ANDREA PARRA
Rockford,IL
Summary
Skilled in medical insurance and customer service, dedicated to achieving high levels of patient and customer satisfaction. Exhibits exceptional time management and professionalism, driving results that align with company targets.
Overview
12
12
years of professional experience
Work History
Claims Analyst
Guidehealth
06.2023 - Current
- Processed diverse HMO medical claims, including DME, inpatient, outpatient, and professional claims for AMITA and Physician Care Network medical groups.
- Handled Medicare and coordination of benefits claims to ensure accurate reimbursements.
Sr Claims Technician
HCSC (Blue Cross Blue Shield of Illinois )
Rockford, IL
05.2018 - 06.2023
- Processed HMO/PPO medical claims, including physical therapy, IVF, and hospice services.
- Calculated patient co-payments, coinsurance, and outstanding balances accurately.
- Requested medical records from providers to facilitate accurate claims processing.
- Reviewed received medical records to determine benefits eligibility for patients.
Intake Coordinator
Orthohillinois
Rockford, IL
10.2017 - 01.2018
- Ensured accuracy in patient files by entering demographic details, insurance information, and medical histories.
- Created and processed referrals based on patient diagnoses and scheduled appointments with orthopedic providers using ACW software.
- Verified insurance policies including Medicare, Medicaid, and commercial plans such as BlueCross Blue Shield, AETNA, and Humana.
Bilingual Team Supervisor (Waste Management)
The Connection
Rockford, IL
07.2016 - 09.2017
- Led coaching initiatives for 10-15 representatives, promoting exceptional service delivery.
- Oversaw performance evaluations to achieve targets for error rates and call handling times.
- Engaged with Human Services to streamline recruitment efforts.
- Facilitated prescreening and interviewing of bilingual candidates for positions at The Connection.
Bilingual Customer Service & Sales Representative (Waste Management)
The Connection
Rockford, IL
08.2013 - 06.2016
- Delivered exceptional customer service by addressing concerns regarding billing discrepancies and service quotes.
- Managed customer accounts to offer competitive rates, enhancing customer retention.
- Completed and dispatched customer contracts via email or postal service efficiently.
Education
High School Diploma -
Jefferson High School
Rockford, IL05.2011
Skills
- Bilingual in English and Spanish
- ICD-10, CPT, and HCPCS coding
- Typing speed of 40 wpm
- Microsoft Office Suite proficiency
- Data entry expertise
- Organizational skills
- Attention to detail
- Problem-solving skills
- Multitasking ability
Timeline
Claims Analyst
Guidehealth
06.2023 - Current
Sr Claims Technician
HCSC (Blue Cross Blue Shield of Illinois )
05.2018 - 06.2023
Intake Coordinator
Orthohillinois
10.2017 - 01.2018
Bilingual Team Supervisor (Waste Management)
The Connection
07.2016 - 09.2017
Bilingual Customer Service & Sales Representative (Waste Management)
The Connection
08.2013 - 06.2016
High School Diploma -
Jefferson High School