Open to opportunities

Andria Hinton

@andriahinton

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Purpose-driven licensed Health Care Professional with patient care expertise.

Zimbabwe

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What I'm looking for

I seek a role that offers career advancement, job stability, and opportunities for continuous personal and professional development.

I am a dedicated Health Care Professional with a strong background in patient care, insurance coordination, and claims management. My experience as a Private Duty Caregiver has allowed me to meet the unmet needs of seniors and adults with disabilities, ensuring they can live independently in the least restrictive environment. I take pride in delivering compassionate, non-medical care that promotes dignity and quality of life.

Throughout my career, I have developed skills in interpreting policy guidelines, handling prior authorizations, and resolving disputes. My role as a Patient Access Representative honed my abilities in insurance verification and financial advocacy, where I collaborated with patients to navigate their coverage options. I am committed to maintaining accurate documentation and safeguarding sensitive patient data, ensuring compliance with HIPAA regulations.

Experience

Work history, roles, and key accomplishments

Private Duty Caregiver

Gloria Strong Genesis Consumer Directed Services

Jan 2019 - Nov 2024 (5 years 10 months)

Provided non-medical care, including meal preparation, light housekeeping, and emotional support, to seniors and adults with disabilities, promoting independence and quality of life. Monitored and documented physical and cognitive changes in clients, particularly those with dementia or impairments, ensuring accurate records for each shift.

Patient Care Housekeeping Emotional Support Documentation Dementia Care Power Wheelchairs Shower Chairs

K-

Patient Access Representative

K-Force

Mar 2018 - Oct 2018 (7 months)

Facilitated insurance verification and pre-certification for scheduled medical procedures across various departments. Interpreted insurance benefits, addressed coverage inquiries, and communicated approvals or denials to patients and providers.

Insurance Verification Pre Certification For Procedures Epic Claims Management Financial Counseling

Provider Advocate

United Health Group

Sep 2014 - Mar 2018 (3 years 6 months)

Managed high-volume calls, assisting medical providers and clinics with claim submissions, prior authorizations, and appeals. Reviewed and escalated denied claims for resolution, ensuring proper documentation, including diagnosis and ICD-10 codes.

Claims Processing Prior Authorization Review Appeals Provider Relations CRM Software

Education

Degrees, certifications, and relevant coursework

Hazelwood Central High

High school Diploma, General Studies

Completed high school education at Hazelwood Central High, gaining foundational knowledge and skills. Focused on core subjects to prepare for further education and career opportunities.

Midwest Institute

Medical Assistant Certificate, Medical Assisting

Completed a Medical Assistant program at Midwest Institute, acquiring skills in patient care, administrative tasks, and clinical procedures. Gained practical experience relevant to healthcare support roles.