Ashley Denham
Allison Park,PA
Summary
Knowledgeable medical office professional educated at correcting and resubmitting claims, preparing patient charts, and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing, and managing medical record information with strong organizational skills and a high degree of accuracy.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Environmental Service Technician
UPMC Passavant Hospital - McCandless
09.2022 - Current
Patient Access Coordinator I
Allegheny Health Network- WPH
04.2022 - 02.2023
- Handled all preregistration and admission functions while remaining focused and hospitable in a fast-paced ER.
- Utilized knowledge of medical terminology to perform diverse data entry into the EPIC healthcare software.
- Collected and entered patient demographic and insurance data accurately to establish medical records and RTE for coverage; identified the COB, coinsurance, and copayments.
- Updated information as needed to ensure correct, timely billing, collected post-payment as appropriate into the ADT system; resolved issues, addressed bad debt appropriately.
- Secured and protected Patient Health Information in line with HIPAA compliance, and followed all AHN policies and procedures.
Inventory Stocker
Express Staffing Agency
09.2017 - 11.2019
Volunteer
Salvation Army Thrift Store
12.2018 - 10.2019
Sales Representative
Dial America
08.2015 - 08.2017
Administrative Secretary
West Penn Allegheny Health System
01.2014 - 08.2015
- Scheduled and coordinated meetings, appointments, and travel arrangements for the Director of Home Care and supervisors as needed.
- Processed patient referrals and medical insurance claims through the Athena Health software; assisted with the medical coding and proper sequence of diagnoses.
- Managed phone and email correspondence and handled incoming and outgoing mail and faxes.
- Screened visitors and directed them to specific locations within the office.
- Managed office bookkeeping through Excel with physician orders in correspondence with insurance billing; maximized company revenue by pulling incomplete orders from medical records and effectively communicating with provider offices to fast-track the process.
PHARMACY TECHNICIAN
WALGREENS CORPORATE
03.2012 - 01.2014
- Assisted pharmacists with clearing a high volume of pharmacy callbacks, addressed incoming customer inquiries, and resolved prescription discrepancies.
- Set up and modified patient profiles to include current medications and insurance details.
- Prepared prescription labels and calculated dosage with absolute accuracy, making modifications as instructed by pharmacists and providers.
- Adhered to regulatory guidelines for workplace safety and customer confidentiality
- Coordinated with physicians and insurance agency representatives to obtain prior authorizations and prescription renewals.
Education
Certificate of Medical Billing And Coding -
Grantham University
Lenexa, KS02.2022
Bachelor of Science - Business Administration, Communication Studies, Social And Behavioral Studies
West Virginia University
Morgantown, WV05.2008
Skills
- Records Review
- Coverage Determination
- Software Applications: MS word, excel, outlook
- Electronic Health Record Applications: EPIC, Athena, Allscripts
- Confidential Records Management
- Data Entry
- ICD-10 (International Classification of Disease Systems)
- Outpatient Coding
- Data Security Procedures
- Workers' Compensation Forms
- Medical Terminology
- Medical Insurance and Billing
Certification
- CBCS - Certified Billing and Coding Specialist, National Healthcare Association, 01/17/201
Timeline
Environmental Service Technician
UPMC Passavant Hospital - McCandless
09.2022 - Current
Patient Access Coordinator I
Allegheny Health Network- WPH
04.2022 - 02.2023
Volunteer
Salvation Army Thrift Store
12.2018 - 10.2019
Inventory Stocker
Express Staffing Agency
09.2017 - 11.2019
Sales Representative
Dial America
08.2015 - 08.2017
Administrative Secretary
West Penn Allegheny Health System
01.2014 - 08.2015
PHARMACY TECHNICIAN
WALGREENS CORPORATE
03.2012 - 01.2014
Certificate of Medical Billing And Coding -
Grantham University
Bachelor of Science - Business Administration, Communication Studies, Social And Behavioral Studies
West Virginia University