Summary
Overview
Work History
Education
Skills
Languages
Timeline
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BEATRIZ ANDRADE

San Diego,CA

Summary

To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Efficient Authorization specialist skilled in ensuring accurate order processing and data entry. Proven to succeed in a fast-paced, high throughput positions. Eager to apply my experience and strong background in data management to add value to the team.

Overview

14
14
years of professional experience

Work History

Billing Representative /Customer Service Representative

Biocept Inc
03.2021 - 09.2023
  • Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
  • Carried out day-day-day duties accurately and efficiently.
  • Proved successful working within tight deadlines and fast-paced atmosphere.
  • Used critical thinking to break down problems, evaluate solutions and make decisions.
  • Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
  • Processed payment via telephone with focus on accuracy and efficiency.
  • Generated financial statements and reports detailing accounts receivable status
  • Reviewed full history of past due accounts and contacted client or attorney regarding collection, implementation of payment plan or pursuit of legal remedies on unpaid accounts.
  • Researched portals issues related to non-payment within e-billing vendor portals.
  • Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.

Authorization Specialist

LABcorp
04.2013 - 03.2021
  • Verifying insurance coverage for accurate billing
  • Used Xifin to input insurance for claims, authorizations and other important medical data
  • Contacted insurance, doctor’s office and patients to obtain current insurance and claims address as well as preauthorization requirements
  • Covered phone queue: Cost estimates, eligibility details and affordability options to patients with kindness and respect.
  • Carried out day-day-day duties accurately and efficiently.
  • Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.

Quality Assurance Specialist

Lifecare Solutions
10.2009 - 03.2013
  • Verified insurance coverage
  • Through review of both in and outpatient Medical records
  • Contacted doctors' offices and patients in order to obtain documentation for continued authorizations
  • Obtained signed Certificates of Medical Necessity in a timely manner
  • Worked with CCS (Children County Services) and Medi-Cal
  • Familiar with therapies such as DME and Enteral.

Education

High school Diploma -

Hoover High
San Diego, CA

CNA “Certified Nursing Assistance” - CNA

Hoover High School- Internship
San Diego, CA

Skills

  • Billing Knowledge
  • Data Entry / Intake
  • Coverage and Benefits
  • Insurance Authorizations (Retro and Pre)
  • Healthcare Billing (Medicare, Medi-Cal, CCS and Commercial)
  • Healthcare Terminology
  • ICD-10 and CPT Coding
  • Certified Service Representative
  • Bilingual in Spanish and English
  • Outstanding Customer Service Skills

Languages

Spanish
Native or Bilingual

Timeline

Billing Representative /Customer Service Representative

Biocept Inc
03.2021 - 09.2023

Authorization Specialist

LABcorp
04.2013 - 03.2021

Quality Assurance Specialist

Lifecare Solutions
10.2009 - 03.2013

High school Diploma -

Hoover High

CNA “Certified Nursing Assistance” - CNA

Hoover High School- Internship

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BEATRIZ ANDRADE