Andrea Schwartz
Quincy Medical Group
Hannibal
21
years of professional experience
Experienced insurance biller with expertise in claim submission, insurance verification, and denial resolution. Known for attention to detail, HIPAA compliance, and timely follow-up that supports accurate revenue cycle operations.
Work History
Insurance Biller
7 Years 1 Month- Reviewed denials and rejections, corrected claim errors, and resubmitted insurance claims for payment consideration.
- Processed insurance claims accurately, ensuring compliant submissions through billing systems and clearinghouse workflows.
- Verified patient coverage and benefit details to support clean billing and reduce account discrepancies.
- Communicated with payers to follow up on unpaid claims, appeals, and reimbursement issues.
- Resolved patient billing questions professionally, explaining insurance activity and account responsibilities clearly.
- Maintained accurate billing records and prioritized claim workflows to support timely revenue cycle operations.
- Generated, posted and attached information to claim files.
- Maintained detailed records of all transactions and correspondence to support accurate account management.
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the billing process.
- Achieved timely resolution of denied or underpaid claims through thorough research and concise appeals submission.
Patient Account Representative
14 Years 3 Months- Managed patient scheduling, ensuring accurate appointment coordination across provider calendars.
- Verified insurance eligibility and collected required documentation before patient visits.
- Greeted patients professionally, addressed inquiries, and maintained front-desk workflow.
- Coordinated referrals, authorizations, and follow-up communication with clinical staff.
- Trained new reception staff on check-in procedures and office protocols.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Checked patient insurance, demographic, and health history to keep information current.
- Helped patients complete necessary medical forms and documentation.
- Maintained strict confidentiality of patient information, adhering to HIPAA regulations and medical office policies.
- Managed high call volumes, directing calls to appropriate departments while maintaining a polite and professional demeanor.
- Managed multi-line phone system and pleasantly greeted patients.
- Transcribed phone messages and relayed to appropriate personnel.
- Ensured accurate record-keeping by diligently updating patient information and verifying insurance coverage.
- Reduced no-shows by implementing appointment reminder system through phone calls or text messages.
Education
Associate of Applied Science - Medical Option
Skills
Medical billing expertise
Claim submission
Denial management
Insurance verification
Data entry skills
Data entry
Patient confidentiality
Attention to detail
Time management
Professionalism and ethics
Teamwork
Customer service
Timeline
Insurance Biller
Quincy Medical Group
09.2019 - CurrentRead More
Patient Account Representative
Quincy Medical Group
06.2005 - 09.2019Read More
John Wood Community College
Associate of Applied Science from Medical Option
Read More