DeArndra L. Anderson
Hampton,GA
Summary
A dedicated professional and self-starter with excellent organizational skills. Highly motivated and possess excellent verbal and written skills as well as the ability to perform administrative tasks effectively and efficiently. Comfortable with the use of Microsoft office programs.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Ortho Claims Specialist
Benevis
05.2022 - 04.2025
- Currently bills oral surgery, general anesthesia, and hospital claims for endodontics.
- Calculates time for anesthesia match with records.
- Processes accounting receivables and incoming payments in compliance with financial policies and procedures.
- Performs day to day financial transactions, including verifying, classifying, computing, posting and recording accounts receivables' data.
- Reconciles the accounts receivable ledger to ensure that all payments are accounted for and properly posted.
- Verifies discrepancies and resolves clients' billing issues.
- Facilitates payment of invoices due by sending bill reminders and contacting clients.
- Generates financial statements and reports, detailing accounts receivable status.
- Makes outbound calls to various commercial insurance companies to obtain benefit and ID information.
- Determines if selected services are appropriate based on patient need and insurance benefit plan.
- Evaluates patient insurance coverage to determine compatibility with Kool Smiles requirements.
- Follows all regulations and requirements to verify authorization.
- Maintains and promotes patient confidentiality.
- Supervised a team of 10 people, maintains payroll budget for the department, and coordinates training sessions and meetings for the team.
- Analyzes patients' charts to ensure service limitations are not being exceeded.
- Accurately inputs coverage information into patients' profiles and compiles coverage tables.
- Maintains patient data and supporting documentation in order to post transactions, verify accuracy and generate reports.
- Verifies state plan limitations based on CDT coding.
Medicaid AR Specialist
Benevis
09.2019 - 05.2022
Expanded Services Billing/ Trainer (For the U.S.)
Benevis
12.2016 - 05.2022
Billing Specialist
Benevis
09.2013 - 12.2016
Prior Authorization Lead
Benevis
01.2011 - 09.2013
Billing Specialist
Benevis
06.2010 - 01.2011
Commercial Insurance Verifier
Benevis
06.2009 - 06.2010
Medicaid Insurance Verifier
Benevis
03.2009 - 06.2009
Education
GED Diploma -
Technical College System of Georgia
Atlanta, GA05-1997
Skills
- Microsoft Word, Excel - pivot tables, office
References
Furnished Upon Request
Certification
First Aid/ CPR
Timeline
Ortho Claims Specialist
Benevis
05.2022 - 04.2025
Medicaid AR Specialist
Benevis
09.2019 - 05.2022
Expanded Services Billing/ Trainer (For the U.S.)
Benevis
12.2016 - 05.2022
Billing Specialist
Benevis
09.2013 - 12.2016
Prior Authorization Lead
Benevis
01.2011 - 09.2013
Billing Specialist
Benevis
06.2010 - 01.2011
Commercial Insurance Verifier
Benevis
06.2009 - 06.2010
Medicaid Insurance Verifier
Benevis
03.2009 - 06.2009
GED Diploma -
Technical College System of Georgia
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