Ashley Brown
Elk Grove,CA
Summary
Organized and motivated employee eager to apply time management and organizational skills in various environments. Seeking entry-level opportunities to expand skills while facilitating company growth.
Overview
6
6
years of professional experience
Work History
SYSTEM NAVIGATOR
PACIFIC CLINICS
04.2024 - Current
- In coordination with a multidisciplinary team, assist consumers in selecting services and/or programs that will be useful in achieving their recovery and/or treatment goals.
- Assists and supports members with establishing benefits such as Supplemental Security Income (SSI), Medi-Cal and other benefits for which they are eligible.
- Assists and supports members with identifying their housing needs and/or resources in the community to meet these needs.
- Assists and supports members with linking to and participating in substance abuse services both on-site, if available, as well as in the community.
- Demonstrates an ability to develop respectful interpersonal relationships with consumers while maintaining appropriate boundaries.
COMPUTER RESOURCE SPECIALIST II
Department of Anesthesiology and Pain Medicine, UC
01.2023 - 05.2023
- Working independently and in a team to provide technical support and consulting services to the Anesthesiology and Pain Medicine Department
- Experience with Microsoft Windows, Mac OS and a variety of essential applications, including MS Office
- Provide daily AV and computer support to faculty and medical students lectures
- Facilitate Resident Interviews via zoom
- Communicate effectively and professionally by email, telephone, instant message or in person with diverse professionals and academicians with varied computer skills
- Create technical manuals/specifications/instructions for ICT team access requests
- Experience PowerPoint to edit photos, screenshots and images for dept
- Face sheets
CLAIMS PROCESSOR
Employment Development Department
12.2021 - 01.2023
- Analyzing claim information to identify discrepancies or missing information
- Assessing the information against requirements based on UI Code, Policies, and Procedures
- Sending employers standard forms to obtain additional information or clear up a discrepancy
- Working closely with subject matter experts to gain further understanding of how to address outstanding issues or identify when a claim needs to be escalated
- Referring more complex issues to supervisor or tenured staff
- Notating all actions taken on a claim clearly and thoroughly
- Demonstrating the ability to make logical decisions
- Demonstrating the ability to manage a workload in a way that meets timeliness requirements
MEDICAL CLAIMS EXAMINER
Centene
04.2019 - 03.2021
- Review and determine level of reimbursement & adjustments
- Process all claims high amount, eligible or ineligible for payment accurately
- Match authorizations to claims
- Stayed current on HIPAA regulations, benefits claims processing, medical terminology and other procedures
- Inputted data into the system, maintaining accuracy of provider coding information and reported services
- Evaluated pending claims to identify and resolve problems blocking auto-adjudication
- Reviewed administrative guidelines whenever questions arose during processing of claims
Education
Associate of Applied Science - Medical Billing And Coding
Heald
Rancho Cordova, CA06.2013
High School -
McClatchy High School
Sacramento, CA01.2004
Skills
- Insurance verification
- Medical billing
- Analysis skills
- Microsoft Publisher
- Filing
- Medical terminology
- Microsoft PowerPoint
- Microsoft Outlook
- Microsoft Word
- Microsoft Excel
- Data entry
- ICD-10
Timeline
SYSTEM NAVIGATOR
PACIFIC CLINICS
04.2024 - Current
COMPUTER RESOURCE SPECIALIST II
Department of Anesthesiology and Pain Medicine, UC
01.2023 - 05.2023
CLAIMS PROCESSOR
Employment Development Department
12.2021 - 01.2023
MEDICAL CLAIMS EXAMINER
Centene
04.2019 - 03.2021
High School -
McClatchy High School
Associate of Applied Science - Medical Billing And Coding
Heald