Andrea Tournoux
About Andrea Tournoux
Andrea Tournoux is a Senior Fraud Analyst at Highmark Inc., where she has worked since 2015. She has a background in healthcare claims processing and holds a Registered Health Information Technician (RHIT) certification.
Current Role as Senior Fraud Analyst
Andrea Tournoux currently holds the position of Senior Fraud Analyst at Highmark Inc., where she has been employed since 2015. In this role, she is responsible for analyzing and investigating fraudulent activities within the organization. Her extensive experience in the healthcare sector supports her ability to identify discrepancies and implement effective fraud prevention strategies.
Previous Experience at Highmark Inc.
Prior to her current role, Andrea Tournoux worked at Highmark Inc. in various capacities. She served as Supervisor of the Medicare Advantage Claims Department for five months in 2014, overseeing claims processing and ensuring compliance with regulations. Additionally, she worked as Technical Assistant Manager for one year from 2013 to 2014, where she contributed to operational improvements within the department.
Educational Background
Andrea Tournoux attended Stark State College, where she earned an Associate degree from 2005 to 2007. This educational foundation provided her with essential skills and knowledge in health information management, which she has applied throughout her career in the healthcare industry.
Certification and Professional Qualifications
Andrea holds a Registered Health Information Technician (RHIT) certification, which demonstrates her expertise in managing health information and compliance with healthcare regulations. This certification is a testament to her commitment to maintaining high standards in health information management.
Career History in Healthcare
Before joining Highmark Inc., Andrea Tournoux gained valuable experience in the healthcare field. She worked as a Precertification Technologist at Gateway Health from 2011 to 2013, where she was involved in the precertification process for medical services. Earlier in her career, she served as a Claims Processor II at Aultman MSO and as a Secretary/Receptionist at SES from 2005 to 2007.