Andrew Rosse
Pittsburgh,PA
Summary
Highly motivated problem solver with a proven ability to quickly assimilate information, identify root cause issues, and develop holistic, practical solutions. Engages key stakeholders to ensure successful implementation. Skilled in using data to design and implement quantitative and qualitative analysis, assess strategy, and streamline controls. Professional interests include problem solving, project management, and data analytics.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Provider Relations Coordinator
MEDICAL REVIEW INSTITUTE of AMERICA (MRIoA)
12.2022 - Current
- Manage and execute the Independent Physicians recruitment, credential, and on-boarding process. Duties include:
- Coordinated credentialing processes for new physician reviewers, ensuring timely completion of all necessary documentation and requirements. Including: conducting background checks, confirm medical licenses, board certifications and professional qualifications;
- Coordinating and leading training for physician reviewers in onboarding process.
- Implemented proactive outreach efforts to maintain consistent contact with providers, reinforcing the organization's commitment to their success.
- Analyzed provider performance data, identifying opportunities for improvement and implementing targeted action plans.
- Maintained accurate provider databases, ensuring up-to-date information was readily available for internal use and external reporting purposes.
- Contributed to the development of annual departmental goals and objectives, actively working towards their achievement through focused efforts and collaboration.
- Answered provider inquiries via email, telephone and written correspondence.
- Managed caseloads effectively by utilizing strong organizational skills and prioritizing tasks based on urgency or importance levels related to provider relations objectives.
- Assisted in the preparation of regular reports for executive leadership, highlighting key provider relations metrics and trends for strategic decision-making purposes.
Case Coordinator
MEDICAL REVIEW INSTITUTE of AMERICA (MRIoA)
03.2021 - 12.2022
- Screen incoming healthcare review requests
- Analyze and prepare medical records, review billing codes for accuracy/completeness.
- Serve as a liaison with insurance companies; perform QA reviews of insurance case appeals.
- Collaborated closely with external agencies to ensure seamless service provision, minimizing gaps in care for clients.
- Maintained current knowledge of applicable procedures and compliance requirements to optimize effectiveness.
- Maintained detailed documentation of client interactions, services provided, and case outcomes for accurate record keeping and compliance purposes.
- Efficiently managed caseloads while prioritizing urgent cases to ensure prompt attention was given when needed most.
- Managed complex cases with sensitivity, navigating challenges with professionalism and empathy.
- Coordinated with healthcare professionals to ensure comprehensive support for clients, improving their overall well-being.
Intern
Libman Education
04.2020 - 06.2020
- Development and marketing of continuing education product for inpatient medical coding; participated in strategic meetings.
- Gained valuable experience working within a specific industry, applying learned concepts directly into relevant work situations.
- Gained hands-on experience in various software programs, increasing proficiency and expanding technical skill set.
- Utilized strong communication abilities during presentations which led to increased understanding among colleagues regarding project goals and objectives.
- Prepared project presentations and reports to assist senior staff.
- Prepared comprehensive reports summarizing data analysis findings, informing key decision-makers of important trends and patterns.
- Assisted in improving product design with detailed user feedback analysis.
Line Chef and Supervisor
B52 CAFÉ and KAYA
11.2017 - 03.2020
- Supervised prep team and trained new staff in food preparation, sanitation, safety, and equipment use.
- Ensured consistent high-quality dishes by adhering to standardized recipes and strict quality control measures.
- Demonstrated versatility by efficiently working across various stations within the kitchen as needed.
- Maintained a safe and sanitary work environment by following strict food handling guidelines and regular cleaning schedules.
- Developed strong multitasking abilities, managing multiple orders simultaneously while maintaining attention to detail.
- Assisted in training new line chefs, sharing best practices for efficient food preparation and service consistency.
Research Assistant
University of Pittsburgh
01.2017 - 10.2017
- Recruitment and on-boarding of concussion study participants; conducted experimental trials; managed data for statistical analysis; wrote and edited research articles.
- Organized research materials, maintaining a well-ordered workspace conducive to productivity.
- Maintained open lines of communication with project leads and team members for effective collaboration on common goals.
- Conducted literature reviews to support hypothesis development and identify gaps in existing knowledge.
- Monitored project timelines, ensuring timely completion of tasks while maintaining high-quality output.
- Contributed to the publication of research articles in peer-reviewed journals, showcasing expertise in various topics.
- Managed laboratory equipment and resources, ensuring proper maintenance and optimal functionality.
- Utilized statistical software for data analysis, generating accurate insights into complex datasets.
- Managed research databases with utmost diligence, ensuring data integrity and security.
- Participated in lab meetings and project presentations.
- Monitored and documented safety standards to verify compliance.
Education
Post-Baccalaureate Certificate in Health Information Management - Health Information Management
Weber State University
Ogden, UT08.2020
Bachelor of Science - Psychology
University of Pittsburgh
Pittsburgh, PA04.2016
Skills
- Computer Programs/Literacy: Microsoft Excel, Word and PowerPoint, PowerBI, IBM SPSS, Endnote, Adobe Acrobat, Python, SQL
- Research Skills: Statistical Data Analysis, Data Collection, Data Entry, Database Management, Scientific Writing
- Healthcare Knowledge: Medical Terminology, ICD-10/CPT Coding, EHR Literacy, Health Record Review, HIPPA and HITECH requirements, Release of Information, Revenue Cycle Management, Health Care Compliance and Law, Health provider credentialing
- Information Systems: SDLC, Health Information Systems Management,
- Soft Skills: Educational Presentations, Leadership, Time Management, Interpersonal Communication, Client Focused Communications (Email and Phone)-Client Relations/Customer Success, Public Speaking/Presentation Skills, Problem-Solving, Attention to Detail, Multitasking
Accomplishments
- MRIoA Leadership Academy (December 2023)
- Member of the Quality Assurance Initiative (QAI) Team and Cross-trained on the Case Completion Team – MRIoA (2022)
- SQL Certificate- CodeAcademy (Earned 2021)
- University of Pittsburgh Undergraduate Research Poster Session Participant (April 2016)
· President, Delta Phi Fraternity (2014 – 2015)
· Eagle Scout Award, BSA (Earned 2011)
Professional Accomplishments / Certifications
- MRIoA Leadership Academy, 12/01/23
- Member of the Quality Assurance Initiative (QAI) Team and Cross-trained on the Case Completion Team – MRIoA, 2022
- SQL Certificate, CodeAcademy (2021)
- RHIA Credential, 08/01/20
- Undergraduate Research Poster Session Participant, 04/01/16
- President, Delta Phi Fraternity, 2014 - 2015
- Eagle Scout Award, BSA, 2011
Certification
- Registered Health Information Administrator (RHIA) - AHIMA (August 2020)
Timeline
Provider Relations Coordinator
MEDICAL REVIEW INSTITUTE of AMERICA (MRIoA)
12.2022 - Current
Case Coordinator
MEDICAL REVIEW INSTITUTE of AMERICA (MRIoA)
03.2021 - 12.2022
Intern
Libman Education
04.2020 - 06.2020
Line Chef and Supervisor
B52 CAFÉ and KAYA
11.2017 - 03.2020
Research Assistant
University of Pittsburgh
01.2017 - 10.2017
Post-Baccalaureate Certificate in Health Information Management - Health Information Management
Weber State University
Bachelor of Science - Psychology
University of Pittsburgh
- Registered Health Information Administrator (RHIA) - AHIMA (August 2020)
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