V ANESSA R. M A NDREW
C
│
1065 Sage Avenue Reading, PA 19605
│ vanessarmcandrew@gmail.com
(610) 301-1144
To Whom it May Concern;,
It is with a high-level of interest that I submit my application for the position, posted
online. My effective leadership and problem solving abilities make me the perfect
candidate for the position.
With over 12 years of experience in medical billing I can apply a unique combination of
skills to achieve positive outcomes when managing the challenges of this role. Please
consider the following highlights from my resume:
Ensured claims are entered and submitted within 48 hours of receipt.
Researched commercial insurance policy to find RAPS provision for invisible
providers allowing out of network providers to get paid at higher 90% rate, instead of
the out of network rate.
Generated revenues by completing direct patient and third-party billing, monitoring
accounts receivables and by initiating collection calls and reminders.
Ensured that there were no missing reports on the Quarterly Gap Report for the
residents for 2 years, ensuring that if a person was registered to see the doctor, there
was a charge to go with the visit.
My comprehensive hands-on experience and formal training will make me an excellent
addition to your organization. The attached resume provides further detail about how my
qualifications and background are a match for your team’s needs.
Please feel free to contact me at your earliest convenience to set up a time to discuss how
I can benefit your organization. Thank you for reviewing this letter and the
accompanying material.
Sincerely,
Vanessa R. McAndrew
Attachment: Resume
V ANESSA R. M A NDREW
C
│
1065 Sage Avenue Reading, PA 19605
│ vanessarmcandrew@gmail.com
(610) 301-1144
BILLING SPECIALIST
Medical Billing & Coding | Reimbursement Analyst | Medical Billing Assistant Manager |
Medical Billing Manger
Highly skilled and analytical Medical Claims and Billing Specialist with more than 12 years of experience
handling and reconciling insurance and patient payments, and resolving account disputes. Has an
extraordinary eye for detail, a strong customer service ethic, faster learner, and possesses excellent billing
formularies knowledge combined with signifcant experience working in hospital environments. Brings to
the table strong chart auditing expertise with accurate application of federal standards for appropriate
coding practices. Adept at working independently or as part of a medical ofce team. Able to handle
extremely high volumes of paperwork quickly and accurately. Very punctual with no days lost in a calendar
year. Wanting to grow and excel with the company.
AREAS
Coding
Medical Terminology
Medical Insurance
Interpersonal
Relationships
OF
EXPERTISE
Multi-Line Phone Skills
Practice
Management
Software
Claim and Data Entry
Payment Posting
Records Organization
Insurance & Patient Account
Aging
HIPPA Compliance
Online Claim Submission &
ERA
TECHNOLOGY SNAPSHOT
Accutech
Universe
Navicure
Meditech
Allscripts
NextGen
Epic
MS Ofce Suite
Zirmed
PROFESSIONAL EXPERIENCE
INPERIUM MANAGEMENT SERVICES, Reading, PA
September
2017-Present
Revenue Cycle Specialist
Generate revenue by making payment arrangements, collecting accounts, and by monitoring and
pursuing delinquent accounts.
Experienced billing for Mental Health specialty.
Post and reconcile insurance and patient payments
Research and resolve incorrect payments, EOB rejections, and other issues with outstanding accounts.
Accurately apply payments to patient accounts.
Answer and resolve patient billing inquires.
Correcting internal and external errors that are stopping claims from being received by payers.
Data Entry with UB04 and HCFA claims
EYE CONSULTANTS OF PENNSYLVANIA, Wyomissing, PA
April 2015– September 2017
Financial Analyst
Generate revenue by making payment arrangements, collecting accounts, and by monitoring and
pursuing delinquent accounts.
Experienced billing for Ophthalmology specialty.
Post and reconcile insurance and patient payments specialty in Vision, Medicaid, Government Plans,
and BCBS
Research and resolve incorrect payments, EOB rejections, and other issues with outstanding accounts.
Accurately apply payments to patient accounts.
Retrieve Electronic Remittance Advice (ERAs)
VANESSA R. McANDREW
Resume, Page 2
Process monthly patient statements.
Correcting internal and external errors that are stopping claims from being received by payers.
Data Entry routine vision and medical claims
Medicare RAC Audits
Key Accomplishments:
Ensured claims are entered and submitted within 48 hours of receipt.
A/R keep below 25 A/R days
Reveling missed revue from Medical Assistance Payer
MEDICAL BILLING AND MANAGEMENT SERVICES, Wyomissing, PA
January 2014 – April 2015
Reimbursement Analyst
Generate revenue by making payment arrangements, collecting accounts, and by monitoring and
pursuing delinquent accounts.
Experienced billing for Radiologist specialty.
Post and reconcile insurance and patient payments.
Research and resolve incorrect payments, EOB rejections, and other issues with outstanding accounts.
Accurately apply payments to patient accounts.
Retrieve Electronic Remittance Advice (ERAs)
Process monthly patient statements.
Answer and resolve patient billing inquires.
Balance cash logs and green sheets.
Correct File Build Errors and Intermediate Errors.
Key Accomplishments:
Ensured claims are entered and submitted within 48 hours of receipt.
Met and exceeded the monthly revenue set by client.
Researched commercial insurance policy to fnd RAPS provision for invisible providers allowing out of
network providers to get paid at higher 90% rate, instead of only getting paid 70-80%.
ST. JOSEPH MEDICAL CENTER, Reading, PA
June 2003– January 2014
Unit Secretary/Medical Billing
Represented physicians by screening incoming telephone calls, recording and transmitting messages,
scheduling, receiving, and announcing scheduled patients and visitors, screening unscheduled patients
and visitors, arranging referrals to other health care providers, and scheduling appointments for
consultations, x-rays, lab tests, physical therapy, MRI's, and CT scans.
Produced information by transcribing dictation, preparing medical reports and summaries, patient
histories, operative notes, manuscripts and correspondence, planning, organizing, coordinating and
controlling projects.
Billed for resident ofce visits and doctor ofce special procedures.
Entered data to build patient database and secured information by completing database back-ups.
Served and protected the health care community by adhering to professional standards, hospital
policies and procedures, federal, state, and local requirements, and Joint Commission on Accreditation
of Healthcare Organizations (JCAHO) standards.
Key Accomplishments:
Ensured physician productivity by maintaining calendars, scheduling patient appointments, physician
consultations, professional meetings, conferences, teleconferences, and travel.
Generated revenues by completing direct patient and third-party billing, monitoring accounts
receivables and by initiating collection calls and reminders.
Ensured that there were no missing reports on the Quarterly Gap Report for the residents for 2 years,
ensuring that if a person was registered to see the doctor, there was a charge to go with the visit.
EDUCATION & CREDENTIALS
April 2018- Masters of Business Administration (MBA), General , Capella University
August 2017- Bachelor of Science (BS), Business Administration, Capella University
March, 2005-Associate of Science (AS), Specialized Technology: Web Design, Berks Technical
Institute, Wyomissing, PA
September, 2013-Certifcation in Professional Coding, AAPC Distance Learning, Salt Lake City, UT
Active Member, Business and Professional Women's Club of Reading, Pa (2016- Present)
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