Andrea Darrow Email and Phone Number

Billing experience with Medicare, Care Centrix, IPAs, and Oregon managed Medicaids.

Revenue Validation Coordinator:• Prior to authorization submission o Research and select the most appropriate HCPCS codes for equipment to produce maximum reimbursement and to remain in payer guidelineso Notify individual teams when risk is realized and advise on how to best minimize risko Notify Assist Technology Professional when margins are too low, advising on them recourses• After authorizations are receivedo Reconcile orders to match what was denied or approved on the requesto Create ABNs and waivers that are unique to payer and to ordero Collect client co-pays, negotiate discounts and assist clients in applying for Financial Hardshipo Make payer requests for any errors to be corrected

• Maintain accurate records of children’s learning abilities during educational lessons while providing motivating reinforcement in a high momentum environment at Applied Behavior Consultants• Suggest and implement new approaches to facilitate clients’ learning experience to improve their learning scores • Assist co-workers in acquiring techniques that are used for educating in a way that is relevant and unique to each client• Presented effective methods at weekly meetings to allow colleagues the opportunity to observe and implement certain traits and techniques • Detect each child’s hidden aptitude for knowledge and fondness for toys, games and activities. Anticipate clients’ needs to maintain stimulation to task at hand, avoiding behavioral excesses and decelerating progress• Volunteer to research, collect and format learning aids for the team to use during instructional time, eliminating time wasted for other tutors to engineer on the spot solutions

Studying Medical Insurance Billing and CodingLearning:HCPCS, CPT and ICD-9 codes.CMS 1500HIPAAMedical TerminologyPhysiologyPathologyPharmacologyMedical Office ManagerLegal Ethics