ANDREW LLOYD GRANDE
@andrewlloydgrande
Customer-focused healthcare billing specialist and real-time analyst delivering accurate claims, data insights, and operational efficiency.
What I'm looking for
I am a healthcare operations professional with experience in medical billing, claims processing, and real-time workforce management across hospital and outsourced U.S. healthcare accounts. I combine strong data-analysis skills and advanced Excel proficiency to identify trends, improve accuracy, and streamline workflows.
I have delivered reliable claim processing through accurate ICD-10/CPT coding, maintained service levels by monitoring real-time call traffic and staffing, and produced actionable reports to support decision-making. I seek roles where my client-service orientation, reporting expertise, and operational problem-solving can drive measurable efficiency and quality improvements.
Experience
Work history, roles, and key accomplishments
Real-Time Analyst – Workforce Management
Nearsol
Sep 2023 - Aug 2025 (1 year 11 months)
I managed real-time call traffic and staffing to meet service levels and SLAs, collaborating with operations to implement action plans and optimize performance. Served as the main point for updates and escalations while preparing reports to support data-driven decisions.
Customer Service Representative
Nearsol
Nov 2022 - Sep 2023 (10 months)
Handled inbound and outbound collections, negotiating payments, setting arrangements, and resolving outstanding balances. I applied strong knowledge of medical billing to explain charges, insurance coverage, and resolve disputes while ensuring HIPAA compliance. I also provided customer support via phone and email, maintained accurate CRM documentation, and addressed escalations professionally.
Billing and Claims Clerk
Corazon Locsin Montelibano Memorial Regional Hospital
Jun 2019 - Oct 2022 (3 years 4 months)
Reviewed patient files, updated PhilHealth data, and applied ICD-10/CPT codes to ensure accurate claims processing and minimize denials. Audited claims, monitored status, and generated reports while collaborating with staff to resolve issues, improving accuracy and efficiency in billing and submissions.
Marketing Intern
Confidential
Sep 2022 - Oct 2022 (1 month)
Conducted content research and SEO analysis to inform targeted content strategies and created marketing proposals using Canva that supported client campaigns and improved content visibility.
Education
Degrees, certifications, and relevant coursework
University of St. La Salle
Bachelor of Science in Business Administration, Operations Management
2014 - 2018
Completed a Bachelor of Science in Business Administration, majoring in Operations Management, at the University of St. La Salle from 2014 to 2018.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Social media
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