Consuelo Andrade
Yakima,WA
Summary
Finance professional with 15 years in dental billing and management. Skilled in operations, financial reporting, and patient care. Committed to driving growth.
Overview
28
28
years of professional experience
Work History
Finance Manager
Heiden Family Dental
07.2016 - Current
- Insurance Payment Posting: Efficiently posted insurance payments against outstanding claims for various payers, including VA, L&I, and tribal health programs
- Ensured accurate application of allowances, adjustments, and write-offs in compliance with payer-specific guidelines
- Electronic Remittance Reconciliation: Reconciled electronic remittances from various payers, including VA, L&I, and tribal health programs, resolved discrepancies, posted declines, and processed appeals to ensure accurate account management and minimize claim denials
- Account Corrections and Refunds: Discovered and corrected account errors, balanced accounts, and processed patient refunds, with a focus on claims from various payors, including VA, L&I, and tribal health programs to maintain financial accuracy and patient satisfaction
- In-Person Collections Management: Managed in-person collection issues, addressing concerns related to non-covered services, prior authorizations, deductibles, and patient account breakdowns, with experience handling cases involving various payors, including VA, L&I, and tribal health programs
- Statement Preparation: Prepared and reviewed patient statements for clarity and accuracy, including those involving VA, L&I, and tribal health program claims
- Addressed patient inquiries and disputes related to these statements
- Credentialing: Managed the credentialing process for providers, including submissions to various payors, including VA, L&I, and tribal health programs
- Ensured compliance with regulatory requirements and payer contracts, and maintained up-to-date credentialing records
- Claims and Denials Analysis: Conducted thorough analysis of denied claims from various payors, including VA, L&I, and tribal health programs, identifying common denial reasons and implementing strategies to reduce rejections and improve claim approvals
- Customer Service Excellence: Provided exceptional customer service, addressing patient and payer inquiries, resolving billing issues, and clarifying charges and payment processes related to various payors, including VA, L&I, and tribal health programs
- Process Improvement: Identified and implemented process improvements in billing, credentialing, and collections for various payors, including VA, L&I, and tribal health program claims, leading to increased operational efficiency and accuracy
Finance Lead
Apple Valley Dental
08.2011 - 09.2020
- Team Management: Supervised a billing team, including responsibilities for hiring, training, and delegating tasks to ensure efficient and accurate billing operations
- Team Collaboration and Development: Actively participated in team meetings, training sessions, and annual reviews, fostering professional development and aligning team efforts with organizational goals
- Debtor and Creditor Oversight: Ensured effective control and oversight of billing processes to monitor and manage overdue invoices, facilitating timely payments and adherence to agreed-upon terms
- Financial Oversight: Reviewed and managed monthly statements and budgets, ensuring accurate tracking of patient out-of-pocket expenses and effective financial management
- Patient Account Accuracy: Corrected and updated patient information to ensure precise billing and detailed breakdowns of patient accounts, enhancing billing accuracy and minimizing errors
Billing Specialist
Community Dental Care
10.2008 - 07.2010
- Client Greeting and Direction: Warmly greeted and welcomed clients upon arrival, provided clear directions, and assisted with initial inquiries to ensure a positive first impression and efficient service
- Data Entry and Verification: Accurately entered new patient information and performed thorough insurance verification to ensure correctness and compliance with billing procedures
- Phone Communication: Efficiently managed phone communications by answering, forwarding, and screening calls, addressing client inquiries, and routing them to appropriate departments
- Billing and Financial Support: Supported managers with client billing questions and concerns, handled financial account breakdowns, and collected out-of-pocket expenses, ensuring accurate billing and financial management
- Account Management: Maintained precise records of client accounts and outstanding balances, conducted financial account breakdowns to monitor expenses, and ensured timely follow-up on overdue balances
- Payment Processing: Received, sorted, and tracked incoming payments, issued receipts, and ensured proper documentation and processing of all transactions
- Relationship Building: Fostered strong relationships with staff and providers, facilitating smooth communication and collaboration to enhance overall patient care and billing processes
