ASHLEY BROWNLOW
Chattanooga,TN
Summary
Highly motivated, very strong willed and driven. Technically-savvy with outstanding relationship building, training and presentation skills. Excellent at juggling multiple tasks and working under pressure. Multiple areas of expertise.
Overview
6
6
years of professional experience
Work History
Medical Billing Coordinator
Healthcare Administrative Partners
Chattanooga, TN
05.2022 - Current
- Resolve failed claims and denials
- Interpret Explanation of Benefits, EOBs, for various types of insurance.
- Update patient demographics, insurance, and billing information in database/billing system
- Identify, research and process refunds and overpayments
- Investigate and resolve unbilled and no response claims to ensure timely claim submission.
- Resolve telephone calls and written correspondence fro patients and insurance companies
- Utilize clearinghouse and third-party vendor systems to assist with processing claims
- Process claims with all payer types according to COB guidelines
- Maintain personal productivity quality output, and credit balance metric requirements.
Medical Reimbursement Specialist
National Seating And Mobility
Chattanooga, TN
09.2020 - 03.2022
- Performs timely and accurate follow-up on claims to payers and patients following prescribed policies and procedures
- Responsible for preparing and submitting timely, accurately rebill claims and initial billed secondary/tertiary claims to payers
- Enters certain demographic data into billing and collections software
- Generates claims for both electronic and/or hard-copy submission.
- Generates Missing Information Requests (MIR)
- Identifies variances between booked revenue and expected reimbursement to facilitate accurate reimbursement of claims as defined by contracts, and state and federal law.
- Participates in collecting and documenting payer specific claims processing rules, practices and guidelines to contribute to, and maintain currency and accuracy of payer requirements
Billing Specialist
CHI Memorial
Chattanooga, TN
10.2017 - 07.2022
- Improved billing accuracy by implementing streamlined invoicing process.
- Enhanced customer satisfaction with timely and accurate invoice generation.
- Reduced errors in financial records by conducting regular audits of billed accounts.
- Collaborated with collections team to recover overdue payments from clients, maintaining cash flow and minimizing write-offs.
- Establishes and maintains professional and effective relationships with peers and other stakeholders
- Explanation of Benefits (EOBs)/ Electronic Remittance Advice (Eras),payments, adjustments, insurance insurance
- Posts and tracks electronic funds transfer (EFT) information and validates EFTs for accuracy
- Follows write-off approval protocols for non-routine adjustments. Completes daily posting log and quarterly cash
- Applies current knowledge of government/commercial insurance reimbursement terms, contractual
Education
High School Diploma -
Brainerd High School
Chattanooga, TN05.2005
Skills
- Intermediate EPIC trained
- HIPPA Compliance
- Behavioral & medical health billing, & collections
- Patient Billing Procedures
- Claims Processing Proficiency
- Accounts receivable management
- Intermediate Excel spreadsheet functions
- Attention to detail
- Articulate and well-spoken
- Denial Resolution Techniques
- Intermediate Excel spreadsheet functions
- Professional and Superior organizational skills
Timeline
Medical Billing Coordinator
Healthcare Administrative Partners
05.2022 - Current
Medical Reimbursement Specialist
National Seating And Mobility
09.2020 - 03.2022
Billing Specialist
CHI Memorial
10.2017 - 07.2022
High School Diploma -
Brainerd High School