Andrea Lazore

• Processing and analyzing billing for Pharmacy, Medical, Dental, Vision and Medical Supplies and Equipment for Akwesasne Enrolled Band Members.
• Process billing for providers across Canada.
• Review, assess and adjudicate NIHB request (Prior Approvals, Post Approvals, Amendments and Client Reimbursements)
• Verifies eligibility when providers request prior approvals.
• Verify and process NHIB transactions and identify if there services are covered benefits or not under the NIHB program.
• Prepares vouchers for payment.
• Processes work on an Bi-Weekly Schedule.
• Process correct transaction for services rendered.
• Interacts with services providers and health care professionals to exchange information as needed.
• Collaborates with different departments with in the Mohawk Council of Akwesasne. Such as Computers in identifying problems with in the database. Office of Vital Statistics to ensure the patients eligibility. Finance for check request.
• Verifies Yearly Fee Schedule and updates into the database.
• Ensures all Third-Party insurance is accessed prior to approval of any benefits.
• Processes for Quebec Health Insurance Billing for Reimbursement.
• Skilled at working independently and collaboratively in a team environment.
• Analyzed and evaluated existing compensation and benefits programs and recommended improvements.
• Self-motivated, with a strong sense of personal responsibility.
• Proven ability to learn quickly and adapt to new situations.
• Worked well in a team setting, providing support and guidance.
• Worked effectively in fast-paced environments.
• Managed time efficiently in order to complete all tasks within deadlines.
• Demonstrated respect, friendliness and willingness to help wherever needed.
• Excellent communication skills, both verbal and written.
• Proved successful working within tight deadlines and a fast-paced environment.
• Passionate about learning and committed to continual improvement.

Processed claims for payment for Pharmacy, Dental, Vision, Medical and Medical Supply and Equipment for Akwesasne Non Insured

• Processed claims for payment for clients that are enrolled in Akwesasne Mohawk Band (159).
• Processes claims billed in from across Canada.
• Processed claims biweekly.
• Analyzed and prepares vouchers for payment.
• Verifies co-workers claims.
• Processed reimbursement for clients whom paid out of pocket.
• Did denial letters for clients whom had services done that were not benefits.
• Review, assess and adjudicate NIHB request (Prior Approvals, Post Approvals, Amendments and Client Reimbursements)
• Verifies eligibility when providers request prior approvals.
• Verify and process NHIB transactions and identify if the services are covered benefits or not under the NIHB program.
• Prepares vouchers for payment.
• Processes work on a Bi-Weekly Schedule.
• Process correct transaction for services rendered.
• Interacts with services providers and health care professionals to exchange information as needed.
• Collaborates with different departments with in the Mohawk Council of Akwesasne. Such as Computers in identifying problems with in the database. Office of Vital Statistics to ensure the patients eligibility. Finance for check request.
• Verifies Yearly Fee Schedule and updates into the database.
• Ensures all Third-Party insurance is accessed prior to approval of any benefits.
• Processes for Quebec Health Insurance Billing for Reimbursement.
• Skilled at working independently and collaboratively in a team environment.
• Analyzed and evaluated existing compensation and benefits programs and recommended improvements.
• Self-motivated, with a strong sense of personal responsibility.
• Proven ability to learn quickly and adapt to new situations.
• Worked well in a team setting, providing support and guidance.
• Worked effectively in fast-paced environments.
• Managed time efficiently in order to complete all tasks within deadlines.
• Demonstrated respect, friendliness and willingness to help wherever needed.
• Excellent communication skills, both verbal and written.
• Proved successful working within tight deadlines and a fast-paced environment.
• Passionate about learning and committed to continual improvement.

Archived all Processed claims for the ANIHB Program

• Removal of any binding or staple, paper clips ect.
• Scanned processed Pharmacy, Dental, Vision, Medical and Medical Supply and Equipment into a database.
• Boxed all once it was scanned into the database.
• Shredded any documents that were older then 10 years old.
• Assisted in getting old documents ready for Shred Truck
• Assisted the other employees when they required any assistants.
• Skilled at working independently and collaboratively in a team environment.
• Self-motivated, with a strong sense of personal responsibility.
• Proven ability to learn quickly and adapt to new situations.
• Worked well in a team setting, providing support and guidance.
• Worked effectively in fast-paced environments.
• Managed time efficiently in order to complete all tasks within deadlines.
• Demonstrated respect, friendliness and willingness to help wherever needed.
• Excellent communication skills, both verbal and written.
• Passionate about learning and committed to continual improvement.
• Proved successful working within tight deadlines and a fast-paced environment.

Performed general Clerk duties for the Office of Vital Statistics

• Interacted with customers by phone, email, or in-person to provide information.
• Processed Status Cards
• Maintained the Membership/Residency database.
• Assisted the Lands and Estates officer with any photo copies of Certificates of Possession for thire lands.
• Assisted with Wills and Estates.
• Updated brochures for Membership, Land and Estates, Leases and Residency.
• Assisted Leasing Officer with tree assessment for removal.
• Processed paperwork for Seaway International Bridge for Akwesasne Residence to obtain a Bridge Pass.
• Provided quality clerical support through data entry, document management, email correspondence, and overseeing operation of office equipment.
• Maintained filing system and organized customer documents for easy retrieval of information.
• Monitored office supplies and made arrangements for restocking of low-stock items.
• Attended monthly staff meetings.

• Assisted clients with daily living needs to maintain self-esteem and general wellness.
• Engaged patients in meaningful conversation, socialization, and activity while providing personal care assistance.
• Built strong relationships with clients to deliver emotional support and companionship.
• Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
• Assisted with dressing guidance and grooming.
• Turned and positioned bedbound patients to prevent bedsores and maintain comfort levels.
• Provided safe mobility support to help patients move around personal and public spaces.
• Recognized and reported abnormalities or changes in patients' health status to case manager.

Transported patients to Medical Appointments in Eastern Ontario and Southern Quebec.

• Transported patients to testing and dialysis units on a daily basis.
• Assisted patients whom were wheel chair bond.
• Wiped down equipment with proper cleaning products after each patient transport to reduce instances of infection.
• Warmly greeted patients and visitors and made each feel welcome.
• Assisted patients in and out of vehicle and assisted them to there appointments if needed.
• Assisted dialysis patients in and our of their appointment and onto a scale to report weight to dialysis nurse.
• Communicated with patients, family members and healthcare staff to coordinate transportation schedules.
• Maintained accurate and detailed records of patient transportation.
• Performed vehicle safety checks before transporting patients to avoid delays and manage wear and tear.
• Maintained up-to-date knowledge of local road and traffic conditions to navigate best routes and manage patient safety.

• Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
• Received and sorted incoming mail and packages to record, dispatch, or distribute to correct recipient.
• Created and maintained databases to track and record customer data.
• Received payment for fuel bills or pre orders.
• Made receipts for paying customers.
• Filed all and any fuel slips that have been processed for the day.
• Mailed out passes over due accounts for payment.
• Sorted and distributed office mail and recorded incoming shipments for corporate records.
• Processed customer orders accurately and within agreed timeframes to meet service standards.
• Managed filing system, entered data and completed other clerical tasks.
• Managed phone and email correspondence and handled incoming and outgoing mail and faxes.
• Assisted coworkers and staff members with special tasks on daily basis.