Ashley E Toennies
Oakdale,IL
Summary
With over 20 years of experience in revenue cycle management, possessing a comprehensive understanding of medical billing operations, healthcare finance, compliance, and regulations. Demonstrating strategic planning, teamwork, and client relationship building skills that consistently deliver impactful results. An expert in improving workflow processes and known for strong team collaboration and a results-driven approach. Thrives on adapting to evolving challenges and eager to contribute to the success of the team while further developing professional skills. Brings a positive attitude and commitment to continuous learning and growth, providing a valuable asset to any organization.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Senior Account Manager
Coronis Health
09.2014 - 07.2024
- Oversaw multiple accounts and worked diligently to meet and exceed performance goals
- Analyze daily production reports and assist with providing feedback and resolution on issue or trends
- Communicate directly with clients, which include practice admins, physician-owners, serving as a trusted resource for all billing needs
- Developed and maintained strong working relationship with global teams and clients
- Documented and updated charge, payment, collections, and adjustments on weekly and monthly reports on shared files
- Finalized month end reporting for all clients
- Followed up on all outstanding insurance claims, including correspondence, denials and rebills to ensure timely collections or payments
- Effectively collaborated with assigned staff and global team and provided weekly meetings
- Conveyed medical billing processes to client support managers and global teams
Client Success Manager
Coronis Health
09.2014 - 07.2024
- Analyze claims, EOB's, correspondence, payer websites and any additional information to identify the next appropriate action towards resolution
- Held weekly meetings working closely with on-shore and off-shore global teams by communicating regularly via video/phone conference to proactively solve problems and overall productivity
- Create, produce, and analyze data to determine strong action plan
- Charge entry, payment posting, rejection/denial management and AR Follow up
- Handled payer correspondence, appeals, and refunds
- Assist clients with strategic processes and provided with necessary tools to achieve success.
- Provide exceptional client support, gathering detailed requirements, follow up on open items and trends
- Communicate directly with clients, serving as a trusted resource for all billing needs
- Gather information from clients and internal sources to determine EDI, ERA, and EFT setup requirements
Insurance AR Supervisor
KSL Billing and Management (Coronis)
09.2014 - 07.2024
- Oversaw and supervised billing for five practices specializing in: Cardiology, Orthopedics, Neurology and Infectious Disease.
- Investigated A/R functions as directed by Billing Manager
- Organized meetings and assist in training and development of staff
- Audited claims and issue resolution
- Provided frequent communication to Billing Manager regarding client and/or staffing issues
- Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
- Monitored and audited production of staff to ensure established individual and team goals have been met
- Documented daily overall A/R reports for each client
Medical Biller-Account Resolution Specialist
MedAssist-A Firstsource Company
11.2005 - 09.2014
- Responsible for management of all billing, posting and customer service responsibilities for Aspen Valley Pediatrics
- Performed and interact within a team environment while also maintain individual responsibilities
- Responsible for assigning appropriate ICD-9 and CPT codes
- Submitted all medical claims and Medicaid claims electronically to the appropriate carrier with supporting documentation
- Processed all medical claims and conduct any necessary follow-up on claims that are delinquent to reduce accounts receivable
- Posted insurance and patient receivables to the appropriate accounts
- Reviewed, processed and resolved all appeals on unpaid or denied claims
- Had direct contact with the physician and assisted with report generation and developing databases for their use.
Medical Office Manager
Master Medical Care LLC
01.2005 - 11.2005
- Assigned and recorded appropriate ICD-9 and CPT codes
- Posted all charges, payments, and submitted all claims electronically and maintained hardcopy files
- Submitted insurance referrals, evaluated insurance claims, and billed 3rd party payers and patients
- Tracked and followed-up on any trends on outstanding claims
- Recorded, prioritized and handled multi-line phone system
- Responsible for scheduling patient visits, updating and filling patient charts
- Solely responsible for ordering all monthly supplies, creating employee schedules, coordinating internships, training and supervising those students, ran daily balances, deposited money and conducted daily close-out activities.
Education
College Degree - Nursing Assistant
SWIC Southwestern Illinois College
Belleville, IL01.2013
Associates - Medical Billing and Coding
Sanford Brown College
Collinsville, IL01.2004
Skills
- 20 years of expertise in medical billing and coding
- 6 years Supervisory and Leadership
- Extensive knowledge of ICD-10 and CPT coding for multiple medical specialties including: Laboratory, Cardiovascular, Orthopedics, Neurology, Pediatrics, Mental Health and Infectious Diseases
- Assisted with hiring, training, conducted performance reviews, coaching, goal setting and time management for staff
- Supervised (on-shore and off-shore) teams responsible for all aspects of revenue cycle management including: charge, payment posting, A/R follow-up, denials, rejections and appeals
- Experienced in using various medical software systems including: Centricity, Kareo and Kareo Analytics, eClinicals(eCW) Epremis, Meditech, Citrix, Encoder Pro,3M Encoder, Medical Manager, SLAR, Medicare DDE/FISS System
- Proficiency in Microsoft Office (Excel, Word, PowerPoint, OneDrive, and Teams)
- Excel proficiency-ability to analyze data, run reports for trends and makes recommendations for improvements
- Google Workspace (Drive, Sheets, Docs, Chat, and Meet)
- Strong verbal and written communication skills with the ability to present information clearly and professionally
- Denial management strategies and resolution
- Accounts receivable management
- Medicare and Medicaid regulations
Certification
CNA
Timeline
Senior Account Manager
Coronis Health
09.2014 - 07.2024
Client Success Manager
Coronis Health
09.2014 - 07.2024
Insurance AR Supervisor
KSL Billing and Management (Coronis)
09.2014 - 07.2024
Medical Biller-Account Resolution Specialist
MedAssist-A Firstsource Company
11.2005 - 09.2014
Medical Office Manager
Master Medical Care LLC
01.2005 - 11.2005
Associates - Medical Billing and Coding
Sanford Brown College
College Degree - Nursing Assistant
SWIC Southwestern Illinois College
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