Summary
Overview
Work History
Education
Skills
Certification
References
Timeline
Generic

Asherah Torrence

Lawrenceville,GA

Summary

Diligent and organized professional with experience in providing administrative support . Skilled in accurately entering and updating policy information, preparing documents, and managing data. Possesses a solid understanding of the insurance industry and its standards, as well as exceptional customer service and communication skills. Committed to meeting deadlines and ensuring customer satisfaction. Gifted in working with stressed, confused and upset individuals in need of benefits information and supportive guidance to navigate life. Effective at operating with DSM regulations and department guidelines to manage telephone calls, emails, letters and in-person requests for assistance.

Overview

17
17
years of professional experience
1
1
Certification

Work History

Claims Processor II

Fidelis Care NY
09.2017 - Current
  • Tracking, filing, and entering all technical documentation to ensure all member accounts correctly reflect the activity that was performed
  • Completing all necessary paperwork, documentation, member requests and inquiries, while accurately capturing information and interaction with the member
  • Taking member complaints; probing and researching information
  • Identifying trends that negatively impact member satisfaction and made recommendations
  • Using basic computer skills required including typing, data entry, navigating database and the use of Microsoft Word, Excel and Lotus Notes, Epaces, Microsoft outlook, concord fax, authorization for medications, and medical procedures
  • Skilled to work in a fast paced environment knowledge of Managed Care/Health
  • Coordinated with medical providers to obtain additional information needed for claims processing
  • Analyzed customer documentation for accuracy and completeness before processing claims
  • Verified insurance coverage by reviewing policies, endorsements, and other documents
  • Identified fraudulent activity by comparing customer information against established criteria
  • Assisted in training new staff members on proper procedures for processing claims
  • Reviewed medical bills for accuracy and compliance with relevant regulations
  • Researched and resolved discrepancies between the insurer's system and customer records.

Intern

Child Care Resource Network
01.2018 - 05.2020
  • Analyzed problems and worked with teams to develop solutions.
  • Sorted and organized files, spreadsheets, and reports.
  • Participated in workshops and presentations related to projects to gain knowledge.
  • Interacted with customers by phone, email, or in-person to provide information.
  • Gathered, organized and input information into digital database.
  • Developed effective improvement plans in alignment with goals and specifications.
  • Evaluated customer needs and feedback to drive product and service improvements.

Donor Specialist

American Red Cross
06.2014 - 10.2015
  • Promotes good donor care during the collection of state units of blood in accordance with the Code of Federal Regulations (CFR)
  • Perform tasks and responsibilities within the framework of medical information gathering, health teaching, health counseling and support care under the direction of a registered professional
  • Demonstrates excellence in customer service/public relations promotion a positive, professional image of the American Red Cross Biomedical Services
  • Provides service in compliance with the Food and Drug Administration Code of Federal Regulations, the consent decree New York State Regulations, American Red Cross Blood Service Directives and standard operating procedures
  • Complies with safety policies and procedures in the work area
  • Phlebotomy on wide range of patients from young children to young adults and older population
  • Placed laboratory requisitions into a computer system and generating those requisitions with the patients Information, tests
  • Ordering doctor and specimen labels
  • Urinalysis
  • Billing and followed OSHA regulations that were required
  • Inserted 35-55 IVs daily using 20-24 gauge needles
  • PET, SPECT, ECHO
  • Regular stress testing
  • Properly entering patient information in GEMS
  • Vital signs
  • EKG, monitoring EKG's
  • Placing orders
  • Imaging after stress testing
  • Assisting physicians, and followed OSHA regulations that were required.

Phlebotomist

Gwinnett Medical Center
11.2011 - 07.2012
  • Performed phlebotomy on a wide range of patients from young children to young adults and older population
  • Placed laboratory requisitions into a computer system and generating those requisitions with the patients Information, tests
  • Ordering doctor and specimen labels
  • Urinalysis
  • Billing and followed OSHA regulations that were required.

Stress Technician

Cardiovascular Group
09.2010 - 01.2012
  • Performed regular stress testing
  • Properly entering patient information in GEMS
  • Vital signs
  • EKG, monitoring EKG's
  • Placing orders
  • Imaging after stress testing
  • Assisting physicians, and followed OSHA regulations that were required.

EKG Technician

Millard Fillmore Gates Hospital
06.2006 - 05.2009
  • Performed 50 In/out patient EKG's daily, 1-3, 24 hour Holter monitors daily
  • Data entry
  • Regular, Echo, Nuclear Stress testing working directly with cardiac physicians
  • Filing, answering phones, faxing, and placing orders.

Education

Associates Degree in Social Services -

Erie Community College, Buffalo
05.2020

Human Services -

Erie Community College
Buffalo, NY
01.2020

No Degree - Phlebotomy

Radium Soft
Dunwoody, GA
07.2009

EKG/ Cardiac Monitor Technician Program; Certification -

Trocaire College
04.2006

Skills

  • Office Operations
  • Past Due Balance Management
  • Financial Assistance
  • Validation of Discrepancies
  • Claims Review
  • Transactions Reconciliation
  • Client Interviews
  • Customer Service
  • Policy Modifications and Updates
  • Insurance Claim Forms Review
  • Data Entry
  • Teamwork and Collaboration
  • Claims Adjustment
  • Microsoft Office
  • Data Integrity
  • Paperwork Processing

Certification

Human Services

References

References available upon request

Timeline

Intern

Child Care Resource Network
01.2018 - 05.2020

Claims Processor II

Fidelis Care NY
09.2017 - Current

Donor Specialist

American Red Cross
06.2014 - 10.2015

Phlebotomist

Gwinnett Medical Center
11.2011 - 07.2012

Stress Technician

Cardiovascular Group
09.2010 - 01.2012

EKG Technician

Millard Fillmore Gates Hospital
06.2006 - 05.2009

Associates Degree in Social Services -

Erie Community College, Buffalo

Human Services -

Erie Community College

No Degree - Phlebotomy

Radium Soft

EKG/ Cardiac Monitor Technician Program; Certification -

Trocaire College
Asherah Torrence