Sandra Askew
Sylmar,Ca
Summary
Seasoned healthcare professional with 7 years of experience in 3rd party managed care settings, specializing in auditing facility and professional claims. Solid background in healthcare administration, including HIPAA guidelines, claims processing, claims auditing, disability, FMLA, COB, Medicare, and Medi-Cal. In-depth experience in diverse industries such as legal services, social science, administrative and support services, sales, customer service, life insurance, real estate, and property management. Proven track record in managing complex documentation to ensure accuracy and compliance within the healthcare industry. Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability. Swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Mobile Notary Agent
Independent Contractor/Self-Employed
03.2020 - Current
- Authenticate legal documents and verify signatory identities to uphold document integrity
- Facilitate the execution of real estate loan documents, ensuring accurate completion by borrowers
- Expedite the return of notarized loan packages to title companies to streamline processing
Senior Medical Claims Auditor
Regal Medical Group
04.2016 - 02.2020
- Conducted detailed first-level audits on facility and professional claims. Rectified errors on Virtual Examiner Reports to ensure accuracy and timeliness for claims adjudication via EzCap & Filenet systems.
- Analyzed data processing reports to identify and rectify discrepancies, ensuring the integrity of claims data and compliance with HIPAA, Medicare laws.
- Supported management by providing comprehensive follow-up on audit-related issues, contributing to the resolution of problems and enhancing audit procedures
Real Estate Agent/Property Manager
Keller Williams Realty
10.2009 - 03.2016
- Facilitated client transactions by marketing properties, mediating negotiations between sellers and buyers, and conducting property appraisals to validate market competitiveness
- Managed the complete lifecycle of property sales and leases, including client interviews, property showings, preparation for sale, and drafting of purchase and rental agreements
- Handled tenant complaints promptly and appropriately, coordinated with vendors, and other support services.
Sr. Life Insurance Underwriter/Personal Assistant to General Manager
Capital 10 Prolinks Insurance
10.2006 - 10.2009
- Conducted comprehensive risk assessments by scrutinizing medical records, special reports, and examination results, ensuring accurate documentation of findings
- Enhanced underwriting accuracy by meticulously reviewing and approving files processed by underwriter trainees
Medical Claims Examiner II
Anthem Blue Cross of California
09.2003 - 09.2006
- Diligently analyzed and processed a high volume of inpatient and outpatient claims, ensuring accurate coordination with Medicare payment information
- Executed manual calculations for benefits determination, including non-payable categories, and efficiently applied savings and payments through the Pre-Adjudication Correction process
Education
Bachelor of Arts - Sociology
California State University Northridge
Northridge, CA06-2009
A.A - Liberal Arts
LOS ANGELES PIERCE COLLEGE
12-2004
High School Diploma -
Chatsworth High School
Chatsworth, CA06-2002
Skills
- Claims Audit Expertise
- Efficient Processing
- Case Management
- Medicare-Medi-Cal Expertise
- Third-Party Care Management
- Disability Insurance Management
- Health Information Administration
- Conduct Research Analysis
- Proficient in CPT Guidelines
- ICD, HCPCS & DRG Coding/Fee Schedules
- Life Insurance Expertise
- Office Administration
- Executive Support
- Client Relations
- Leadership Training
- Revenue Generation
- Licensed Notary Professional
- Real Estate
- Property Management
- 10 Key Typing & Data Entry
- Underwriting guidelines
- Document verification
- Risk assessment
- Critical thinking
- Quality assurance
- Communication
- Flexible and adaptable
- Written communication
- Teamwork and collaboration
- Problem-solving
- Organizational skills
- Multitasking
- Conflict resolution
- Attention to detail
- data entry
- Software:
-MICROSOFT OUTLOOK
-WORD
-EXCEL
-POWERPOINT
-CALLCARE
-EZCAP
-FILENET
-Yardi
-Winforms
- ERM software systems
Certification
- Certificate of Appreciation/CIty of Los Angeles/Benny Potter Snow Night 2024
Affiliations
- On- going Volunteer, True Purpose Non Profit Organization
Timeline
Mobile Notary Agent
Independent Contractor/Self-Employed
03.2020 - Current
Senior Medical Claims Auditor
Regal Medical Group
04.2016 - 02.2020
Real Estate Agent/Property Manager
Keller Williams Realty
10.2009 - 03.2016
Sr. Life Insurance Underwriter/Personal Assistant to General Manager
Capital 10 Prolinks Insurance
10.2006 - 10.2009
Medical Claims Examiner II
Anthem Blue Cross of California
09.2003 - 09.2006
Bachelor of Arts - Sociology
California State University Northridge
A.A - Liberal Arts
LOS ANGELES PIERCE COLLEGE
High School Diploma -
Chatsworth High School
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