ASHLEE WILBURN
Roanoke,VA
Summary
To enhance educational and professional skills in a stable and dynamic workplace. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
19
19
years of professional experience
Work History
Risk Management Administrator
The City Of Roanoke
2023.11 - Current
- Obtain proper documentation to submit General, Auto and Subrogation claims to insurance companies
- Enter and file data into system
- Answer phones and questions regarding open claims and claims that are to be filed or submitted.
- Streamlined office operations by implementing efficient administrative systems and procedures.
- Improved employee productivity with effective time management strategies for daily tasks.
- Established organized filing system that streamlined document retrieval and reduced misplaced files.
- Managed office inventory levels, ensuring adequate supplies were available while minimizing waste and unnecessary spending.
- Streamlined office operations by implementing efficient administrative systems and procedures
- Facilitated cross-departmental collaboration, resulting in increased efficiency and timely project completion
Patient Care Coordinator
Virginia Prosthetics and Orthotics
2021.07 - 2023.10
- Facilitate excellent patient experience by providing highest level of customer service to patients/family members, other healthcare entities and fellow employees both in-person and over phone
- Duties include: greeting and assisting patients in person and over phone, call screening, schedule coordination, gathering/updating patient information and working with outside healthcare facilities to coordinate care- and obtain necessary documentation
- Answered incoming calls in professional and courteous manner, promptly responding to requests/inquiries or directing/triaging calls for clinical personnel
- Obtained patient demographic information and accurately enters/updates EHR
- Scheduled patient appointments and ensures that all required follow-up is complete
- Confirmed future appointments following established guidelines
- Performed pre-visit chart audit reviewing for required documents/plan of care requirements
- Explained insurance requirements (prescription, PCP appointment, delivery receipts, etc.) to patients/families and tracks to completion making follow-up outreach as needed
- Collected documentation and patient payments as determined by Central Billing Office
- Documented all patient related activity in EHR in accurate, thorough and timely manner.
Front Office Manager and Medical Coding
Asthma And Allergy Center
2014.02 - 2021.06
- Administrative: Maintain medical records and correspondence files; schedule and confirm patient appointments; assure patients have completed necessary forms and submit insurance information; answer phones, greet and communicate with patients and providers when necessary; assist with patient registration; provide overall support for Physicians and office operations
- Financial: Collecting co-pays and payment for services; confirming authorization on payment and entering charges, payments, and balancing money for front office; filing and retrieving medical records/files; Electronic Remittance Advice (ERA) payment posting; Accounts Receivable (A/R) review; verifying accurate insurance eligibility and demographic information in electronic medical records system (EMR)
- Coding: Demonstrate knowledge and ability to assign ICD-10 CM codes to diagnoses; ensure diagnostic codes and documentation accurately reflect and support the visit encounter; maintain a 97% or above accuracy rate; maintained consistent daily production of greater than 40-60 reviews per day; work on Special Projects including RADV Audits, CPT Assessment, and Vendor Training; perform audits of prospective and retrospective employees; review In Home Physician records for providers to verify and insure appropriate and accurate diagnosis and procedural data in compliance with CMS and state-specific guidelines; review member charts, lab and consult reports for identifying documentation of missed opportunities; develop relationships with providers and staff with consistent communication and training; develop and maintain standard auditing policies and procedures; educate providers in correct documentation and coding and provided educational material.
- Streamlined check-in and check-out processes for faster service, resulting in higher guest satisfaction scores.
- Enhanced guest satisfaction by efficiently managing front office operations and addressing customer concerns promptly.
- Oversaw guest registration process by verifying personal information accuracy in line with security protocols.
- Streamlined check-in and check-out processes for faster service, resulting in higher guest satisfaction scores
- Enhanced guest satisfaction by efficiently managing front office operations and addressing customer concerns promptly
Chef
The Shenandoah Club
2007.11 - 2014.10
- Interacted with guests in private club setting to ensure wonderful dining experience
- Coordinated details for large events: purchase orders for food/beverage, supplies and scheduling staff
- Verified private event details and food orders for quality and accuracy
- Generated new menu concepts to achieve quality while capitalizing on cost efficiency
- Advised head chef on purchasing matters
- Prepared reports of purchasing activities.
- Reduced food waste with strategic menu planning and inventory control techniques.
- Implemented rigorous quality control measures to ensure consistent taste and presentation of dishes.
- Mentored junior chefs in culinary techniques, fostering a collaborative and learning-focused work environment.
- Spearheaded successful catering events, showcasing The Shenandoah Clubs signature dishes while maintaining impeccable standards of service.
- Adapted menus seasonally, incorporating fresh produce to create visually appealing and flavorful dishes.
- Continually improved kitchen safety by enforcing strict hygiene protocols and staff training on equipment usage.
- Optimized food preparation processes, implementing time-saving techniques without compromising quality.
- Upheld stringent food safety regulations, ensuring compliance with all relevant health department guidelines.
- Cultivated a positive work culture among kitchen staff through open communication lines and mutual respect within the team.
- Oversaw grill, stove, and oven, and cleaned equipment after every shift.
Dietary Aide/Chef
Snyder's Nursing Home
2005.01 - 2007.10
- Created meal plans to cater to specific client dietary needs for residents
- Generated new menu concepts to achieve quality while capitalizing on cost efficiency
- Advised head chef on purchasing matters
- Prepared reports of purchasing activities.
- Assisted in preparation of nutritious meals for patients with various medical conditions and dietary restrictions.
- Improved patient satisfaction by providing high-quality meals tailored to their dietary needs and preferences.
- Collaborated with healthcare professionals to develop individualized meal plans based on patient needs, resulting in better health outcomes.
- Ensured food safety compliance through proper storage, handling, and sanitation procedures, minimizing risk of contamination or illness.
- Streamlined meal assembly processes for faster service without compromising quality or accuracy.
- Provided exceptional customer service to patients and their families, addressing concerns and answering questions about dietary guidelines and restrictions.
Education
Medical Coding -
Virginia Western Community College
Roanoke, VA01.2013
Associates of Applied Science- Hospitality Management - Culinary Arts
Tidewater Community College
Norfolk, VA01.2005
Skills
- Ability to comprehend and follow written and verbal instructions, and handle multiple priorities at once with minimal supervision.
- Excellent customer service skills exhibited by courtesy, cooperative spirit and tact when interacting with employees, clients and visitors.
- Ability to communicate clearly, concisely, and professionally and critically evaluate and appropriately act upon information.
- Ability to maintain confidentiality of client and employee information.
- Resource Optimization
- Office Administration
- Executive Support
- Staff Management
- Events Coordination
- Schedule Coordination
- Customer Service
- Written Communication
- Good Telephone Etiquette
- Recordkeeping
- Quality Assurance
- Organization and Time Management
- Excellent Communication
- Social Perceptiveness
- Flexible and Adaptable
- First Aid/CPR
- Google Drive
- Organizational Skills
- Public Speaking
- Organization
- Dependable and Responsible
- Critical Thinking
- Cultural Awareness
References
References available upon request.
Timeline
Risk Management Administrator
The City Of Roanoke
2023.11 - Current
Patient Care Coordinator
Virginia Prosthetics and Orthotics
2021.07 - 2023.10
Front Office Manager and Medical Coding
Asthma And Allergy Center
2014.02 - 2021.06
Chef
The Shenandoah Club
2007.11 - 2014.10
Dietary Aide/Chef
Snyder's Nursing Home
2005.01 - 2007.10
Medical Coding -
Virginia Western Community College
Associates of Applied Science- Hospitality Management - Culinary Arts
Tidewater Community College
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