AMAndrea Maxwell
@andreamaxwell
Empathetic Intake Specialist with extensive experience in client services.
United StatesWhat I'm looking for
I am an empathetic and detail-oriented Intake Specialist with over 8 years of experience in client services, healthcare appeals, fraud analysis, and customer relations. My career has been defined by my ability to manage high-volume tasks with accuracy while ensuring compliance with HIPAA regulations. I have a proven track record of handling sensitive information, analyzing complex data, and collaborating effectively across departments.
In my most recent role at Acentra Health, I collected and processed Medicare beneficiary appeal data, verified HMO plans, and maintained accurate records. My experience also includes managing inbound and outbound sales as a Communications Specialist and conducting fraud investigations as a Dispute and Fraud Analyst. I pride myself on my ability to train new staff and guide clients through documentation processes, ensuring they have access to the resources they need.
Experience
Work history, roles, and key accomplishments
Intake Specialist
Acentra Health
Apr 2022 - Dec 2024 (2 years 8 months)
Collected and processed Medicare beneficiary appeal data, verifying HMO plans and facility locations to ensure appeal accuracy. Utilized multiple systems daily including CRM, Workspace, Genysys, Microsoft Teams, PRS, Retarus, and Eboard, while ensuring compliance with HIPAA regulations.
Communications Specialist
Worldwide Access Solutions, IA
Aug 2021 - Jan 2022 (5 months)
Managed inbound and outbound sales and campaign calls, including scheduling Medicare insurance appointments and assisting with insurance claims. Operated remotely, utilizing various systems and multiple monitors, while ensuring HIPAA compliance and excellent communication.
Dispute and Fraud Analyst
Franklin Collection Service
Jan 2016 - Jan 2021 (5 years)
Processed credit information and disputes via E-Oscar, handling medical account data and conducting fraud investigations and compliance reviews. Analyzed patterns to detect fraud and risk trends across multiple banking systems, managing customer complaints and transaction discrepancies while adhering to HIPAA and FDCPA regulations.
Education
Degrees, certifications, and relevant coursework
UCUniversity of Arizona Global Campus
Bachelor of Arts, Psychology
Completed a Bachelor of Arts in Psychology, focusing on core psychological principles and research methods. Gained a comprehensive understanding of human behavior and cognitive processes.
AUAshford University
Coursework, Psychology
Undertook coursework in Psychology, building foundational knowledge in the field. Focused on key psychological theories and concepts.
ICItawamba Community College
Coursework, Psychology
Completed coursework in Psychology, contributing to a broader understanding of the discipline. Developed foundational knowledge in psychological principles.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Job categories
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