Andrea Rahming
Brooklyn,NY
Summary
Medical Healthcare professional with over 20 years of experience. Organized, dependable and knowledgeable with top notch oral and written communication skills along with active listening and analytical problem-solving skills. Solid team player with talents for team building, leading and motivating. Uses independent decision-making skills and sound judgement to positively impact a facilities success.
Overview
23
23
years of professional experience
Work History
Lead Insurance Follow Up Representative
Receivable Solutions, Inc.
07.2021 - 08.2023
- Assisted University of Missouri Hospital (UMO) with claim processing and reimbursements.
- Managed assigned Medicare and Medicaid snapshots along with various commercial and managed care payors.
- Identified, researched and resolved billing variances to maintain system accuracy and currency.
- Monitored claim payments; denials using various modules and followed up on outstanding accounts in accordance with established standards and procedures.
- Reviewed CPT; HCPCS; Revenue Codes along with ICD-10 codes to ensure accuracy of service(s) billed.
- Attended team meetings and updated management on coding data and denial trends.
Billing Coordinator
New York Presbyterian Brooklyn Methodist Hospital
04.2017 - 07.2021
- Utilized various modules to perform perspective coding and documentation chart reviews.
- Selected and assigned appropriate ICD-10 codes and identified issues and patterns related to coding denial trends.
- Entered and removed unbilled charges via charge batch entries to meet productivity and departmental benchmarks
- Educated physicians and staff on annual code changes to ensure claim reimbursement.
- Worked closely with Patient Financial Services to provide and obtain accurate and necessary billing information.
- Attended monthly Revenue Cycle team meetings to strategize and be resourceful in increasing revenue.
Medical Practice Coordinator
Centerlight Healthcare
02.2008 - 11.2016
- Assisted Directors, Physicians and Nurse Managers with daily operations and functions of medical practice for Adult Day Care Members.
- Collaborated with interdisciplinary team re: member care planning, referral administration and reports.
- Managed members annual and semi-annual primary care assessments including data entry of all information.
- Coordinated and managed members radiology services, psych services, OT/PT along with initial oncology treatments as needed.
- Prepared, managed and distributed weekly medical appointment schedule to transportation and HHA vendors.
Patient Account Representative Team Lead
Kingsbrook Jewish Medical Center
10.2000 - 06.2006
- Posted payments and processed refunds
- Maintained accurate records of customer accounts, payments and payment plans.
- Utilized computer programs to create invoices, letters and other documents.
- Updated and monitored staff of 10 on billing procedures.
- Improved revenue using aged accounts.
- Heavy communication with collection agencies re: new, established and recalled accounts.
Education
Certification - Medical Coding
SUNY Downstate Medical Center
Brooklyn, NY07.2019
Certificate - EKG/Phlebotomy/Medical Terminology
Municipal Training Center
Brooklyn, NY02.1995
Skills
- Coding, Billing, Computer, Data analysis, Leadership, Assertiveness, Professionalism, Organization, Meticulous, Customer Service, Interpersonal Communication, Active listening, Writing, Problem-Solving, Leadership, Critical thinking, Decision-making, Time management, Team Player, Adaptability, Fast learner
Affiliations
American Health Information Management Association
Timeline
Lead Insurance Follow Up Representative
Receivable Solutions, Inc.
07.2021 - 08.2023
Billing Coordinator
New York Presbyterian Brooklyn Methodist Hospital
04.2017 - 07.2021
Medical Practice Coordinator
Centerlight Healthcare
02.2008 - 11.2016
Patient Account Representative Team Lead
Kingsbrook Jewish Medical Center
10.2000 - 06.2006
Certification - Medical Coding
SUNY Downstate Medical Center
Certificate - EKG/Phlebotomy/Medical Terminology
Municipal Training Center