Ashley Banks
Columbia,MO
Summary
Accomplished in Benefits Administration and adept at Relationship Building, I significantly enhanced patient experience at Missouri Cancer Associates. Expert in policy interpretation and compliance, my proactive approach led to streamlined benefits processes, improving response times by over 30% and fostering trust through clear, effective communication. Collaborative individual with expertise in providing exemplary service regarding benefits support. Multitasking Benefits Specialist knowledgeable in state and federal regulations and maintaining employee confidentiality. Self-motivated Benefits Specialist demonstrating superior understanding of employee benefits laws and human resource software systems. Astute professional providing benefits support in fast-paced corporate settings. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
11
11
years of professional experience
Work History
Patient Benefit Representative
Missouri Cancer Associates
12.2022 - Current
- Provided timely responses to employee inquiries regarding benefits programs, fostering a positive work environment with clear communication channels.
- Work billing and denial rejects.
- Patient Intake Meetings.
- Run and work Athens eligibility report.
- All Infusion, chemo, and radiation workup cost estimates.
- Eligibility verification- for same day insurance changes.
- Account audits.
- Respond to all G2 message que and group emails.
- Request and update Essence and V.A. referrals.
- Medicaid Spend down Forms.
- Submit Financial Assistance Forms and ensure proper documentation.
- Assist and submit VGF assistance applications.
- Assist with Travel/Lodging needs for patients.
- New patient tours.
- Access various insurance companies databases.
- Stay updated on all insurance companies guidelines.
- Remain HIPPA compliant.
Insurance Coordinator
Greater St. Louis Oral Surgery
04.2021 - 12.2022
- Verified insurance and communicated coverage to staff and patients.
- Managed a high volume of inbound calls, promptly resolving issues while providing accurate information on policies and procedures.
- Assisted clients with understanding complex insurance policies, effectively addressing concerns or questions.
- Obtained data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims.
- Obtained prior authorization and precertification for outpatient procedures.
- Coordinated communication between clients, adjusters, and repair facilities during the claims process.
- Conducted thorough policy reviews, identifying gaps in coverage and offering appropriate solutions.
- Reviewed accounts receivable reports, insurance contracts and weekly and monthly financial reports.
- Trained staff on current Medicare regulations and guidelines.
- Cost estimates of procedure's and going over cost with patients
Certified Medical Assistant
Just Us
04.2013 - 08.2019
- Called and faxed pharmacies to submit prescriptions and refills.
- Pass scheduled medication to clients
- Prepare meals for clients.
- Transport clients to home visits, personal shopping, out to eat, community events, and to the movie.
- Help clients to live as independent as possible.
- Document daily about clients
- Housekeeping daily; dusting, mopping, vacuuming, cleaning windows, changing bed linings, taking out
trash & changing trash/bags, washing dishes, sanitizing every area in the home, recycling and making
sure the home is presentable and safe on a daily basis.
Medical Assistant
Missouri Sleep And Pulmonary Center
10.2015 - 05.2019
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Obtained client medical history, medication information, symptoms, and allergies.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Performed medical records management, including filing, organizing and scanning documents.
- Called and faxed pharmacies to submit prescriptions and refills.
- Documented vital signs and health history for patients in clinic and hospital environments.
- Collected and documented patient medical information such as blood pressure and weight.
- Built strong relationships with patients through effective communication skills that foster trust in the clinic''s commitment to quality care.
- Maintained a safe and clean clinical environment by adhering to infection control guidelines and disposing of biohazardous waste properly.
- Scheduled appointments, registered patients, and distributed sample pharmaceuticals as prescribed.
- Facilitated seamless patient care with thorough and accurate documentation of medical histories, vital signs, and medications.
- Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
- Taught patients about medications, procedures, and care plan instructions.
- Assisted with routine checks and diagnostic testing by collecting and processing specimens.
- Coordinated patient referrals to specialists or other healthcare providers as needed for comprehensive care management plans.
- Verified patient insurance coverage and collected required co-payments.
- Collaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment.
- Reduced wait times by swiftly processing insurance claims, verifying coverage, and obtaining pre-authorizations when necessary.
Certified Medical Assistant
Woodhaven Learning Center
03.2013 - 04.2014
- Called and faxed pharmacies to submit prescriptions and refills.
- Provided compassionate care for patients, addressing their concerns and ensuring a positive experience.
- Documented vital signs and health history for patients in clinic and hospital environments.
- Assisted physicians with various procedures, ensuring comfort and accuracy for optimal patient outcomes.
- Plan activities for my Day Program
- Assist clients with daily living tasks and assist them with living as independent as possible
- Administer medication
Education
Medical Administration - Medical Coding And Billing
Career Steps
Columbia MO01.2021
Skills
- Benefits Administration Expertise
- Sales experience
- Conflict resolution techniques
- Policy Interpretation
- Benefits Explanation
- Documentation And Reporting
- New employee enrollment
- Relationship Building
- New employee orientations
- Attention to Detail
- Compliance Reporting
- Records Maintenance
- Talent Recruitment
Timeline
Patient Benefit Representative
Missouri Cancer Associates
12.2022 - Current
Insurance Coordinator
Greater St. Louis Oral Surgery
04.2021 - 12.2022
Medical Assistant
Missouri Sleep And Pulmonary Center
10.2015 - 05.2019
Certified Medical Assistant
Just Us
04.2013 - 08.2019
Certified Medical Assistant
Woodhaven Learning Center
03.2013 - 04.2014
Medical Administration - Medical Coding And Billing
Career Steps
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