Ashley Criner
Summary
Detail-oriented program eligibility specialist with experience in claims processing and problem resolution. Focused on achieving results through effective communication and teamwork. Adaptable to changing environments, with a strong commitment to regulatory compliance and organizational objectives. Prepared to address new challenges with enthusiasm and dedication.
Overview
12
12
years of professional experience
Work History
Program Eligibility Specialist
Department of Workforce Services
Russellville, AR
03.2025 - Current
- Maintained up-to-date knowledge of program policies and regulations, providing accurate guidance to clients
- Developed and maintained a comprehensive knowledge base of available resources within the workforce office ensuring clients had access to needed support services.
- Address and process unemployment paperwork in a timely manner
- Improved client satisfaction through clear communication of unemployment
- Image paperwork and released IDs to claims
- Assisted claimants in navigating the unemployment benefits system, addressing concerns, and answering inquiries promptly.
- Enhanced customer satisfaction by resolving complex claim issues in a timely and professional manner.
- Maintained strict confidentiality when dealing with sensitive claimant information, adhering to all privacy regulations and guidelines.
Medical Records Clerk
Millard Henry Clinic
01.2023 - 02.2025
- Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
- Processed medical records requests from outside providers according to Hippa compliance
- Maintained patient confidence by keeping patient records information confidential.
- Created new medical records and retrieved existing medical records by gathering appropriate record folders and contents and assigning and recording new record numbers.
- Uploaded physician progress notes, history and physicals into electronic medical records.
- Handled high-volume data entry of demographics, disease etiology and extent and associated procedures or treatments.
Ambulance Billing Clerk
Pope County EMS
12.2021 - 01.2023
- Completed coding and insurance verification for patients and customers
- Completed hospice billing for transfers
- Processed billing for emergent and non-emergent ambulance transfers to insure timely reimbursement
- Processed collections in a timely and organized manner
- Answered emails and phone calls
Medical Insurance Specialist
Saint Mary's Regional Medical Center
07.2013 - 01.2018
- Reviewed provider coding information to report services and verify correctness
- Used administrative guidelines as resource or to answer questions when processing medical claims
- Evaluated accuracy and quality of data entered into agency management system
- Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations
- Collected premiums on or before effective date of coverage
- Maintained confidentiality of patient finances, records and health statuses
- Communicated verification and authorization status updates with Admitting/ Scheduling department to facilitate decision-making for patient admissions and insurance coverage
- Processed eligibility and benefits verification and authorization requests
Education
High School Diploma - undefined
Hector High School
5 2012
Skills
- HIPPA Compliance
- Written and verbal communication
- File Organization
- Document Scanning/Imaging
- Microsoft Excel
- Data Entry
- Claims processing
- Customer service
- Time management
- Attention to detail
- Multitasking ability
- Reliability
- Excellent communication
- Critical thinking
- Documentation and paperwork
- Computer proficiency
Timeline
Program Eligibility Specialist
Department of Workforce Services
03.2025 - Current
Medical Records Clerk
Millard Henry Clinic
01.2023 - 02.2025
Ambulance Billing Clerk
Pope County EMS
12.2021 - 01.2023
Medical Insurance Specialist
Saint Mary's Regional Medical Center
07.2013 - 01.2018
High School Diploma - undefined
Hector High School