implementations and ongoing monitoring related to compliant charge capture.
- Review physician charge patterns to identify utilization trends and variances as well as denial analysis to maximize collections and reduce reoccurring billing errors.
- Performs other job duties as required and assigned within scope of work.
Medical Billing Manager
ColumbiaDoctors of the Hudson Valley
01.2015 - 12.2021
- Managed a team of dedicated medical billers, focusing on professional development opportunities and maintaining a positive work environment conducive to high levels of productivity.
- Trained team members on best practices in medical billing, ensuring consistent high-quality work across the department.
- Analyzed reports to identify areas for improvement in the overall billing process, leading to increased revenue collection rates.
- Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
- Improved medical billing processes by streamlining workflows and implementing efficient systems.
Medical Billing Specialist
ColumbiaDoctors Hudson Valley, (Hudson Heart Assoc
05.2010 - 12.2014
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Located errors and promptly refiled rejected claims.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
Education
High School Diploma -
Clarkstown High School North
New City, NY05.2023
Associate of Arts -
Rockland Community College
Suffern, NY05-1997
Skills
- Problem-solving
- Project Management Coordination
- Effective Time Management
- Detail-oriented
- Effective Decision-Making
- Problem Solving
- Attention to detail
Certification
CPC, AAPC September 2022
Technical Skills
Epic EHR
GE IDX
MS Office Applications - Excel and Word
Crown/Allscripts
Medical Manager
Professional Billing & Coding
CPT, HCPCS, & ICD 10
Timeline
Revenue Cycle Project Coordinator
ColumbiaDoctors of the Hudson Valley, (Hudson Hear
01.2021 - Current
Medical Billing Manager
ColumbiaDoctors of the Hudson Valley
01.2015 - 12.2021
Medical Billing Specialist
ColumbiaDoctors Hudson Valley, (Hudson Heart Assoc
05.2010 - 12.2014
CPC, AAPC September 2022
High School Diploma -
Clarkstown High School North
Associate of Arts -
Rockland Community College
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