Summary
Overview
Work History
Education
Skills
Timeline
Generic

Ashley Crance

Lexington,KY

Summary

Organized Professional known for always adhering to data confidentiality and HIPAA regulations. Smart Medical Billing and Credential capable of performing all assigned duties with efficiency and detail. Compassionate Personal Care Assistant with hands-on experience providing companionship and emotional support to residents. Well-versed in accurately documenting vital statistics and health metrics. Committed to creating positive rapport with patients and providing quality patient care. Seeking to brooding my skills and knowledge, while applying the skills I have obtained through my 18 years of education and employment history.

Overview

18
18
years of professional experience

Work History

Caregiver Attendant

Afton Community Day
Lexington, KY
03.2021 - 12.2023
  • Maintained updated records and safeguarded patient privacy in accordance with HIPAA.
  • Maintained accurate records of services provided, changes in client condition, medications administered and other pertinent information.
  • Respected the rights of each individual client while maintaining confidentiality of all personal information.
  • Followed patient care plan.
  • Observed changes in behavior or physical condition that may require medical attention and reported them promptly to supervisor.
  • Transported clients to doctor appointments and other errands using wheelchair accessible vehicles.
  • Performed light housekeeping tasks related to the client's care such as laundry and changing linens.
  • Educated families about available resources for home health care services in the local community.
  • Monitored vital signs including blood pressure, temperature and pulse rate.
  • Aided with mobility and independence for disabled individuals and continually monitored safety.
  • Assisted elderly clients with activities of daily living such as bathing, dressing and grooming, and medication reminder.
  • Followed safe lifting and transferring techniques to transport residents.
  • Examined and treated patient lacerations, contusions and physical symptoms and referred patients to other medical professionals.
  • Encouraged independence while promoting self-care skills such as bathing, grooming and toileting needs.
  • Communicated effectively with family members regarding patient's needs and progress.
  • Maintained a safe environment by adhering to agency policies and procedures.

Private Caregiver

Harley Clemons
Lexington, KY
05.2020 - 05.2021
  • Applied HIPPA Privacy and Security Regulations while handling all client information.
  • Developed individualized care plan for client based on his needs and preferences.
  • Administered prescribed medications according to physician instructions and monitored for adverse reactions.
  • Helped patients during ROM exercises to maintain musculoskeletal functions and increase strength.
  • Assisted elderly client with daily activities such as bathing, dressing, grooming and meal preparation.
  • Transported client to medical, dental and personal care appointments.
  • Monitored vital signs (including blood pressure, temperature, pulse rate, respiration rate and glucose levels) and medication use, documenting daily.
  • Researched medical information online when needed in order to provide additional insight into client's condition.
  • Collaborated with physicians, nurses, family members and other healthcare professionals to ensure quality patient care.
  • Ensured compliance with all applicable laws, regulations and standards governing home health care services.
  • Examined and treated client's lacerations, contusions and physical symptoms and referred patients to other medical professionals.
  • Assisted with mobility and ambulation by providing support during transfers from bed to chair or wheelchair proper safety body mechanics, gait belt, and Hoyer lift.
  • Partnered with registered nurses and physiotherapists to provide care to patients.

Office Administrator/Medical Biller, Accounts Receivable

Counceling Partners of Kentucky, LLC
Georgetown, KY
04.2019 - 05.2020
  • Complied with HIPAA guidelines while handling confidential patient information.
  • Trained all clinicians and staff on navigating billing software Simple Practice.
  • Verified that all information on the claim was accurate before submitting it for payment.
  • Processed medical insurance claims electronically and manually to ensure timely payment from insurance companies.
  • Assigned CPT procedure and evaluation and management (E&M) codes for services to assure appropriate billing and reimbursement.
  • Added modifiers, coded narrative diagnosis and verified diagnoses.
  • Participated in meetings, trainings pertaining to coding updates, changes from CMS and other payers.
  • Reviewed patient bills for accuracy and completeness, ensuring all charges are accurate and appropriate.
  • Managed accounts receivable, including aging reports, denials management, collections activities, cash applications.
  • Credentialed and managed benefit contract pricing, processing, policies and procedures with Medicare, Medicaid, and all other Commerical Insurance Companies.
  • Entered data into computer systems including updated patient records with new insurance information when necessary for processing of claims according to payer specifications.
  • Created spreadsheets and generated reports related to billing activity as requested by supervisor.
  • Resolved discrepancies between insurance payments and billed amounts by contacting insurers regarding unpaid claims.
  • Maintained knowledge of current coding regulations to accurately code diagnoses and procedures.
  • Provided customer service support to patients regarding billing issues and questions via phone calls or emails.
  • Electronically filed and submitted claims to Medicare, Medicaid, and all other Commerical Insurance Companies.
  • Collected, reviewed, and posted payments into Simple Practice that had been received from Medicare, Medicaid, Commerical Insurances, and patients to apply them to the appropriate patient accounts.
  • Completed physician bank deposits that had been received from Medicare, Medicaid, Commerical Insurances, and patients.
  • Inquired patient benefits and payments with Medicare, Medicaid, and all other Commerical Insurance Companies.

