Ashlee Vanderhoof
Compliance and I.T. Security
Tacoma,WA
Summary
Detail-oriented Compliance Officer dedicated to improving policies and procedures in all business areas. Hardworking and driven with quality-focused and proactive approach. Bringing 10 years of experience in the Healthcare Industry.
Overview
16
16
years of professional experience
Work History
Compliance and I.T. Security Officer 2
Office Ally, Inc
01.2021 - Current
- Responded to employee inquiries regarding compliance regulations and procedures.
- Identified, investigated and documented compliance violations and recommended corrective measures.
- Developed and maintained compliance database, tracking all compliance activities and documents.
- Assisted with internal and external audits to confirm compliance with applicable laws and regulations.
- Maintained up-to-date knowledge of current and emerging compliance regulations.
Medical Billing Specialist
Kwan Yin Healing Arts Center
05.2020 - 01.2021
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Located errors and promptly refiled rejected claims.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Identified and resolved patient billing and payment issues.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Collected payments and applied to patient accounts.
- Posted and adjusted payments from insurance companies.
Administrative and Accounting Specialist
Seattle Cedar Supply
04.2018 - 02.2020
- Applied proper codes to invoices, files, and receipts to keep records organized and easily searchable.
- Investigated daily variances and corrected errors to resolve discrepancies.
- Reported financial data and updated financial records in ledgers and journals.
- Reconciled account information and reported figures in general ledger by comparing to bank account statement each month.
- Input financial data and produced reports using QuickBooks software.
- Initiated biweekly payroll procedures and provided accurate and on-time compensation for employees.
Senior Customer Service Specialist
Premera Blue Cross
02.2016 - 04.2018
- Maintained confidential patient, employee and company information in compliance with company policies and regulatory requirements.
- Gathered information, assessed and fulfilled callers' needs and educated on important policies and procedures.
- Answered inbound calls from existing and future policyholders to answer inquiries and discuss insurance options.
- Educated clients about health insurance coverage options, benefits and costs.
- Responded to customer inquiries regarding health insurance coverage and policies to assist with informed decision-making.
Clinic Director
Tilia Natural Health
04.2015 - 02.2016
- Monitored duties assigned to personnel to promote high levels of patient care and job efficiency.
- Developed and implemented team building activities to foster collaboration and improve employee morale.
- Leveraged patient feedback and performed continuous process improvements to streamline day-to-day business operations and patient satisfaction.
- Developed marketing strategies to increase visibility and patient base.
- Hired, trained and supervised employees to maintain team of high performers.
- Created and implemented policies to improve operational efficiency and patient care quality.
Office Manager
Synergy Manual Physical Therapy
04.2013 - 04.2015
- Assessed processes and procedures, complying with OSHA, and HIPAA regulations.
- Communicated effectively with staff members, physicians, and patients, employing active listening and interpersonal skills.
- Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing, and accounts receivable.
- Provided proper scheduling of patients, ensuring timely, and effective allocation of resources and calendars.
- Addressed and remedied all patient or team member issues.
- Developed close working relationships with front office and back office staff.
Director of Customer Service Operations
Mountain Rose Herbs
10.2007 - 02.2013
- Collaborated with cross-functional teams for smooth running of customer service operations.
- Managed customer service representative team, providing ongoing training and support to continuously improve team performance.
- Resolved escalated customer service disputes and complaints, leading to increased customer satisfaction.
- Coordinated customer service team projects, achieving successful on-time completion.
- Oriented newly hired employees by providing company information, facilitating onboarding processes and establishing position-related requirements.
- Determined required job seeker qualifications for potential interview by reviewing and evaluating resume and application information.
- Partnered with HR team to outline and define position requirements in accordance with company needs.
Education
Associate of Science - Business Administration
Lane Community College
Eugene, ORHigh School Diploma -
Marshfield Senior High School
Coos Bay, OR2002
Skills
- Data Security
- Regulatory Understanding
- Operational Efficiency
- Consumer-Related Reporting
- SQL Understanding
- Managing Security Breaches
- Procedure Documentation
- Complex Cases
- Data Protection
- Staff Training
- Safety and Security
- Auditing Processes
Timeline
Compliance and I.T. Security Officer 2
Office Ally, Inc
01.2021 - Current
Medical Billing Specialist
Kwan Yin Healing Arts Center
05.2020 - 01.2021
Administrative and Accounting Specialist
Seattle Cedar Supply
04.2018 - 02.2020
Senior Customer Service Specialist
Premera Blue Cross
02.2016 - 04.2018
Clinic Director
Tilia Natural Health
04.2015 - 02.2016
Office Manager
Synergy Manual Physical Therapy
04.2013 - 04.2015
Director of Customer Service Operations
Mountain Rose Herbs
10.2007 - 02.2013
Associate of Science - Business Administration
Lane Community College
High School Diploma -
Marshfield Senior High School