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65 Regal Drive
Monmouth Junction, NJ 08852
NICHOLE R ANDREWS
SUMMARY In applyingfor this positionI will be using extensive knowledge and experience that I have acquiredinmy18 + years
in the healthcare system andmytrainingas administrative medicalassistant. I have developed a broadknowledge
and understanding regardingmedicalinsurance, medicalterminologyandcustomer service. Myexperience working
for the last 5 years inhospital financial services, patient registration, billing and collections. Utilize mypatient
service andinterpersonalskillsto provide the highest level of care for the patient.
Proper use of ICD-9 andICD10, CPT and HCPCS codes
Proper use of Insurance Verification, Precertification andBilling
Current HIPAA Compliance
Strong verbal andwritten communication skills withsupportive service skills with
Advocating for Patients withInsurers, Abilityto communicate effectivelywithclients
empatheticallywhile maintainingprofessional boundaries.
Analytical thinking, planning
Organization and Prioritizationskills
Problemanalysis, use of judgment andabilityto solve problems efficiently.
In-depthknowledge of performingallcollectionrelatedprocesses at same time
maintaining exceptional customer relations.
Hands-on experience in verifying accurateness ifinsurance anddemographic data,
and managing denials andrejectedbillsaccordingly.
Proven record of maintaining professional knowledge of all state andfederal
regulations for all insurance types.
Typing speed60 wpm
EXPERIENCE PSYCHIATRIC ADMINISTRATIVE ASSISTANT
06/2015 TO Present
Participate in planningand executionof Psychiatric service’s efforts as andwhen required. Define andcultivate services providedby
Psychiatrist including use ofelectronic media (i.e. website, PowerPoint). Participate and contribute to anyandall special projects or
duties definedbythe Coordinator of Psychological Services. Responsible for fulfillment ofinformationrequestedof this agencyby
outside agencies, inaccordance withcontractualandHIPAA requirements. Responsible for physical records management withtyp ing
up initialevaluation and the progressnotesfrom MedicationMonitoring. Coordinate withPrimarycounselors and medicalpersonalon
clients care. Callinginandelectronicallysend over prescriptionfor clients to pharmacies. MonitoringMethadone andBenzodiazepine
Clients withdailyreports. Coordinate withbilling Clients insurance and funding source. Identifiesandsolve incongruent demands in
keepingwith our core valuesinmind.
FINANCIAL COUNSELOR, PRINCETON HOUSE BEHAVIORAL HEALTH
Assist patients inseeking alternative financing and /or assistance; provides support to patients incompleting financialstatements,
Medicaidandother federal program applications, andfiling of applications. Establishing payment plans and collection ofpayments.
Provides patient educationof financial policies;provides ongoing support for Point-of-Service initiatives:focuses onuninsured,
underinsured and credit risk patients. Document actions taken, answer inquires involvingindividualaccounts, andresearch esproblem
accounts to assure resolutionfor payment. Exhibit role model behavior and provide excellent customer service at all timesto both
internal andexternal customers. Interacts effectivelywithPatient Accounting, Medical Records, Nursing, Care Coo rdination, andother
Admittingco-workers to ensure patient billing questions are answeredin a timelymanner. As a Financial Coordinator I demonstrated
computer system proficiencyand specific technicalability/skills inreporting, tracking capabilities/spreadsheets anddatabases.
PATIENT ACCESS REP PART TIME, PRINCETON MEDICAL CENTER
Obtains insurance eligibility, benefits for inpatient and outpatient, scheduled and nonscheduledvisits. Updates
demographic andinsurance informationin system as needed. Initiates collectionprocess bycontacting
patients/representatives about date of service deductibles, coinsurance andcopayments. Establishes financial
arrangements with patients accordingto policy. Primarydocumentation source for access andbilling staff.
Interacts ina customer focusedandcompassionate manner to ensure patients andtheir representative’s needs are met, andthat they
understandthe medical center’s policiesfor the resolution ofpatient financial liabilities andthe various available payment options.