Laboratory Medical Billing and Coding Specialist

T. Monroe Billing, LLC
Nicholasville, KY
08.2014 - 02.2019
  • Analyzed medical reports, laboratory tests and other diagnostic information to determine appropriate CPT and ICD-9/ICD-10 confirmation codes.
  • Ensured accuracy of all data entry into the electronic health record system including procedure codes, diagnosis codes, and patient information.
  • Verified that insurance companies have received accurate claims information.
  • Assisted with training new staff members on proper coding procedures.
  • Maintained compliance with federal and state regulations including HIPAA Privacy and Security Regulations related to healthcare and billing practices.
  • Advised physicians on proper documentation requirements for accurate code assignment.
  • Prepared correspondence, accounting, and financial documents for Select Laboratory ( a high quality clinical laboratory testing facility ) for revenue analysis.
  • Reviewed and provided adequate documents and information, taking necessary steps to credential Select Laboratory with multiple insurance companies including NC Medicaid.
  • Collected, reviewed, and posted payments into Kero that had been received from Medicare, Medicaid, Commerical Insurances, and patients to apply them to the appropriate patient accounts.
  • Electronically filed and submitted claims to Medicare, Medicaid, and all Commerical Insurance Companies.
  • Answered desk phone providing customer service support to patients who had questions about their bills or payments due along with other calls and situations.

Physician Medical Billing Specialist

Commomwealth Health Management
Lexington , KY
08.2005 - 08.2014
  • Applied HIPPA Privacy and Security Regulations while handling patient and client information.
  • Answered desk phone providing customer service support to patients who had questions about their bills or payments due along with other calls and situations.
  • Accurately input procedure codes, diagnosis codes, and patient information for 50+ Physicians into Kero billing software to facilitate invoicing and account management.
  • Investigated denials with third-party representatives to identify solutions for payment.
  • Developed strategies for improving collections performance while reducing bad debt write-offs.
  • Processed credit card payments from patients in accordance with office policy.
  • Monitored aging accounts receivable balances ensuring timely resolution of outstanding balances.
  • Researched complex billing issues involving multiple providers or services rendered over a period of time.
  • Electronically filed and submitted claims to Medicare, Medicaid, and all other Commercial Insurance Companies.
  • collected, reviewed, and posted payments that had been received from Medicare, Medicaid, Commerical Insurances, and patients to apply them to the appropriate patient accounts.
  • Completed physician bank deposits that had been received from Medicare, Medicaid, Commercial Insurances, and patients.
  • Inquired patient benefits and payment with Medicare, Medicaid, and all other Commercial Insurance Companies.

Certified Nursing Assistant

Homestead Nursing Rehabilitation Center
Lexington, KY
08.2009 - 04.2010
CommonwealthCounseling
  • Applied HIPAA Privacy and Security Regulations while handling patient information.
  • Maintained a safe environment by adhering to agency policies and procedures.
  • Read and recorded temperature, pulse, and respiration of patients, documenting and reported changes to medical staff.
  • Recorded patient information such as condition, diet and progress reports on daily flow sheet.
  • Answered patient call lights and requests.
  • Provided patients and families with emotional support.
  • Assisted patients with daily activities including bathing, grooming, feeding, and exercising.
  • Created and maintained a safe patient and working environment, including patients rooms, shared living areas, and nursing environment.
  • Assisted patients with mobility and ambulation throughout facility using proper safety body mechanics, Vander Lifts, and Hoyer Lifts.
  • Transported patients to medical appointments utilizing wheelchair or strher.
  • Promoted independence by encouraging clients to perform self-care tasks whenever possible.
  • Collaborated closely with interdisciplinary health care teams to ensure optimal outcomes.
  • Reported concerns to nurse supervisor to promote optimal care.

Education

SRNA And CPR Certificate -

Bluegrass Nurse Aide Training Center
Lexington, KY
06.2012

CPT And ICD-9 Medical Coding -

American Academy of Professional Coders
Lexington, KY
12.2008

High School Diploma -

Tates Creek High School
Lexington, KY
05.2005

Associate of Science -

Maysville Community And Technical College
Maysville, KY

Skills

  • HIPAA Privacy and Security Regulations
  • Seizure Management
  • Patient assistance
  • Dementia Care
  • Medical coding and billing
  • Medical billing and collections
  • Credentialing
  • Billing software Kero and Simple Practice
  • Customer relations

Timeline

Caregiver Attendant

Afton Community Day
03.2021 - 12.2023

Private Caregiver

Harley Clemons
05.2020 - 05.2021

Office Administrator/Medical Biller, Accounts Receivable

Counceling Partners of Kentucky, LLC
04.2019 - 05.2020

Laboratory Medical Billing and Coding Specialist

T. Monroe Billing, LLC
08.2014 - 02.2019

Certified Nursing Assistant

Homestead Nursing Rehabilitation Center
08.2009 - 04.2010

Physician Medical Billing Specialist

Commomwealth Health Management
08.2005 - 08.2014

SRNA And CPR Certificate -

Bluegrass Nurse Aide Training Center

CPT And ICD-9 Medical Coding -

American Academy of Professional Coders

High School Diploma -

Tates Creek High School

Associate of Science -

Maysville Community And Technical College

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Ashley Crance