Andrea Compton Email & Phone Number

Franklin, Tn

• Load ("programs") executed managed care contracts into the contract management system• Update contracts with scheduled rate changes as of effective dates• Build new service definitions and implements new reimbursement methodology into the system as required• Consult with contract negotiators to recommend precise language and meaning of contracts to ensure that the contract template accurately calculates the terms of the contract as negotiated• Monitor periodic changes in recognized coding schemes (ICD, CPT, and DRG) to anticipate on contract language, calculations and reimbursement of specific contracts using those codes• Perform other related duties as assigned or requested

Franklin, Tn

• Identify trends in underpayments/overpayments and denials• Interpret contract reimbursement and provide feedback to management• Manage underpayment appeals, account follow up and payer relationships• Review payer policies for impact on reimbursement• Present data to various end users• Compile and validate account analysis prior to distribution• Research and identify payment discrepancies from various sources

Franklin, Tn

• Analyze and evaluate worker’s compensation claims• Request and acquire all needed medical records, implant invoices and any other supporting documentation• Conduct follow-up telephone calls with worker’s compensation insurance companies to ensure claims are being paid within the allotted timeframe and are being paid correctly per the state fee schedule• Prepare the initial claim packet to be sent to the insurance company.

Columbia, Tn

• Oversee and manage all Customer Service Representatives• Verify multiple insurances to ensure co-payments and deductibles• Deal with numerous worker’s comp insurance companies to accept payment and work on pricing agreements for equipment• Make sure all referrals are worked timely and all referral sources are happy with our services• Maintain a working relationship with marketers and their referrals sources• Prepare and run daily reports• Help with on-boarding of new employees• Review resumes for potential employees• Conduct interviews one-on-one as well as group interviews• Input hours worked, vacation and sick time into the ADP time-keeping system

• Held key responsibility in ordering money from the Federal Reserve and shipping money to the Federal Reserve• Served as a customer relations specialist. Help customers with any questions they had regarding their account• Initiated investigations if a customer claimed fraudulent charges on his/her account

Bachelor Of Business Administration (Bba), Marketing

General Transfer, General Transfer