Devna Andrews Email & Phone Number

Hollywood, Fl

07/2014-07/2015 Infinity Behavioral Healthcare Insurance Reimbursement Specialist (contract assignment)• Specialize in the performance of Insurance follow up reimbursements along with credit balances due to payer inconsistent with primary or secondary reimbursement protocol; work on accounts to Include Medicare, Medicaid, & Managed Care & secondary insurance carriers to ensure prompt payment.• Identified coding and billing discrepancies and accurately correct any discrepancies• Monitor insurance claims by running appropriate reports, to review credit balances, underpayment, & works effortlessly to correct them, contact insurance companies to resolve claims denials and claims not reimbursed according to provider contract agreement• Prepares medical necessity documentation for requirements on utilization review and or appealed claims process.• Process accounts for submission to secondary insurance with required primary payer EOB’s• Handle patient and insurance inquiries, update patient account record to identify actions taken on the account to re-files claims within time frame of insurance requirements.• Act as a liaison in collection of third party accounts and administer contracts with third party payers through facility claim processes• Adjust personal daily schedule to meet particular to month end or special project needs

Sunrise, Fl

Medical Collections Representative Prepares and submits clean claims to various insurance companies either electronically or hard copy, obtain claims status via the telephone, via Fax, or Insurance protocol, answers questions from patients, clerical staff and insurance companies, Identified and resolves patient billing complaints, reviews patient balances and sends patient statements Evaluates patient’s financial status and establishes budget payment plans. Follows and reports status of delinquent accounts. Reviews accounts for possible assignment and makes recommendations to the Billing Supervisor, also prepares information for the collection agency. Performs daily backups on office computer system Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers. Processes payments from insurance companies and prepares a daily deposit. Participates in educational activities and attends monthly staff meetings. Conducts self in accordance with HPA’s employee manual. Maintains strictest confidentiality; adheres to HIPAA guidelines/regulations

Davie, Fl

Pharmacy Representative • Process insurance eligibility, reviews and confirms all authorizations and referrals• Schedule and confirm delivery of patients medications and coordinate maintenance of the pharmacy claim submission• Track and trend overrides to ensure criteria have been met, audit clean claims for prior authorizations• Analyze cost and determine utilization patterns assist with the pharmacy utilization review and reporting process along with patient inquiries related to the compounding formula process• Ensure multiple carrier and Government policies on reimbursement policies, Limited Coverage Determinations, and coding guidelines. Knowledge of ICD-9, ICD-10 CPT, and HCPCS codes

Hallandale Beach, Fl.

Customer Service/Collections Representative• Process general office work to include entering client data into demographic system• Answered multi-line phone system, set up appointment schedules on meeting with clients and conference calls on per posed business leads• Contact clients with outstanding balance to obtain payments on disputed accounts• Set up monthly payment arrangements or solutions to help consumers with outstanding balances• Handle 60-70 calls per day

Fort Lauderdale, Fl.

Medical Billing & Collection Coordinator/Refund Specialist• Specialize in processing claims for Skilled Nursing Facility patients to include DME products• Submitted claims to various health Insurance carriers to include Medicare, Medicaid, Commercial, PIP and multi-specialties claim reimbursement and claim refunds, within policy guideline requirements on Medicare enrolled patients residing within a Skilled Nursing facility setting• Submitted claims on the daily use of medically required DME products• Verify insurance coverage & obtain authorization for services prior to services rendered• Review patient responsibility & set up monthly payment plan when necessary, paid close attention to detail, with a strong accuracy in data entry by reviewing front end edits for electronic claims submission.