Ashley D. Arraiz
Anaheim,CA
Summary
Healthcare professional with over 15 years of experience in medical account review and Medicaid eligibility. Expertise in analyzing high-volume accounts, verifying insurance, and coordinating financial services for patients. Proven ability to identify trends and support data-driven decision-making. Currently pursuing a business degree to enhance skills in healthcare analytics and managed care.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Patient Advocate II
Parallon/HCA
09.2019 - Current
- Reviewed and analyzed high-value accounts for accurate insurance verification and billing compliance.
- Audited aged inventory to facilitate account reconciliation and Medicaid eligibility resolution.
- Collaborated with management on account directives and workflow improvements through trend analysis.
- Provided precise invoicing, established fees, and updated payer information to enhance reimbursement.
- Supported documentation management by validating insurance data and maintaining scanned records.
Patient Advocate II
Parallon/HCA
08.2015 - 09.2019
- Screened patients for California Medicaid, verifying eligibility against state regulations.
- Submitted applications to county offices and ensured timely follow-ups for approvals.
- Provided necessary documentation and support, enhancing approval rates and reducing turnaround time.
Out of State Eligibility Specialist
National Access Inc.
03.2010 - 08.2015
- Secured authorizations for inpatient admissions by verifying out-of-state Medicaid and Medicare eligibility.
- Coordinated with physicians and facilities to manage appeals and resolve claim denials.
- Ensured patient coverage accuracy to facilitate successful claim submissions.
Education
Associate of Arts (AA) - Business Administration
Santiago Canyon College
Orange, CA06.2026
Associate of Arts (AA) - General Studies
Santiago Canyon College
Orange, CA06.2025
Medical Insurance Billing & Coding -
Everest College
City of Industry, CA02.2010
Skills
- Medicaid and insurance verification
- Medical billing and coding
- Data entry and reconciliation
- Patient account auditing
- Microsoft Office Suite
- Avaya One X and WebEx
- Communication and interpersonal skills
- Time management and organization
- Proactive problem solving
- Resource utilization
Certification
- HIPAA Compliance
- OSHA Training
- CMS-1500 Medical Billing
Timeline
Patient Advocate II
Parallon/HCA
09.2019 - Current
Patient Advocate II
Parallon/HCA
08.2015 - 09.2019
Out of State Eligibility Specialist
National Access Inc.
03.2010 - 08.2015
Medical Insurance Billing & Coding -
Everest College
Associate of Arts (AA) - Business Administration
Santiago Canyon College
Associate of Arts (AA) - General Studies
Santiago Canyon College
Similar Profiles
Breigha EbenezerBreigha Ebenezer
Customer Support Specialist at Parallon/HCACustomer Support Specialist at Parallon/HCA
Raquel HicksRaquel Hicks
Operations Supervisor at Parallon/HCAOperations Supervisor at Parallon/HCA
Anna GreenAnna Green
Medical Coder II at Parallon/HCAMedical Coder II at Parallon/HCA
Ramiro HernandezRamiro Hernandez
Bartender/Supervisor of Operations at Four Points Sheraton Hotel AnaheimBartender/Supervisor of Operations at Four Points Sheraton Hotel Anaheim
Mary AttiaMary Attia
Church Communion Organizer (Volunteer) at Saint Pope Kerollos VI ChurchChurch Communion Organizer (Volunteer) at Saint Pope Kerollos VI Church