Janel Andrews
Covington,GA
Summary
Experienced medical billing professional adept at working with software and codes. Analytical and knowledgeable specialist offers effective resolutions for current concerns and ideas for future improvements. Proactive and tenacious with adaptable nature and superior work ethic.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Revenue Cycle Specialist
Jackson Hospital
Montgomery, AL
03.2024 - 09.2024
- Billing patients and thrid parties for administered care, handling incoming payments, calculating patient intake cost, tracking accounts receivable to ensure accuracy
- Also work with patients to arrange special payment options when necessary
Tax Expert
Intuit
11.2023 - 03.2024
- Informing clients or employers on the tax preparation process
- Collecting relevant financial records, including pay stubs and income statements
- Inputting data from financial records into tax return software or databases
- Using applicable federal, state and local tax law to determine deductions and how much each client will pay or earn on the return
- Completing and filing tax documents with appropriate agencies, like the IRS, state and local government entities
- Acting as a representative for clients with applicable agencies as required
- Building customer relationships to promote and expand the business
Provider Enrollment Analyst
Palmetto GBA( BlueCross Blue Shield Medicare)
, WAH
11.2020 - 08.2023
- Processing new and established Medicare Part B provider applications, and ensuring that all providers given a number are in compliance with the CMS regulations
- Assign and log all Medicare provider numbers in an accurate and timely manner
- Approved, denied, or rejected applications based on the CMS guidelines
- Maintains PECOS databases for all practitioners
- Ensure that all information meets federal and state guidelines when processing applications
- Enforce regulatory compliance and quality assurance
- Determine the proper credentials needed for each type of provider
- Secure all information and verify license with proper state agency if applicable
- Complies with CMS and HIPAA guidelines and regulations
- Answered Contact center Calls
- Verified enrollment status for providers
- Revalidation project
Mortgage Customer Service Specialist (SAFE)
Wells Fargo
Des Moines, IA
07.2019 - 11.2020
- Customer Service Representative engaged in handling customer telephone inquiries and complaints by performing the following duties
- Researches customer complaints or concerns and corrects or adjusts records, as needed
- Assists in maintaining customer insurance information for Property, Liability, Flood, PMI, etc
- Explains products and benefits, Confirms payments, refunds, etc., Quotes refinance Rates
Mortgage Customer Service Representative
Wells Fargo
Des Moines, IA
12.2018 - 07.2019
- Customer Service Representative engaged in handling customer telephone inquiries and complaints by performing the following duties
- Researches customer complaints or concerns and corrects or adjusts records, as needed
- Assists in maintaining customer insurance information for Property, Liability, Flood, PMI, etc
Credentialing Coordinator
KLS Workforce Solutions
Atlanta, GA
07.2016 - 11.2016
- Responsible for organizing, maintaining, and verifying all aspects of the credentialing process for healthcare practitioners in a health care-related facility
- In all activities, they must comply with all legal and regulatory policies and procedures
Provider Enrollment Specialist
Warren Averett Healthcare Division
Birmingham, AL
01.2015 - 12.2015
- Processing new and established Medicare Part B provider applications, and ensuring that all providers given a number are in compliance with the CMS regulations
- Assign and log all Medicare provider numbers in an accurate and timely manner
- Approved, denied, or rejected applications based on the CMS guidelines
- Maintains PECOS databases for all practitioners
- Ensure that all information meets federal and state guidelines when processing applications
- Enforce regulatory compliance and quality assurance
- Determine the proper credentials needed for each type of provider
- Secure all information and verify license with proper state agency if applicable
- Complies with CMS and HIPAA guidelines and regulations
- Answered Contact center Calls
- Verified enrollment status for providers
- Revalidation project
Provider Enrollment Specialist
BroadPath Healthcare Solutions
Tucson, AZ
05.2013 - 01.2015
- Processing new and established Medicare Part B provider applications, and ensuring that all providers given a number are in compliance with the CMS regulations
- Assign and log all Medicare provider numbers in an accurate and timely manner
- Approved, denied, or rejected applications based on the CMS guidelines
- Maintains PECOS databases for all practitioners
- Ensure that all information meets federal and state guidelines when processing applications
- Enforce regulatory compliance and quality assurance
- Determine the proper credentials needed for each type of provider
- Secure all information and verify license with proper state agency if applicable
- Complies with CMS and HIPAA guidelines and regulations
- Answered Contact center Calls
- Verified enrollment status for providers
- Revalidation project
Medicare Discrepancy Analyst
Healthcare Corporation of America
Atlanta, GA
02.2007 - 05.2010
- Work Discrepancy Report to determine types of discrepancies and assign appropriate reason codes
- Make all corrections of non-payment related discrepancies
- Forward all other discrepancies to Overpayment or Underpayment Analyst
- Practice and adhere to the 'Code of Conduct' philosophy and 'Mission and Value Statement'
- Other duties as assigned
- Responsible for logging all discrepancies and correcting non-payment related discrepancies
- Communication - communicates clearly and concisely, verbally and in writing
- Customer orientation establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
- Interpersonal skills - able to work effectively with other employees, patients and external parties
- PC skills - demonstrates proficiency in Microsoft Office applications and others as required
- Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures and systems
- Basic skills - able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately
Education
Bachelor's Degree - Health Care Administration and Management
University of Pheonix
10.2024
Medical Billing and Insurance Coding -
United Educational Institute Morrow
Morrow, GA05.2011
Associate - Business Administration
Herzing University
Atlanta, GA12.1990
Skills
- Call Center
- Customer Support
- Outlook
- Content Management Systems
- CPT Coding
- Marketing
- ICD-10
- Shares
- Insurance Verification
- Customer Care
- Medical Billing
- ICD-9
- Quickbooks
- Customer Service
- Aero
- Administrative Assistant
- Pegasystems
- Payroll
- Medical Coding
- EMR Systems
- Accounts Receivable
- Hospital Experience
- HIPAA
- Truebridge
- Medical documentation
- Data entry
- Revenue Cycle
- Pharmacy Technician
Certification
Medical Coding Certification
Personal Information
- Willing To Relocate: True
- Authorized To Work: US
Timeline
Revenue Cycle Specialist
Jackson Hospital
03.2024 - 09.2024
Tax Expert
Intuit
11.2023 - 03.2024
Provider Enrollment Analyst
Palmetto GBA( BlueCross Blue Shield Medicare)
11.2020 - 08.2023
Mortgage Customer Service Specialist (SAFE)
Wells Fargo
07.2019 - 11.2020
Mortgage Customer Service Representative
Wells Fargo
12.2018 - 07.2019
Credentialing Coordinator
KLS Workforce Solutions
07.2016 - 11.2016
Provider Enrollment Specialist
Warren Averett Healthcare Division
01.2015 - 12.2015
Provider Enrollment Specialist
BroadPath Healthcare Solutions
05.2013 - 01.2015
Medicare Discrepancy Analyst
Healthcare Corporation of America
02.2007 - 05.2010
Bachelor's Degree - Health Care Administration and Management
University of Pheonix
Medical Billing and Insurance Coding -
United Educational Institute Morrow
Associate - Business Administration
Herzing University