Andrea Mclaughlin

Physician Order Specialist at Custom Home Health and Hospice
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Contact Information
us****@****om
(386) 825-5501
Location
Auburn Hills, Michigan, United States, US

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Denise Gordon

Andrea was one of my best students. She maintained a 4.0 in the medical insurance and coding classes she took from me. She asks all the right questions. I felt enough of her at the time to arrange a volunteer position where I worked to give her the experience needed for her resume. She would be an assest to any company lucky enough to have her

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Credentials

  • National Coding Insurance Specialist Certificate
    National Center for Competency Testing
    Oct, 2010
    - Nov, 2024

Experience

    • United States
    • Hospitals and Health Care
    • 1 - 100 Employee
    • Physician Order Specialist
      • Mar 2019 - Present

      - Process orders to be sent to physicians and orders using various software and manual equipment - Follow up with physician's to get signed home health care orders back so billing to insurance companies can be completed within insurance guidelines. - Problem solving using internet to get orders corrected and sent to correct physician - Time management skills heavily utilized to self direct so that project deadlines are met in a fast paced environment. - Use of Microsoft Excel and Word, Wellsky, Fucura software Show less

    • Front Desk Receptionist
      • May 2018 - Apr 2019

      - Answer phones for a high volume practice which could be 80 patients a day - Schedule appointments for both the surgical and clinical patients. - Process a variety of medical documents - Collect copays - verify insurance - Answer phones for a high volume practice which could be 80 patients a day - Schedule appointments for both the surgical and clinical patients. - Process a variety of medical documents - Collect copays - verify insurance

    • United States
    • Retail
    • 700 & Above Employee
    • Customer Service Associate
      • Mar 2018 - Jul 2018

      - Assist customers with any questions they may have. - Help customers find products or services that will help them with projects they may have. - Educate customers as to what payment options are available when purchasing their products. - Work with customers to show them on line assisted buying options if our store does not have product they need. - Assist customers with any questions they may have. - Help customers find products or services that will help them with projects they may have. - Educate customers as to what payment options are available when purchasing their products. - Work with customers to show them on line assisted buying options if our store does not have product they need.

    • Medical Insurance Specialist
      • Oct 2012 - Apr 2018

      - Verification of eligibility, medical benefits, and deductibles using Web Denis - Medical Claim follow-up - Score Psychological tests - Administer psychological tests and order psychological tests using the Q local software system. - Misc. office duties including new patient file preparation. - Preparation of bank deposits - Windows 8 - Microsoft Word - Verification of eligibility, medical benefits, and deductibles using Web Denis - Medical Claim follow-up - Score Psychological tests - Administer psychological tests and order psychological tests using the Q local software system. - Misc. office duties including new patient file preparation. - Preparation of bank deposits - Windows 8 - Microsoft Word

  • Matco Tools
    • Rochester Hills, MI 48326
    • Collections Representative/Bookkeeper
      • May 2005 - Dec 2017

      - Collections of 30 day to 2 year past due accounts. - Bookkeeper and analysis of financial data. - Organization of products and display in our store. - Collections of 30 day to 2 year past due accounts. - Bookkeeper and analysis of financial data. - Organization of products and display in our store.

    • Medical Insurance Specialist
      • Sep 2010 - Oct 2012

      - Medical Claim Follow Up. - Medical Claim Rejection Resolution. - Verify eligibility and benefits. - Preparation of Patient Statements. - Collections - Use of Microsoft Office. - Medical Claim Follow Up. - Medical Claim Rejection Resolution. - Verify eligibility and benefits. - Preparation of Patient Statements. - Collections - Use of Microsoft Office.

  • Beaumont Hospital
    • Royal Oak, MI
    • Volunteer/Dr. Rochlen
      • Apr 2009 - Dec 2010

      - Medication refills, checking patients in, and scheduling patients using Epic medical software. - Answering multi-line phone. - Use of electronic medical record to process patient information. - Medication refills, checking patients in, and scheduling patients using Epic medical software. - Answering multi-line phone. - Use of electronic medical record to process patient information.

    • Externship
      • Apr 2010 - Jul 2010

      - Responsible for medical claims process for a client: submitted claims to clearinghouse using Netwerkes clearinghouse software, claim rejections, patient billing, worked with vouchers, verified claim status, and Web-Denis training. - Responsible for medical claims process for a client: submitted claims to clearinghouse using Netwerkes clearinghouse software, claim rejections, patient billing, worked with vouchers, verified claim status, and Web-Denis training.

    • Contracts Administrator
      • Jan 2001 - Jan 2003

      - Processing of lease documents from initial contact to completion of formalized contract. - Extensive use of people, analytical, and problem solving skills. - Sony Financial Portfolio Manager. - As Portfolio Manager I reduced delinquent accounts by 40 to 100 percent. Accounts ranged from 60 days to 2 1/2 years old. - Processing of lease documents from initial contact to completion of formalized contract. - Extensive use of people, analytical, and problem solving skills. - Sony Financial Portfolio Manager. - As Portfolio Manager I reduced delinquent accounts by 40 to 100 percent. Accounts ranged from 60 days to 2 1/2 years old.

  • Chrysler Financial
    • Auburn Hills, MI
    • Collector/Skip Tracing
      • Jan 1994 - Jan 2001

      - Collection of past due accounts 15 - 20 days past due. - Trainer for the Detroit branch using collections program I wrote and implemented. - Liaison between the Detroit branch and Standard branch assisting with collections and repossessions. - Collection of past due accounts 15 - 20 days past due. - Trainer for the Detroit branch using collections program I wrote and implemented. - Liaison between the Detroit branch and Standard branch assisting with collections and repossessions.

Education

  • Northwood University
    Bachalor of Business Administration, Business Administration
    1994 - 1999
  • National Center for Competency Testing
    Continuing Education Credits ICD-10, Medical Billing
    2013 - 2013
  • Baker College of Auburn Hills
    Associate Degree Medical Insurance Specialist, Medical Insurance and Coding
    2008 - 2010
  • Northwood University
    Associates Business Management, Business Management
    1994 - 1999
  • Northwood University
    Associate's degree, Business Administration and Management, General
    1997 - 1999

Community

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