Angel Andrews, CPC, CPCO

Auditor at OrthoNet LLC
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Contact Information
us****@****om
(386) 825-5501
Location
Yonkers, New York, United States, US

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Credentials

  • Certified Professional Coder (CPC)
    AAPC
    Dec, 2019
    - Oct, 2024

Experience

  • OrthoNet LLC
    • United States
    • 1 - 100 Employee
    • Auditor
      • Jun 2018 - Present

      Brief Description:-Conducting internal and External Focus Audits using NCQA standards-Troubleshoot and correct CAPS from external contract clientele-Communicate findings with Department heads to work on process of rectifying errors

    • Medical Service Coordinator
      • Sep 2016 - Jun 2018

      This position in brief details consist of:-Managing all incoming calls regarding denials of pre-certs and/or claims for all carriers (Humana,BC/BS,Aetna,Healthfirst, Anthem & Oxford)-Understanding denial rationals-Schedule Peer to Peer appointments with our MDs and Providers office

  • Party City
    • United States
    • Retail
    • 1 - 100 Employee
    • Merchandise Specialist
      • Sep 2013 - Present

      Brief Description: -Drive sales and generate revenue -Review daily reports regarding adjustment and sales -Manage and train staff to continue with upholding company standards Brief Description: -Drive sales and generate revenue -Review daily reports regarding adjustment and sales -Manage and train staff to continue with upholding company standards

    • Humana Contract Assistant
      • May 2014 - Dec 2015

      Brief Description: -Confirmed member eligibility -Confirmed the service and state of rendering provider -Created and faxed out Approval letters for all Medicare plans Brief Description: -Confirmed member eligibility -Confirmed the service and state of rendering provider -Created and faxed out Approval letters for all Medicare plans

  • Park Avenue Medical Associates
    • United States
    • 1 - 100 Employee
    • Medicare A/R Specialist
      • Mar 2009 - Apr 2014

Education

  • Monroe College
    Bachelor of Business Administration - BBA, Health/Health Care Administration/Management
    2018 - 2019
  • Monroe College
    Associate's degree, Medical Administrative Services
    2012 - 2014

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