Ashleigh Jones
Birmingham
Summary
A detail-oriented and driven individual looking to utilize my investigative skills with a reputable company that has a positive culture to make a significant contribution to the success of the company.
Overview
11
11
years of professional experience
Work History
Client Account Representative
Kassouf Healthcare Solutions
Birmingham
12.2024 - Current
- Collaborated with insurance companies to ensure timely reimbursements.
- Managed denials by analyzing claim reasons and submitting appeals promptly.
- Analyzed rejected claims and corrected errors before resubmitting them for payment.
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
- Provided customer service support to patients who had questions about their bills or payments due.
- Monitored aging accounts receivable balances ensuring timely resolution of outstanding balances.
- Familiarity with Family Medicine, Pulmonary, Physical Therapy, and Breast Health.
Medical Billing Specialist
XiFin (Previously Pathgroup)
Birmingham
05.2023 - 12.2024
- Entered high volume of insurance information for laboratory services to ensure accurate billing and minimize claim rejections
- Generated reports to verify accuracy of insurance information per claim, supporting timely reimbursements
- Apply CPT-10 codes for the appropriate services rendered, including verifying stains being performed have been billed accurately
- Processed client billing transactions
- Verified patient information, including demographics and insurance coverage, to ensure compliance with billing procedures and prevent errors
Document Processor
Protective Life Corporation
Birmingham
02.2023 - 05.2023
- Scanned, filed, and transmitted documents while adhering to digital filing procedures to ensure organized and accessible records.
- Processed incoming mail for asset protection team, distributing per line of business to facilitate timely responses.
- Indexed incoming mail into data system, enabling efficient workflow for appropriate teams.
- Deposited checks into electronic banking system for streamlined processing.
Data Entry Specialist
PathGroup
Homewood
07.2022 - 02.2023
- Entered data into databases with speed and accuracy using 10-key pad.
- Adhered to established procedures for accurate data entry and processing.
- Entered data into databases efficiently using 10-key pad, ensuring high accuracy.
- Verified data accuracy to produce error-free reports, enhancing reliability of information.
Criminal Research Specialist
Global HR Research
Birmingham
11.2017 - 07.2022
- Collected data from online court record databases, courthouses, and police departments to analyze and develop comprehensive reports
- Processed criminal background requests in compliance with FCRA and company guidelines to ensure accuracy and reliability
- Processed criminal background requests while also meeting FCRA and company guidelines
- Performed data entry to compile all collected data for completion of criminal report
- Monitored production metrics in a fast-paced environment
Medical Billing Specialist
Kassouf Healthcare Solutions
Birmingham
04.2017 - 11.2017
- Communicated with patients to clarify claim status and address inquiries
- Posted and adjusted payments from insurance companies and patients
- Entered charges into billing system accurately
- Researched and resolved billing discrepancies or issues in a timely manner
- Communicated with patients regarding claims
- Entered charges into billing system to ensure timely processing and compliance
Medical Billing Specialist
Narrows Health And Wellness
Birmingham
02.2015 - 04.2017
- Posted and adjusted insurance company payments, ensuring accurate account reconciliation
- Followed up on unpaid or denied claims, working with insurance companies to resolve issues and secure payment
- Posted and adjusted payments from insurance companies
- Answer patient phone calls for payments and insurance discrepancies
- Followed up on unpaid or denied claims, collaborating with insurance companies to resolve issues and secure owed payments
- Researched and resolved billing discrepancies or issues in a timely manner
- Issue patient refunds
- Researched and resolved billing discrepancies promptly, facilitating timely payments and improved patient satisfaction
Education
Oak Mountain High School
Skills
- Proficient with multiple EMR systems such as Nextgen, Epic, Medisys
- Experience with Availity, ClaimMD
- Data Management
- Time Management
- Customer Focused
- Ability to succeed independently or in a team setting
- Adaptable Communicator
Timeline
Client Account Representative
Kassouf Healthcare Solutions
12.2024 - Current
Medical Billing Specialist
XiFin (Previously Pathgroup)
05.2023 - 12.2024
Document Processor
Protective Life Corporation
02.2023 - 05.2023
Data Entry Specialist
PathGroup
07.2022 - 02.2023
Criminal Research Specialist
Global HR Research
11.2017 - 07.2022
Medical Billing Specialist
Kassouf Healthcare Solutions
04.2017 - 11.2017
Medical Billing Specialist
Narrows Health And Wellness
02.2015 - 04.2017
Oak Mountain High School