Andrea Wirsing

Freelance Annual Report Writer & Article Writer

Location:Mckinney, Texas, United States
Phone: 214-632-7824
2 Skills
Professional looking for Freelance work from home. Please see resume below. I am a Jack of all trades. Professional and detailed.

Frisco, TX


Effective leader with successful experience in Specialty Pharmacy manufacturer services, Call Center Operations, business development, managed care contracting, billing & collection, analysis, compliance and management of small to large staff. Successfully lead each position and project with a focus on continuous improvement, encouraging positive communication and feedback with managers and subordinates alike so as to enhance a strong business environment while achieving company directive. Respected leader who continuously earns trust through Management style amongst employees, peers, managers and outside clients.


Aetna Specialty Pharmacy (Joint Venture between Aetna and Priority Healthcare), Orlando, FL
Director, Manufacturer Services: Apr 2006 - Dec 2007
• Designed, developed and integrated Specialty pharmacy programs for Multiple Sclerosis, Rheumatoid Arthritis, PAH, Crohn’s Disease, Asthma, Alcoholism, Hepatitis, Infertility, Growth Hormone, Transplant
• Established and maintained relationships between Specialty Pharmaceutical Manufacturer and Specialty Pharmacy staff
• Continuously trained operation, pharmacy and nursing staff to meet contract requirements for specific specialty products and programs in order to ensure renewal of pharmaceutical agreements
• Analyzed data for reporting requirements related to manufacturer contracts in order to ensure contractual compliance with manufacturer and FDA guidelines
• Acquired access to Specialty Pharmaceuticals through limited distribution and exclusive agreements through analysis, accurate pricing and term negotiations
Interim Director, Call Center Operations: Oct 2005-Apr 2006
• Directed Call Center Operations for 500 million dollar a year organization while managing Billing and Collections department
• In charge of day to day call center Metrics including: call volume, time of answered calls, dropped calls, average length of call, throughout multiple call queues
• Directed Call Center during search for new Call Center Director
Director, Billing & Collections: Sep 2004 - Apr 2006
• One of ten Priority Healthcare employees chosen to help develop and start Joint Venture Specialty pharmacy between Priority Healthcare and Aetna Health Plans
• Built in house patient assistance program which included working with manufacturer PAP programs, independent PAP programs and community outreach programs to ensure patient compliance with treatment plan
• Developed and built new Aetna Specialty Pharmacy billing and collections department which included billing for but not limited to MS, RA, PAH, Hepatitis, Oncology, Immune Disorders, Asthma, Crohn’s Disease, Infertility, Hemophilia, Alcoholism, Growth Hormone, Transplant and Compounded Medications
• Directed staff of 30 which included A/R staff, insurance verification, prior authorization, payment posting, Medicare and Medicaid billing staff and Patient assistance program staff
• Managed A/R and collection efforts for $500M business to a goal of 35 days in A/R (70% medical claims vs. 30% Pharmacy claims)
• Managed department call-center operations
• Provided direction and documentation for re-design of Billing and Collections system

Priority Healthcare Corporation, Lake Mary, FL
Consultant-Contract Mgmt/Government Services: Sep 2002 - Sep 2004
• Directed re-contracting of all managed care files and growth of PPO Managed Care Business
• Abstracted and communicated key aspects of all managed care contracts in order to educate various departments on all contracted business
• Analyzed Managed Care contracts for potential acquisition business
• Coordinated Government Services team and business development activities
• Developed corporate Managed Care presentations for managed care entities and state Medicaid programs
• Charged with RFP development and response team for managed care entities and state Medicaid programs

Orthopaedic Diagnostic and Treatment Center, Cincinnati, OH
Practice Administrator: Jan 2002 – Jun 2002
• Directed management of busy Orthopedic Surgery office (approx. 40 employees)
• Oversaw daily operation of three office locations, medical department, surgery scheduling department and billing and collections department
• Developed new policies and procedures for front desk procedures and billing and collection procedures
• Responsible for locating and designing new office location
• Responsible for analysis of Managed Care contracts

Chicago MSO, Inc., Cincinnati, OH
Project Manager: Sep 2000 – Jan 2002
• Organized and managed compliance committee for a healthcare management consulting firm
• Developed written policies and procedures toward the formation of a corporate compliance plan
• Assisted management consulting team on A/R revenue enhancement projects, billing and collection and practice management policy and procedure set up

University of Chicago Hospitals & Health System, Chicago, IL
Managed Care Administrator: Aug 1998 - Sep 2000
• Developed financial analysis on fee-for-service and capitated Managed Care contracts
• Negotiated new contractual agreements with the large payers within the Chicago market for a 1000 member physician group and 4 hospitals within the University of Chicago Health System
• Assisted the Vice President of Managed Care on development of contracted care indicators, which detailed a contracts financial success or failure
• Developed presentations regarding Managed Care contracting financial trends, which included case mix acuity, length of stay, direct and indirect cost, gross profit/loss and net profit/loss for senior management
• Worked closely with department chairs on analysis of contractual agreements before negotiations were finalized

Chicago MSO, Inc., Cincinnati, OH
Management Consultant/Billing Director: Oct 1994 - Aug 1998
• Consulted with large physician groups on A/R revenue enhancement, billing & collection and practice management.
• Constructed policies and procedures to organize and propel a systematic data workflow
• Took leadership role in setup of newly opened Chicago billing and collection office
• Managed Chicago office operations as Billing Director. Oversaw billing, collection, payment posting, A/R follow-up and reconciliation activities, supervisors and staff
• Lead A/R team to consistently increasing percentage of collection levels measured quarterly over three years
• Increased A/R collections for a specific client for $700K/mo. to $1.2M/mo on the same book of business.

WFND, TV47, Findlay, OH
Traffic Manager / Technical Director: Oct 1992 - Sep 1994
• Directed flow of advertising segments for daily programming and managed station accounts receivable.
• Maintained and submitted FCC compliance logs.
• Technical Director of half hour newscast and hour long sportscast
• Served as back up news director of half hour newscast and hour long sportscast


University Of Findlay, Findlay, OH
B.A., Communications, May 1993
Demonstrate computer literacy: Experienced in many DOS and Windows applications including Access, Word, Excel, PowerPoint and Qbooks. Prolific with healthcare systems including Medic, IDX, Meditech, and LSS and Oracle based systems
Continuing educational seminars in healthcare management, compliance, accounting practices and managed healthcare.