Ashley Bailey
Myrtle Beach,SC
Summary
Dedicated healthcare and customer service professional with experience supporting patients and health plan members in fast-paced healthcare environments. Skilled in disability evaluation coordination, appointment scheduling, member services, claims resolution, insurance verification, and patient support. Strong communication, problem-solving, and organizational abilities with a commitment to delivering exceptional customer service and ensuring positive patient and member experiences.
Overview
3
3
years of professional experience
Work History
Member Services Representative
Humana
Las Vegas, Nevada
12.2022 - 10.2023
- Provided comprehensive support to health plan members regarding benefits, coverage, deductibles, copays, and prescription services.
- Investigated and resolved medical and pharmacy claim issues while explaining billing statements and payment responsibilities.
- Assisted members with enrollment, account updates, and replacement identification cards.
- Managed high-volume customer interactions through phone, email, live chat, and social media channels.
- Escalated complex issues and guided members through grievance, appeal, and pre-authorization processes.
- Educated members on wellness programs and connected vulnerable populations with appropriate healthcare resources and social support services.
- Maintained accurate records while meeting quality, compliance, and customer satisfaction standards.
Patient Access Representative
NYU Langone Health
Las Vegas, Nevada
08.2020 - 11.2022
- Verified patient information for accurate registration at NYU Langone Health.
- Scheduled appointments and managed patient inquiries efficiently.
- Collaborated with healthcare teams to enhance patient experience.
- Assisted patients in navigating healthcare services and resources.
Education
Cornerstone Christian Correspondence School
Townsend, GASkills
Compassionate healthcare professional experienced in supporting patients and health plan members within fast-paced environments Expertise includes disability evaluation coordination, appointment scheduling, member services, claims resolution, and insurance verification Committed to enhancing patient and member experiences through effective communication, problem-solving, and organizational skills
Additional Qualifications
- Strong verbal and written communication skills
- Ability to manage multiple priorities in fast-paced environments
- Experience working with diverse patient and member populations
- Detail-oriented with a commitment to accuracy and confidentiality
Timeline
Member Services Representative
Humana
12.2022 - 10.2023
Patient Access Representative
NYU Langone Health
08.2020 - 11.2022
Cornerstone Christian Correspondence School