Nursing Assistant
Valley Vista Medical Group
03.2008 - 07.2008
- Patient Care Support: Assisted nurses and doctors with basic patient care tasks, ensuring comfort and safety during medical procedures and examinations
- Medical Supply Management: Prepared and organized medical supplies, ensuring availability and readiness for various procedures and examinations
- Patient Interaction: Conducted patient interviews, recorded medical histories, and measured vital signs such as blood pressure and weight, contributing to accurate patient assessments
- Specimen Collection and Medication Administration: Supported nurses in collecting and preparing laboratory specimens and administering medications, following established protocols
- Medical Record Management: Updated and filed patient medical records accurately, and coordinated scheduling for hospital admissions and laboratory services
- Patient Education: Provided instructions to patients regarding medications, special diets, and prescription refills as directed, ensuring they understood their treatment plans
Certified Nursing Assistant/Med Tech-Lead
Sun Terrace Prosser
10.2000 - 03.2008
- Team Supervision: Supervised and coordinated the activities of CNAs, ensuring efficient task completion and high-quality resident care
- Training and Development: Trained new CNAs and Med Techs, offering guidance and support to develop their skills and ensure adherence to facility standards
- Conflict Resolution: Addressed and resolved team conflicts and issues, promoting a positive and collaborative work environment
- Performance Evaluation: Monitored and evaluated team performance, providing constructive feedback and identifying opportunities for professional development
- Direct Resident Care: Provided hands-on care to residents, including assistance with daily activities such as bathing, dressing, feeding, and mobility
- Medication Administration: Administered prescribed medications, ensuring accuracy in dosages and timing
- Vital Signs Monitoring: Monitored and recorded vital signs, reporting significant changes to nursing staff or physicians as needed
- Emotional Support: Offered emotional support and companionship to residents, addressing both physical and emotional needs
- Record Keeping and Communication: Maintained accurate patient records, documented care provided, and communicated effectively with the healthcare team to ensure coordinated care
Certified Nursing Assistant/ Med Tech
Sun Terrace Sunnyside
07.1996 - 10.2000
- Direct Resident Care: Provided comprehensive care to residents, assisting with daily activities including bathing, dressing, feeding, and mobility to ensure comfort and support
- Medication Administration: Administered prescribed medications accurately, following correct dosages and timing protocols to ensure effective patient treatment
- Vital Signs Monitoring: Monitored and recorded vital signs such as blood pressure, pulse, and temperature, promptly reporting any significant changes to nursing staff or physicians
- Record Keeping and Communication: Maintained accurate patient records and documented care provided, ensuring effective communication with the healthcare team for coordinated and efficient care
- Wound Care Assistance: Assisted with basic wound care, including cleaning and dressing wounds as directed by healthcare professionals, promoting proper healing
- Safe Resident Transfers: Performed safe transfers of residents to and from beds, wheelchairs, and other locations, using proper lifting techniques to prevent injury
- Emergency Response: Responded promptly to emergency situations, such as falls or medical crises, providing immediate care and notifying appropriate medical personnel
Education
Associate Degree - Accounting, AAS
Yakima Valley Community College
Yakima, WABachelor of Applied Science - Business Management
Yakima Valley community College
Yakima, WA06.2024
Associates Degree - Business Administration, AAS-T
Yakima Valley community College
Yakima, WA06.2022
Skills
- Team Management
- Billing and Statements Expertise
- Effective Communication
- Problem-Solving and Analysis
- Attention to Detail and Compliance
- Adaptability
- Time Management
- Customer Service Excellence
- Training and Development
Professionalreferences
Available Upon Request
Languages
Spanish
Native or Bilingual
English
Full Professional
Timeline
Finance Manager
Heiden Family Dental
07.2016 - Current
Finance Lead
Apple Valley Dental
08.2011 - 09.2020
Billing Specialist
Community Dental Care
10.2008 - 07.2010
Nursing Assistant
Valley Vista Medical Group
03.2008 - 07.2008
Certified Nursing Assistant/Med Tech-Lead
Sun Terrace Prosser
10.2000 - 03.2008
Certified Nursing Assistant/ Med Tech
Sun Terrace Sunnyside
07.1996 - 10.2000
Bachelor of Applied Science - Business Management
Yakima Valley community College
Associates Degree - Business Administration, AAS-T
Yakima Valley community College
Associate Degree - Accounting, AAS
Yakima Valley Community College
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