Andrea Royster
Chesapeake,VA
Summary
Empathetic professional in customer service known for high productivity and efficiency in task completion. Possess specialized skills in conflict resolution, data entry, and customer relationship management. Excel in communication, problem-solving, and adaptability, ensuring positive experiences and outcomes for customers.
Overview
12
12
years of professional experience
Work History
Provider Customer Service Rep
Sentara Healthcare (Remote)
Virginia Beach, Virginia
10.2024 - Current
- Resolve issues with benefits, eligibility, billing, and claims
- Assist with authorization status and benefit information.
- Assisted customers with billing issues and payment processing.
- Ability to handle customer inquiries in a timely manner.
- Provide information about clinical authorization and payment explanations.
Assistant Business Office Manager
Northern Cardinal Rehabilitation and Nursing
Suffolk, VA
09.2022 - 05.2023
- Maintained payroll, along with petty cash.
- Interacts with residents, family members, staff, visitors, and government personnel.
- Assisted with Medicaid-pending applications and worked with residents, families, and outside agencies to finalize facility coverage.
- Processed purchase orders and verified that items are received correctly according to purchase order specifications.
- Maintained accurate records of employee attendance and vacation time.
Production Proposal Specialist
Anthem Healthcare (Remote)
Virginia Beach, VA
03.2022 - 07.2022
- Coordinating the submission of large, complex proposals for each state.
- Reviewing contracts' effectiveness, accuracy, and adherence to the guidelines and policies of Medicaid.
- Ensured compliance with federal regulations during the bidding process.
- Proofread and edited all outbound proposals prior to submission.
Referral / Insurance Verification Specialist
Gastroenterology Associates (Hybrid)
Chesapeake, VA
02.2013 - 02.2022
- Preparing instructional documentation for patient procedures.
- Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
- Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
- Maintained confidentiality of patient information in accordance with HIPAA regulations.
Education
in Medical Records Management -
Wake Technology Community College
Raleigh, NC05.2005
in Medical Technology -
Norfolk State University
Norfolk, VA12.1990
Skills
- Business operations management
- Human resources management
- Home healthcare management
- Office administration
- Electronic medical records (EMFR) systems
- Data Entry
- Epic
- QNXT
- MISYS
- GMed
- Athena
- Allscripts
Timeline
Provider Customer Service Rep
Sentara Healthcare (Remote)
10.2024 - Current
Assistant Business Office Manager
Northern Cardinal Rehabilitation and Nursing
09.2022 - 05.2023
Production Proposal Specialist
Anthem Healthcare (Remote)
03.2022 - 07.2022
Referral / Insurance Verification Specialist
Gastroenterology Associates (Hybrid)
02.2013 - 02.2022
in Medical Records Management -
Wake Technology Community College
in Medical Technology -
Norfolk State University