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
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
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
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