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Customer Service, Data Entry, Reception, Office Admin, Telecom

Long Beach, California, United States
February 16, 2018

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Ashley N. Conley Page *


**** ***** ****** *****, **** Beach CA, 90807 714-***-**** Profile

Professional, dedicated and personable with extensive administrative experience. Excellent problem solving, customer relation and interpersonal skills. Functions effectively and productively in time sensitive, stressful environments.

Work Experience

ADVANCED MEDICAL MANAGEMENT FROM JUNE 2017-NOVEMBER 2017 CREDENTIALING COORDINATOR Processed contracted initials, add-ons, and reappointment of medical staff within SMG AND CCI IPAS. Performed primary source verifications to run queries of the National Practitioner Data Bank, OIG sanctions, CA State Medical Board, and various specialty boards, that adhere to NCQA standards. Prepared pending provider's file for monthly committee board approval. Maintained credentialed provider record to ensure state licenses, malpractice certificates, and DEA documents are within compliance for annual health plan audits.

Updated credentialed staff's health plan codes in insurance directory per claims correspondence. Acted as liaison for both provider network and claims by notifying health plans of changes and terminations to contracted provider records.

Undertook post-committee review to arrange accepted minutes, system maintenance and notification letters for approved and deferred providers.

Tended to CCI and SMG rosters to monitor vendor organization modifications. Participated in other assigned duties, i.e., training new hires dedicated for credentialing providers. ELEMENTS BEHAVIORAL HEALTH FROM JUNE 2016-JUNE 2017 RECEPTION Ensured successful admissions with residential treatment centers. Scheduled IOPs into program charts via EMR software. Collected insurance benefits to determine pre-qualified patients best on available coverage. Interacted with customers on Live Person Platform to support requests and inquiries pertaining to recovery programs. Created a premeditated schedule to increase outbound percentages for reception staff and overall admission rate. STERICYCLE COMMUNICATION SOLUTIONS FROM JULY 2013-JUNE 2016 CUSTOMER SERVICE/DISPATCH Answered incoming customer calls for numerous companies on Infinity multi-line system. Interacted with clients (in person/via phone), to provide the most efficient service regarding time sensitive requests. Coordinated medical appointments for patients using off-base third-party software. Proofread all clerk entries and edited for succinctness, clarity, relevance, and accuracy. Contacted appropriate on-call business or medical practice representative as detailed via Amtelco system. Acted as person of contact for AMTECH elevator entrapments. Dispatched using pre-op system to direct on-call techs to the emergency site for repair. Reached out to site property manager(s) to ensure emergency service was successfully completed. Responded to haul loads (SXL) via outlook to ensure priority tanks are loaded for Sunoco drivers. Ashley N. Conley Page 2


Answered customer questions and provide information on current marketing procedures or policies. Resolved customer grievances about unattainable items by providing professional customer service attention. Cleaned display cases, shelves, and aisles.

Took inventory or examine merchandise to identify items to be reordered or replenished. Designed and set up advertising signs and displays of merchandise on shelves, counters, or tables to attract customers and promote sales.

Issued receipts, refunds, credits, or change due to the customer. Maintained clean and orderly checkout areas.

Compared merchandise invoices to items actually received to ensure that shipments are correct. Itemized and totaled customer merchandise selections at checkout counter, accept cash or change for purchases. Requested information or assistance using paging systems. Processed merchandise returns and exchanges.

Established or identified prices of goods and tabulate bills using calculators, cash registers, or optical price scanners. Promptly resolved customer’s complaints and concerns. Answered inbound and making outbound calls from store floor and office. Called other store locations to order or hold an out of stock item requested by the customer. Welcoming patrons with a friendly greeting when entering the building. Proficient Skills

Microsoft Word-Libre Excel-Libre Adobe Premiere Pro Sales Force Easy Step Ziramed

Trust Commerce LivePerson Intelligent Engagement Platform Amtelco Infinity EZ-CAP/PN Education

John F. Kennedy High La Palma, CA-Jun 2011


HIPPA (Certification)-Stericycle Communications Solutions Anaheim, CA-Jul 2015 FWA (Certification)-Advanced Medical Management, CMS- Long Beach CA-Jun 2017 General Compliance (Certification)-Advanced Medical Management, CMS -Long Beach, CA Jun 2017 837P and CMS 1500 Form (Medicare Billing) - CMS November 2017

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