Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Ashley Wilson

Shepherdsville

Summary

Detail-oriented Insurance Billing Specialist skilled in claims processing, billing compliance, and patient account management. Minimizes denials and enhances collections through effective communication and problem-solving. Focused on optimizing team objectives while addressing past-due accounts to drive customer satisfaction.

Overview

12
12
years of professional experience
1
1
Certification

Work History

Insurance Billing Specialist

Commonwealth Pain and Spine
Louisville
04.2022 - Current
  • Processed insurance claims for patient services, ensuring accuracy and compliance with regulations.
  • Coordinated with healthcare providers to resolve billing discrepancies promptly.
  • Managed patient inquiries regarding billing statements and insurance coverage.
  • Utilized Athena health to maintain accurate records of financial transactions.
  • Appealed insurance claims, successfully resolving reimbursement issues to enhance cash flow.
  • Developed strategies for minimizing denials and improving collections processes.
  • Reviewed insurance claims for accuracy and completeness, verifying all required information to prevent delays in reimbursement.
  • Provided timely follow-up on unpaid claims to ensure prompt resolution of issues causing delays in reimbursement.
  • Collaborated with other team members on projects designed to streamline existing processes or implement new ones.
  • Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
  • Assessed billing statements for correct diagnostic codes and identified problems with coding.

Insurance and Billing Claims Coordinator

Fern Valley Chiropractic
Louisville
02.2019 - 03.2021
  • Managed patient claims submissions for timely processing and resolution.
  • Reviewed claim documents for accuracy and completeness, ensuring timely submissions.
  • Communicated with insurance companies to clarify claim status and requirements.
  • Coordinated with clinical staff to gather necessary documentation for claims.
  • Maintained organized records of processed claims and correspondence to facilitate efficient retrieval.
  • Resolved discrepancies in claims through detailed investigation and communication.
  • Reviewed incoming claims for accuracy and completeness, ensuring all necessary documentation was included.
  • Collected additional information from third parties to strengthen claims support.
  • Prepared detailed invoices for payment by clients or insurers.
  • Worked closely with medical providers to ensure timely submission of required documents.
  • Prepared documents for doctors to be credentialed with insurance companies.
  • Coordinated with auto injury claims adjusters for claims adjudication

Administrative Assistant

Access Behavioral Health
Louisville
02.2017 - 03.2019

Monitored office supplies inventory and ordered items to maintain operational efficiency.

  • Assisted in preparing and organizing patient documentation and files to support timely patient care.
  • Coordinated communication between clients and healthcare providers.
  • Answered phone calls and emails to provide information, resulting in effective business correspondence.
  • Entered data into spreadsheets using Microsoft Excel or other similar programs.
  • Organized and maintained filing systems for physical and electronic documents, ensuring record accuracy and confidentiality.
  • Processed insurance claims including posting EOB payments

Preschool Teacher

Bright Expectations
Louisville
03.2014 - 03.2019
  • Developed engaging lesson plans that enhanced children's cognitive and emotional development.
  • Developed lesson plans that incorporated creative teaching techniques.
  • Implemented effective classroom management strategies to create a positive learning environment.
  • Organized interactive activities that strengthened social skills and encouraged teamwork among children.
  • Collaborated with colleagues to design innovative classroom projects and monthly themes that enriched learning experiences.
  • Participated in professional development workshops to enhance teaching techniques and methodologies.
  • Assisted in providing a safe and secure environment for children.

Education

High School Diploma -

Pleasure Ridge Park High School
Louisville, KY

Skills

  • Insurance claims processing
  • Billing compliance
  • Revenue cycle management
  • Claims appeals submission
  • Denial management
  • Insurance verification
  • HCPCS coding
  • Medical billing software proficiency
  • Patient account management
  • Documentation organization
  • Billing records
  • Attention to detail
  • Effective communication
  • Problem solving
  • Self-motivation
  • Review documents
  • Professional demeanor
  • Professional demeanor

Certification

Child Development, Early Childhood Education License

Timeline

Insurance Billing Specialist

Commonwealth Pain and Spine
04.2022 - Current

Insurance and Billing Claims Coordinator

Fern Valley Chiropractic
02.2019 - 03.2021

Administrative Assistant

Access Behavioral Health
02.2017 - 03.2019

Preschool Teacher

Bright Expectations
03.2014 - 03.2019

High School Diploma -

Pleasure Ridge Park High School
Ashley Wilson