INPATIENT INTAKE REP, THE CHILDRENS SPECIALIZED HOSPITAL
Supported clinic operations bychecking in patients at front desk, verifying demographics and insurance information, obtaining
referral/authorization, collectingcopay/deductible, schedulingappointments, enteringdailyclinic charges and other front d esk
functions. Interacts with members ofthe professional staffandancillarypersonnel ina professional manner. Acts as liaison between
physicians, nurses andpatients. Interacts with patient and patient familymembers ina professional manner. Helps develop and
maintaincamaraderie betweenall office coordinators. Works throughandsolves patient issues professionallyandina timelymanner.
Follows proper protocol in contacting direct supervisor whenquestions or problems arise. Verifies andupdatespatient demographic
and guarantor informationensuringclean claims processing. Verifiesinsurance benefits/eligibilitythroughIDX or other means when
necessaryandmanuallylooking at the patient's insurance card ona monthlybasis. Verifytype of insurance and identificationof
A/R BILLING SPECIALIST, ROBERT HALF TEMP @ MEDICOR CARDIOLOGY
Using codeddata to produce and submit claims to insurance companies. Workingdirectlywith the insurance
company, healthcare provider, andpatient to get a claimprocessed and paid. Reviewing andappealingunpaidand
denied claims. Verifyingpatients’ insurance coverage. Answered patients’ billingquestions. Handlingcollections on
unpaid accounts. Managingthe facility’s Accounts Receivable reports.
THIRD PARTY BILLING REP, PRINCETON MEDICAL GROUP OB/GYN
Responsible for collecting, posting and managingaccount payments. Responsible for submitting claims andfollowingup withinsurance
companies. Prepares andsubmits clean claims to various insurance companies either electronicallyor bypaper. Answers questions
from patients, clericalstaff andinsurance companies. Identifies andresolves patient billingcomplaints. Preparesreviews andsends
patient statements. Evaluates patient’s financial status andestablishes budget payment plans. Follows andreports status of delinquent
accounts. Reviews accounts for possible assignment andmakes recommendations to the Billing Supervisor, also prepares information
for the collectionagency.
SECRETARY I/II & ADMINISTRATIVE ASSITANT, ADECCO TEMP @ UMDNJ
1/2005-4/2007 & 3/2008-12/2008
Preparedandorganized paperworkand other materialsas neededfor meetings, conferences, travel arrangements
and expensesreports. Maintained office scheduling and event calendars. Composed, typed, anddistributed
meetingagendasand minutes, routine correspondences andreports. Set upandhandledincoming mail and office
filing systems. Collectedandcoordinatedthe flowof internal andexternal information. Managedoffice equipment
and office space. Establishedthe administrative work procedures for trackingstaff’s daily tasks.
PATIENT ACCESS & ACCOUNTING REP, EXPEDITIVE TEMP
Performedper-qualificationof third partycoverage of predefinedprocedures. Managedbillingandfollowed upwith third partypayers
and patients for services. Handledclerical tasks. Followed uponaccounts withoutstanding balancesinappropriate manner. Assistedin
the compilationandfollow-up ofpatient surveyresponses. Executedmonthlyreports. Handled inwardclient andpatient requests
INSURANCE COORDINATOR/ MEDICAL A/R REP, MCKESSON HBOC
As a Medical Collector followed uponclaims frombillingthroughfinal resolution. Reviewed and prepare claims for
electronic and hard copybilling submission. Identifyandcorrect billing errors andresubmit claims to insurance
carriers. Reviewedandremittance advice for payment errors, denials andunder payments and Initiate appeals
when necessary. Act cooperativelyandcourteouslywithpatients, visitors, co-workers, management andclients.
EDUCATION RUTGERS UNIVERSITYCONTINUING EDUCATION ADMINISTRATIVE SPECIALIST MEDICAL CODING & BILLING
Presentlyattendingpart time graduate in December 2015
RARITAN VALLEY COMMUNITY COLLEGE SOCIAL WORK ATTENDED
Obtained23 credits towards mydegree.
SOMERSET VOCATIONAL & TECHNICAL HIGH SCHOOL DIPLOMA 1995
Obtaineda Diploma inHealthOccupations. I learnedhands on how to care for patients takingvitals, height and
weight, drawing blood, CPR.
MS Office (Word, Excel, Outlook), Affinity, IDX, Medical Manager, Sunrise Disease Manager, Nextgen, Primesuite,
Banner Oncore, Sql, EMR, Passport, Navinet, NJSAMS, SMART, 270 and271 for Patient registration, Practice Fusion