ANDREA STONE
Vancouver,WA
Summary
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Overview
13
13
years of professional experience
4
4
Certifications
Work History
Loss Mitigation Underwriting Specialist
Consumer Cellular
Portland Or
10.2022 - Current
- Conducted comprehensive policy reviews for identifying areas of potential exposure or risk, reducing fraud frequency.
- Maintained up-to-date knowledge of industry trends and regulatory changes to ensure compliance with all relevant guidelines.
- Identified and resolved application discrepancies for accuracy and compliance with relevant regulations.
- Monitored financial transactions to ensure accurate billing processes were followed consistently.
- Made approval and denial recommendations by determining accurate risk levels.
- Provided excellent customer service by addressing inquiries promptly and offering comprehensive explanations of underwriting decisions.
- Documented underwriting decisions and provided evidence of compliance with applicable regulations.
Billing/Fraud Prevention Specialist
Consumer Cellular
Portland
10.2016 - Current
- Review invoices to reflect correct information and billing policies
- Contact delinquent customers to secure/establish payment arrangements
- Addresses customers complaints effectively.
- Monitored financial transactions to ensure accurate billing processes were followed consistently.
- Reduced billing errors through consistent review and reconciliation of account discrepancies.
- Responded to customer requests for information and resolved billing issues.
- Managed billing processes, ensuring accurate record-keeping and prompt payment from clients.
- Maintained strong client relationships by resolving billing disputes quickly and professionally.
- Processed payments efficiently, ensuring accurate billing records and minimizing discrepancies.
Administrative Assistant
Southern Specialties
Vancouver
07.2011 - 09.2016
- Prepared and maintained standardized documents including contracts and licensing agreements.
- Updated reports, managed accounts, and generated reports for company database.
- Streamlined office processes by implementing efficient administrative systems and procedures.
- Established workflow processes, monitored daily productivity, and implemented modifications to improve overall performance of personnel.
- Managed daily office operations, negotiated contracts, managed vendor relations with outside organizations.
- Negotiated vendor contracts, securing favorable terms and cost savings for the organization.
- Evaluated employee performance regularly, providing constructive feedback aimed at improving individual skills as well as overall team effectiveness.
Clinical Intake Specialist
Cambia Personnel Source
Vancouver
02.2016 - 05.2016
- Received, researched, faxed requests related to pre-authorization and care management.
- Transferred case information into other systems for other users.
- Loaded and retrieved information to and from Care Management System for requests.
- Maintained high levels of accuracy and compliance in data entry, ensuring all information was correctly entered into the required systems.
- Completed intake assessment forms and filed clients' charts.
- Maintained accurate, up-to-date client records for reliable reference and communications.
Health Information Specialist
PeaceHealth Hospital
Vancouver
07.2015 - 09.2015
- Gathered, processed and disclosed health information to patients, hospitals, and clinics.
- Reviewed scanned documents in the EMR for quality image
- Retrieved and reviewed information from EPIC and Streamline programs.
- Sorted, scanned and indexed documents, developed workflows and processed workflow reports to keep clinical records maintained in accordance with guidelines.
- Directed and assisted pulling and procurement of medical files according to established procedures.
- Followed up with medical staff regarding missing information in patient records.
- Input data into computer programs and filing systems.
- Scanned and uploaded medical records into electronic medical records system.
Education
AAS-Business Medical - undefined
Clark College
Vancouver, WASkills
EMR experience with: EPIC, All Scripts, Streamline, Radar, Facets 52, CCA
HIPAA Compliance
Knowledge of ICD-9 and CPT
Excellent Communication Skills
Customer Service-Oriented
Knowledge of Medical Insurance Coding and Billing
Microsoft Outlook, Word, Excel, PowerPoint
Billing systems and software
Risk management
Decision-Making
Teamwork and Collaboration
Self-Motivated
Good Telephone Etiquette
Written Communication
Multitasking Abilities
Interpersonal Communication
Attention to Detail
Dependable and Responsible
Analytical and Critical Thinking
Certification
Certificate of Achievement in Business Technology Medical Billing/Coding Specialist
Timeline
Loss Mitigation Underwriting Specialist
Consumer Cellular
10.2022 - Current
Billing/Fraud Prevention Specialist
Consumer Cellular
10.2016 - Current
Clinical Intake Specialist
Cambia Personnel Source
02.2016 - 05.2016
Health Information Specialist
PeaceHealth Hospital
07.2015 - 09.2015
Administrative Assistant
Southern Specialties
07.2011 - 09.2016
AAS-Business Medical - undefined
Clark College