Summary
Overview
Work History
Education
Skills
Timeline
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Terri Andrew

Ephrata,PA

Summary

Dynamic Financial Recovery Specialist with extensive experience at Orthopaedic Associates of Reading, Ltd. Proven expertise in claims processing and ICD-10 coding, driving revenue cycle management success. Adept at resolving payment discrepancies and enhancing patient satisfaction through effective communication and problem-solving skills. Committed to optimizing billing accuracy and efficiency.

Overview

13
13
years of professional experience

Work History

Financial Recovery Specialist

Orthopaedic Associates of Reading, Ltd.
Wyomissing, Pennsylvania
08.2020 - 06.2025
  • Assisted in resolving payment issues, such as rejections or delayed payments due to incorrect coding or missing information.
  • Reviewed denials received from payers and communicated findings with billing staff.
  • Reviewed overpayments and processed refunds to be sent to patients and insurance companies.
  • Submitted claims to insurance companies.
  • Assessed billing statements for correct diagnostic codes and identified problems with coding.
  • Checked claims coding for accuracy with ICD-10 standards.
  • Reconciled codes against services rendered.
  • Weighed envelopes containing statements to determine correct postage and affix postage.
  • Reviewed engine assigned codes and modifiers to update and verify accuracy.
  • Provided customer service support to patients regarding inquiries related to account status and payment history.
  • Balanced daily cash postings with deposits to ensure accuracy of information entered into the system.
  • Updated patient accounts with current information after verifying accuracy of data entered into the system.
  • Researched discrepancies between patient accounts and remittance advice received from insurance carriers.
  • Handled all electronic and manual payments and adjustments, ensuring that data was accurately posted.
  • Received payments from insurance providers, handled Medicare packages and completed immediate processing.
  • Downloaded, printed and batched electronic funds transfers and remits.
  • Posted payments and sent reviews and denials.
  • Generated, mailed and monitored invoices.
  • Evaluated open accounts to look for past-due balances and pursue collection strategies.
  • Monitored customer account details to minimize or rectify non-payments, delayed payments and other irregularities.
  • Collected, posted and managed patient account payments.
  • Monitored past due accounts and pursued collections on outstanding invoices.
  • Performed insurance verification, pre-certification and pre-authorization.
  • Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
  • Verified patient eligibility status prior to appointment scheduling.
  • Organized appointment scheduling for patients.
  • Verified insurance coverage prior to appointment scheduling and collected copayments at time of service.
  • Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
  • Responded to patient inquiries regarding medical records and appointment scheduling.
  • Verified patient demographics and insurance coverage prior to appointment scheduling.
  • Provided customers with appointment scheduling information and assistance.
  • Answered incoming calls from patients and handled inquiries regarding medical records, billing, and appointment scheduling.
  • Provided information to patients regarding medical services, billing questions, appointment scheduling and other inquiries.
  • Worked closely with front office staff regarding patient registration issues related to appointment scheduling.
  • Answered telephone inquiries from patients regarding appointment scheduling and office policies.
  • Verified patient insurance coverage prior to appointment scheduling.
  • Verified patient information prior to appointment scheduling or treatment administration.
  • Answered incoming calls regarding general inquiries, appointment scheduling, and payment processing.
  • Maintained accurate records of patient demographics, appointment scheduling, payment collections.

Payment Poster

Wellspan Ephrata Community Hospital
Ephrata, PA
04.2012 - 01.2015
  • Processed patient payments accurately and efficiently using hospital billing systems.
  • Reviewed insurance claims for completeness and compliance with regulations.
  • Posted payments and sent reviews and denials.
  • Handled all electronic and manual payments and adjustments, ensuring that data was accurately posted.
  • Verified accuracy of statements sent to customers for payment reconciliation purposes.
  • Received payments from insurance providers, handled Medicare packages and completed immediate processing.
  • Ensured compliance with HIPAA regulations when dealing with patient information.
  • Assisted in resolving payment issues, such as rejections or delayed payments due to incorrect coding or missing information.
  • Maintained a working knowledge of industry regulations pertaining to healthcare billing practices.
  • Downloaded, printed and batched electronic funds transfers and remits.
  • Updated patient accounts with current information after verifying accuracy of data entered into the system.
  • Evaluated open accounts to look for past-due balances and pursue collection strategies.
  • Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.
  • Performed insurance verification, pre-certification and pre-authorization.
  • Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
  • Reconciled codes against services rendered.

Education

High School Diploma -

Ephrata Senior High School
Ephrata, PA
06-1987

Business Data Processing & Office Skills

Brownstown Vo-Tech
Brownstown
06-1987

Skills

  • Claims processing
  • ICD-10 coding
  • Payment reconciliation
  • Insurance verification
  • Refund processing
  • Revenue cycle management

Timeline

Financial Recovery Specialist

Orthopaedic Associates of Reading, Ltd.
08.2020 - 06.2025

Payment Poster

Wellspan Ephrata Community Hospital
04.2012 - 01.2015

High School Diploma -

Ephrata Senior High School

Business Data Processing & Office Skills

Brownstown Vo-Tech

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