Hi, I’m
Crystal Andrews
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
5
years of professional experience
Work History
Ochsner Medical Center
Hospital Revenue Cycle Specialist
05.2022 - 10.2022
Job overview
- Analyzed and reviewed patient accounts to ensure accuracy and completeness of charges and payments
- Coordinated with billing and coding departments to resolve billing discrepancies and ensure timely submission of claims
- Performed regular audits of billing and coding practices and implemented corrective actions
- Trained staff on revenue cycle processes and software.
- Identified and resolved payment issues between patients and providers.
- Contacted responsible parties for past due debts.
- Participated in client meetings to discuss financial analysis and investment strategies.
- Reached out to insurance companies to verify coverage.
- Generated comprehensive reports on portfolio performance and risk assessment.
- Generated receivables reports and offered improvement recommendations.
- Created and maintained precise and accurate models, charts and reports.
- Balanced and reconciled accounts.
Ochsner Medical Center
Care Coordinator/ Medical Assistant
09.2019 - 05.2022
Job overview
- Coordinated patient care across the healthcare continuum, ensuring timely access to care and services
- Assessed patient needs and developed comprehensive care plans with the interdisciplinary team
- Conducted outreach and health education to patients, caregivers, and community organizations
- Managed referrals, authorizations, and scheduling for appointments and procedures.
- Recognized and reported abnormalities or changes in patient's health status to case manager.
- Updated policies and procedures, leading continuous improvement of resident assessments and care.
- Used company software and databases to maintain records of services performed and patient conditions.
- Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
- Determined need for special assessment activities for complex cases, effectively handling care plans.
Ochsner Medical Center
Medical Assistant Technician
10.2017 - 09.2019
Job overview
- Assisted physicians and nurses in clinical procedures, including patient exams, vital signs, and specimen collection
- Maintained and stocked examination rooms and supplies
- Administered medications and vaccines under physician orders
- Prepared patients for procedures and surgeries and provided pre- and post-operative instructions
- Analyze and code medical records and bills for compliance with federal, state, and insurance regulations
- Verify and obtain prior authorizations for procedures and services to ensure timely reimbursement
- Follow up on unpaid claims and denied submissions, submit appeals, and resolve billing inquiries
- Update billing and coding procedures and train new staff on EHR and billing systems.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Performed medical records management, including filing, organizing and scanning documents.
- Collected and documented patient medical information such as blood pressure and weight.
- Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
- Verified patient insurance coverage and collected required co-payments.
- Helped improve patient outcomes by educating and advising on relevant treatments and care.
- Oriented and trained new staff on proper procedures and policies.
- Obtained client medical history, medication information, symptoms, and allergies.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Measured patient pulse oximetry.
- Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
- Prepared lab specimens for diagnostic evaluation.
- Scheduled appointments, registered patients, and distributed sample pharmaceuticals as prescribed.
- Called and faxed pharmacies to submit prescriptions and refills.
- Obtained and documented patient medical history, vital signs and current complaints at intake.
- Implemented care and efficiency improvements to support and enhance office operations.
- Taught patients about medications, procedures, and care plan instructions.
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Collaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment.
- Followed appropriate procedures to minimize patient's exposure to radiation.
- Updated inventory, expiration and vaccine logs to maintain current tracking documentation.
- Liaised with patients and addressed inquiries, appointment requests and billing questions.
- Collected pertinent data and calculations to aid physician in interpreting results.
- Conducted monthly and quarterly inventory of supplies using facility cost reporting records.
- Completed clinical procedures and gathered patient data for interpretation by physician.
- Assisted with routine checks and diagnostic testing by collecting and processing specimens.
- Documented vital signs and health history for patients in clinic and hospital environments.
Education
Delgado Community College New Orleans, LA
Ophthalmic Assisting
Everest Career Institute
Medical Assisting
US Career Institute
Medical Billing and Coding
Skills
- Conduct patient screening for medical care
- electronic health record (EHR)
- Coach and mentor clinics on new technical software, scheduling appointments, and addressing concerns with new policies and procedures as a care coordinator
- Collaborate with interdisciplinary teams to ensure effective patient care
- excellent telephone skills
- Complete referral requests
- handle patient chart transfers
- create new patient charts
- Review patients' care for overdue health measures and place medical orders under the Written Order Guidelines
- Electronic Health Records (EHR) through the EPIC system
- Microsoft Edge, Microsoft Word, Excel, Office, PowerPoint,
- Zoom Video Conferencing
- ICD-10, and CPT coding
- Appointed Campus Ambassador at Everest Institute
- Care Coordinator and Staff Health Maintenance Trainer for over 20 medical clinics
- Records Coordination
- Word Processing
- Paperwork Management
- Medical Terminology Knowledge
- HCPCS Coding Guidelines
- Safety Policies and Procedures
- Medical Billing
- Collecting Payments
- Direct Patient Care
- Revenue Cycle Management
- Insurance Verification
Timeline
Hospital Revenue Cycle Specialist
Ochsner Medical Center
05.2022 - 10.2022
Care Coordinator/ Medical Assistant
Ochsner Medical Center
09.2019 - 05.2022
Medical Assistant Technician
Ochsner Medical Center
10.2017 - 09.2019
Delgado Community College
Ophthalmic Assisting
Everest Career Institute
Medical Assisting
US Career Institute
Medical Billing and Coding