Medical Billing Data Entry

ASHLEY L. PERKINS

214-***-**** -Cell

al.brown*1120489 @ gmail.com

E XPERIENCED M EDICAL C LAIMS R EPRESENTATIVE

The skills I possess are transferable to any industry. I also have the excep onal ability to align business func ons with corporate goals, whether working with a team from scratch or assuming new responsibili es. I am very dependable and a fast learner. A REAS OF E XPERTISE ;

Administra ve Assistant ● Microso Office ● Mul -Tasking

● Clerical procedures ● Document Processing

● Claims ● Client Rela ons ● Medical Billing & Coding ● Knowledge of ICD-9, ICD-10, and CPT● Customer Service PROFESSIONAL EXPERIENCE

Aetna Insurance

4300 Centreway Pl

Arlington, TX 76018

February 24, 2020 - Present

Health Concierge

● Assist members with claim, deduc ble, and coinsurance limits.

● Add pcp and dental providers to accounts.

● Assist in with appeals for claim and preauthoriza on issues.

● Direct members how to u lize the member website.

● Call providers to update informa on, request documents, and set up appointments.

● Reach out to other insurance and Medicare when necessary.

● Rework or reprocess eligible claims.

● Provide overall benefit and plan summary informa on. K-Force Recruiting

MHMR Tarrant County (Temporary Contract)

Fort Worth, TX;

November 29, 2018 - Feb 2019

DATA ENTRY/ MEDICAL CODING;

• Analyze correc on request, and expedite a solu on.

• Fix incorrect progress notes according to guidelines.

• Maintain posi ve communica on with provider throughout the correc on process. • Navigate through My Avatar, Intelliso, CAQH, and TMHP systems. • Communicate with CAQH to gather correct informa on and info format for providers. • Add provider documenta on to TMHP and CAQH when needed.

Multiplan

Arlington, TX

April 18, 2016 - November 2018

S ENIOR S UPPORT A SSOCIATE ;

• Adhere to client TAT requirements as relates to response me and required ac ons.

• Analyze and process agreement on claims that require manual interven on.

• Ensure notes, codes and appropriate closure processes for claims are followed and documented in applicable systems.

• Analyze and administer closure processes on select automated claims & back up individuals on other claim closures.

• Create and execute business correspondence to clients using mul ple media formats.

• Work in administra ve and clerical systems.

C USTOMER S ERVICE S PECIALIST ;

• Inves gate, analyze, research, and resolve claim inquiries as a result of issues related to discounts, payments and balance billing.

• Provide resolu on and closure to the applicable recipients. Create and execute business correspondence to clients or providers using mul ple media formats.

• Ensure compliance with HIPAA regula ons and requirements.

• Handle mul ple issues with and without small deadlines.

• Perform system claim adjustments based on outcomes and communicate with clients regarding confirma on.

• Problem solving and quick assessment of case/ claims. Cost Plus World Market

Arlington, TX

September 13, 2015 - April 2016

L EAD POS C OORDINATOR ;

• I complete daily and weekly tasks according to the POS Coordinator planner. • I ensure accurate and mely pricing of products, also execu on of merchandise pricing. • I maintain inventory data by comple ng weekly RF audits on merchandise. • I demonstrate great customer service skills on the sales floor.

• I train associates on current/new products.

• I ensure the removal of expired adver sed signage.

• I maintain inventory file drawers for weekly and monthly documents. • And all other du es as assigned.

Pier One Imports

Arlington, TX

November 22, 2015 - January 18, 2016

S ALES A SSOCIATE ;

• I engaged customers to expand their spending budget.

• I kept customers up to date about the latest sales, promo ons, or trends in the store. • I maintained the visual aesthe c of the store.

• I helped with store re-se ng and stock issues.

• All other du es as assigned.

CST Connections, LLC

Houston, TX

March 04, 2013 - February 2015

A DMINISTRATIVE A SSISTANT

• I u lized CST’s proprietary computer so ware to help the company achieve service goals.

• I used Microso Office and Google Docs to enter & update data, mail merge, create le ers, labels, spreadsheets, forms and newsle ers.

• I was responsible for all the bookkeeping func ons; deposits, processing invoices, reconciling income, entering data in CST’s web-based accoun ng program; running financial reports.

• I efficiently provided administra ve support by answering phones, handling correspondence, general office du es and social media.

• I provided event assistance to the team with prepara on of materials, new client rela on forms, upda ng databases & repor ng.

• I assisted with the upkeep of confiden al databases, files, forms, and other du es as needed.

• I maintained inventory of supplies for administra ve offices and events.

• I performed other du es as needed to accomplish the administra ve goals.

• All other du es as assigned

E DUCATION ;

H IGH S CHOOL D IPLOMA - 2007 Marshall High

School -Student Council

-Art Club 06-07

U.S C AREER I NSTITUTE - 2014

Medical Billing and Coding Certificate

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