ARIEL WALSH
New Braunfels
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
11
11
years of professional experience
Work History
Member Service Representative
Association of Certified Fraud Examiners
Austin, TX
08.2023 - Current
- Provided exceptional service through active listening, understanding member needs, and offering appropriate solutions.
- Processed account transactions accurately, ensuring proper documentation and timely processing.
- Responded to customer calls and emails to answer questions about products and services.
- Learned and maintained in-depth understanding of product and service information to offer knowledgeable and educated responses to diverse customer questions.
- Collaborated with team members to ensure seamless operations during peak hours or staff shortages.
- Learned internal systems and related service role duties to provide skilled team backup in handling customer demands.
- Partnered with other departments facilitating smooth resolution of complex cases resulting in improved member experience.
Administrative Supervisor
Unifiedhc
Austin, TX
08.2013 - 08.2023
- Established and developed strong administrative team by delivering ongoing coaching and motivation and fostering career advancement.
- Established workflow processes, monitored daily productivity and implemented modifications to improve overall performance of personnel.
- Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
- Coordinated individual duties after careful evaluation of each employee's skill level and knowledge.
- Achieved specific team objectives and collection activity.
- Recruited, hired, trained and supervised staff and implemented mentoring program that offered positive employee engagement.
- Provided backup to front desk to step in to assist with various tasks whenever employee was absent or at lunch.
- Established and updated work schedules to account for changing staff levels and expected workloads.
- Monitored and evaluated personnel performance to complete annual reviews, recommend advancement or address productivity concerns.
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Addressed questions and managed communications with patients and insurance agents.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Obtained prior authorization and precertification for outpatient procedures.
- Determined proper codes for medical records and patient services.
- Utilized Athena to manage and confirm patient data, such as insurance, demographic and medical history information.
Patient Care Taker
Home Instead Senior Care Home
07.2013 - 07.2014
- Helped clients with managed home care, ensuring efficacy of care by monitoring health status.
- Promoted development of healthy lifestyle to meet health and wellness objectives.
- Provided patients and families with emotional support and instruction in preparing healthy meals, independent living and adaptation to disability or illness.
- Coordinated daily medicine schedules and administration to help clients address symptoms and enhance quality of life.
- Provided mobility assistance such as walking and regular exercising.
- Completed entries in log books, journals and care plans to document accurately report patient progress.
- Helped patients safely transition between sleeping surfaces and mobility assistance such as wheelchairs by providing consistent support.
- Assisted patients with handling daily chores and errands by transporting to appointments, cleaning personal spaces and purchasing supplies.
- Interacted kindly with patients and families and displayed positive, outgoing attitude, resulting in establishment of long-term, professional relationships.
- Assisted patients with dressing, grooming and feeding needs, helping to overcome and adapt to mobility restrictions.
- Assisted with general household activities, such as cooking, meal preparation and grocery shopping.
- Assisted disabled clients in any way necessary to facilitate independence and well-being.
Education
High School Diploma -
Wimberley High School
Wimberley, TXEverest Institute - San Antonio
San Antonio, TXSkills
- Managed Care
- Inventory Management
- Data Entry
- Employee Performance Evaluations
- Administrative Oversight
- Schedule Management
- Coaching and Training
- Verbal and Written Communication
- Coordination of Administrative Activities
- Credit and Collections
- Customer Care
- Meeting Coordination
- Policy and Procedure Modification
Timeline
Member Service Representative
Association of Certified Fraud Examiners
08.2023 - Current
Administrative Supervisor
Unifiedhc
08.2013 - 08.2023
Patient Care Taker
Home Instead Senior Care Home
07.2013 - 07.2014
High School Diploma -
Wimberley High School
Everest Institute - San Antonio