Andrea Wells
Slidell,LA
Summary
I am seeking employment with a company where I can use my talents and skills to grow and expand the company. I want to succeed in a stimulating and challenging environment, building the success of the company while I experience advancement opportunities. I want to excel in this field with hard work, perseverance, and dedication. I want a highly rewarding career where I can use my skills and knowledge to help the company and my coworkers be successful. I am seeking a company where I can use my experience and education to help the company meet and surpass its goals. I want to be part of the success in an environment of growth and excellence.
Overview
21
21
years of professional experience
Work History
Utilization Manager Specialist
Northlake Behavioral Health System
11.2021 - Current
- Leading and directing the utilization review staff at a health care facility
- Data Entry, Determining procedures and policies that best ensure effective utilization
- Monitoring reviews to ensure patients receive care in a timely and cost-effective manner
- Preparing analysis and reports on significant utilization trends and effects on resources Consulting with physicians and other professionals to improve utilization of services
- Creating a utilization review system for the facility to use and training team members on it
- Reviewing medical records to help improve patient care
- Educating physicians and the health care team to improve the utilization processes
- Conducting interviews to determine a patient's current required services.
Registration/Insurance Verification Manager
Avala Imaging
09.2020 - Current
- My role as an insurance verification manager is a working to ensure that patients’ health care benefits cover required procedures using the system CPSI
- I contact a patient’s insurance company to verify coverage levels and work with individuals to educate them on their benefits information
- Serves as a valued member of the health care team, helping patients get the medical procedures they need
- Providing them with pertinent information regarding their coverage
- I also work with patients to explain coverage amounts provided by their insurance policy, so they can understand why some procedures may be covered, while others are not
- I also help patients arrange payment for services that are not covered by their insurance companies, discussing different financing options to fit their budgets
- Managing workflow
- Training new hires
- Data Entry Creating and managing team schedules
- Reporting to HR and senior management
- Evaluating performance and providing feedback
- Identifying and applying career advancement opportunities
- Helping to resolve employee issues and disputes.
Sr. Patient Access Rep
Ochsner Hematology Clinic
03.2017 - 02.2021
- Greets patients and their caregivers and records pertinent information into a computer database
- Records insurance information and obtains pre-approval for treatment if needed
- Relays information between patients and other staff members, and provides them with updates as needed
- Prioritizes the order of care so that the most critical patients are seen first
- Keeps paper and electronic medical records, and updates these records as needed
- Provides information to insurance companies in order to assist with billing
- Assists patients during checkout, and ensures they have post-treatment instructions if required
- Refers individuals to outside agencies when unable to meet their needs
- Calculates payment information, accepts funds, and credits accounts accordingly.
Pre-Registration Rep
Louisiana Heart Hospital
03.2014 - 02.2017
- Responsibilities include verifying patient insurance coverage, to ensure necessary procedures are covered by an individual’s provider
- I was responsible for entering data in an accurate manner, as it is important to update patient benefit information in the organization’s insurance system and verify that existing information is accurate
- My previous position also requires me to spend time on the phone with insurance companies or obtaining benefits on the insurance companies’ websites in a timely manner
- I served as a valuable resource to patients, providing them with pertinent information regarding their coverage
- I was responsible for working with patients to explain coverage amounts provided by their insurance policy, so they can understand why some procedures may be covered, while others are not
- Most importantly, I helped patients arrange payment for services that are not covered by their insurance companies, discussing different financing options to fit their budgets, and performed ER and Outpatient Registration duties as needed.
Assistant Front Desk Manager
The Marriott
02.2006 - 03.2014
- As an Assistant Front Desk Manager, I was responsible for assisting the Front Desk Manager
- My responsibilities included reading and managing all sections of the Front Desk Department to ensure the highest standards
- As a Front Desk Assistant Manager, it was my responsibility to provide necessary training to all personnel working at front desk operations
- This might include training employees in using hotel computer systems, applying guest services techniques and handling telephone inquiries
- I will also explain all hotel policies and pricing to guest service staff
- I was also asked to be involved with recruiting and reviewing applications for hiring new staff members
- Furthermore, my role as an Assistant Front Desk Manager was to assist the Front Office Manager in any employee related matters such as evaluations and consulting.
Bank Teller
Hibernia Bank
08.2003 - 08.2005
- My role as Bank Teller was to identify customers, validate and cash checks, accept cash and checks for deposit and check accuracy of deposit slip, process cash withdrawals, perform specialized tasks such as preparing cashier's checks, personal money orders, issuing traveler's checks and exchanging foreign currency perform services for customers such as ordering bank cards and checks receive and verify loan payments, mortgage payments and utility bill payments record all transactions promptly, accurately and in compliance with bank procedures balance currency, balanced cash and checks in cash drawer at end of each shift answer inquiries regarding checking and savings accounts and other bank related products attempt to resolve issues and problems with customer's accounts initiate and open new accounts explain, advise on and promote bank products and services to customers identify referral opportunities and make relevant referrals ensure compliance with all internal controls and established policies and procedures.
Education
John McDonogh Sr. High
Masters-Healthcare Administration -
Herzing University
02.2024
Bachelors-Healthcare Management -
Herzing University
09.2022
Bachelors-Political Science -
Southeastern State University
12.2008
Skills
- OPERA Software
- Microsoft Word
- Aura
- Excel
- Paragon
- E Clinicals Works
- Cerner
- CPSI
- Form Fast
- Microsoft Office Suite
- Power Point
- EPIC
- Quick learner
- Client-focused
- Microsoft Office Computer proficient
- Results-oriented
- Attention to details
- Willingness to perform repetitive or routine work
- Solid computer and keyboarding skills
- Critical thinking skills
- Multitasking skills
- Ability to work in a busy environment
- Exercises a high degree for ethics
- Great team player
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
There is a powerful driving force inside every human being that, once unleashed, can make any vision, dream, or desire a reality.
Tony Robbins
Timeline
Utilization Manager Specialist
Northlake Behavioral Health System
11.2021 - Current
Registration/Insurance Verification Manager
Avala Imaging
09.2020 - Current
Sr. Patient Access Rep
Ochsner Hematology Clinic
03.2017 - 02.2021
Pre-Registration Rep
Louisiana Heart Hospital
03.2014 - 02.2017
Assistant Front Desk Manager
The Marriott
02.2006 - 03.2014
Bank Teller
Hibernia Bank
08.2003 - 08.2005
John McDonogh Sr. High
Masters-Healthcare Administration -
Herzing University
Bachelors-Healthcare Management -
Herzing University
Bachelors-Political Science -
Southeastern State University
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