Ashley Clair
Philadelphia,PA
Summary
To obtain a position in the Healthcare facility where I can utilize my Medical, Administrative and clinical background.
Overview
2
2
years of professional experience
1
1
Certification
Work History
Medical Biller and Coder/Patient Care Coordinator
Milestone Therapy Group
Philadelphia
07.2023 - Current
- Reviewed medical records and identified diagnosis codes, procedures, services and supplies for coding.
- Verified accuracy of patient information and insurance data in billing system.
- Reconciled accounts receivable to ensure accuracy of payments received.
- Maintained up-to-date knowledge of coding regulations and changes in reimbursement policies.
- Performed daily audits on all bills submitted for accuracy and completeness.
- Maintained current CPT, HCPCS codes library as well as ICD-9, 10 CM diagnostic codes.
- Ensured timely filing of all claims within established guidelines.
- Responded promptly to requests from insurance companies regarding clarification on claim submissions.
- Identified trends in denials and worked collaboratively with clinic staff to reduce denials.
- Monitored aging accounts receivable report weekly to identify unpaid balances due.
- Provided ongoing communication with patients, families, and other healthcare providers regarding treatment plans and progress.
- Scheduled appointments for patients and coordinated follow-up visits as needed.
- Performed administrative duties such as filing paperwork, answering phones and scheduling appointments.
- Facilitated coordination between primary care physician and specialists to ensure continuity of care.
Administrative Assistant/Receptionist
Center City Pediatrics
Philadelphia
10.2022 - 12.2023
- 1
- Insurance verification 2
- EMR management 3
- Referral submission 4
- Navinet 5
- PEAR
Patient Access Representative
Holy Redeemer Hospital
Philadelphia
05.2023 - 07.2023
- Greeted patients and visitors in a courteous and professional manner.
- Processed patient admissions, registrations, transfers, and discharges according to established procedures.
- Verified insurance coverage for services provided by the facility.
- Reviewed medical records to ensure accuracy of billing information and patient data.
- Verified insurance coverage and identified third-party payers for billing purposes.
- Processed credit card transactions through Point-of-Sale terminals or online systems.
Patient Access Representative
Penn medicine
Philadelphia, PA
01.2023 - 05.2023
- 1
- Insurance verification 2
- Prior authorizations 3
- Scheduling 4
- Customer service 5
- Availity
Education
Associate in Arts (AA) -
Skills
- Multi-line Phone Systems
- Experience Administering Injections
- Patient Care
- Hospital Experience
- Medical Records
- ICD-10
- Medical Billing
- Computer Skills
- EMR Systems
- Insurance Verification
- Medical Office Experience
- Medical Scheduling
- CPT Coding
- Epic
- Navinet
- Uhc portal
- Availity
- Fusion
Certification
- Certified Medical Assistant
- Medical Coding
Additionalinformation - Externship
Medical Assistant externship, Temple pediatrics, 04/01/11 - 06/30/11
Personal Information
Work Permit: Authorized to work in the US for any employer
Timeline
Medical Biller and Coder/Patient Care Coordinator
Milestone Therapy Group
07.2023 - Current
Patient Access Representative
Holy Redeemer Hospital
05.2023 - 07.2023
Patient Access Representative
Penn medicine
01.2023 - 05.2023
Administrative Assistant/Receptionist
Center City Pediatrics
10.2022 - 12.2023