Summary
Overview
Work History
Education
Skills
Websites
Summary
Timeline
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ASHLEY FOSTER

Charlotte,NC

Summary

Skilled claims processing professional with extensive experience in reviewing and validating insurance claims. Strong focus on accuracy, problem-solving, and effective communication. Known for collaborative approach and adaptability to changing needs. Proficient in claims software, data entry, and customer service. Recognized for reliability and achieving results in team environments.

Overview

12
12
years of professional experience

Work History

Emergency Dispatch

Concentrix
11.2023 - 03.2025
  • Answered emergency calls with urgency for onstar members who needed police, fire/EMT
  • Tracked locations of members on the map and figured out what cross streets they were located by giving street names, cities, or by latitude and longitude
  • Sent out roadside assistance
  • Unlocked car doors from crm system
  • Made decisions on how to handle the call in an efficient manner
  • Worked with local police, firefighters, and EMS across the United States and Canada to assist called in emergencies
  • Gave out EMD instructions to callers in critical situations until help arrived
  • Multitask of data entry and gathering information of the scene from callers.

Claims Appeal Specialist

Optim Healthcare
06.2020 - 08.2023
  • Company Overview: Remote
  • Proficiently processed claims and appeals for Optum United Healthcare, ensuring accuracy and compliance with industry standards
  • Utilized CRM software to access and manage patient information, streamlining the claims resolution process
  • Demonstrated expertise in medical coding, contributing to precise and efficient claim submissions and appeals
  • Applied knowledge of billing procedures to enhance accuracy and completeness in claim processing
  • Developed proficiency in Medicaid procedures, contributing to successful resolution of Medicaid-related claims
  • Collaborated with cross-functional teams to address complex claim issues, showcasing strong teamwork and communication skills.
  • Consistently met deadlines and quality requirements.

Logistics Assistant

Nesco Resource
Charlotte, NC
02.2021 - 07.2023
  • Accurately entered data of parts for the warehouse to ensure parts were in the correct location.
  • Used Microsoft Excel and the company CRM to input and keep track of data and part numbers.
  • Worked with deadlines to make sure daily tasks were completed when needed.
  • Communicated with the supervisor to make sure the certain tasks were completed for the day.
  • Communicated with a team via Microsoft Teams to stay up to date on changes and policies.

Patient Service Representative

Talent Bridge
10.2018 - 01.2020
  • Handled 50 incoming calls daily, enrolling members in prescription programs
  • Processed applications for approval or denial
  • Addressed member inquiries regarding insurance benefits
  • Managed claims and pre-certifications for medical procedures
  • Handled outbound calls to members letting them know of claim status and answer questions
  • Seasonal /contract position on and off
  • Assisted members through chat and email
  • Looked up CPT codes for benefits

Cashier

Walmart
11.2012 - 01.2018
  • Scanned and bagged items at the register
  • Utilized the POS system for credit card and cash payments from customers
  • Maintained organization at the register

Education

Emergency Medical Dispatch Certification -

IAED
Charlotte, NC
07.2024

CPR Certification -

School Or University
06-2024

Certification in Community Health -

Robeson Community College
03-2020

Diploma -

Weddington High School
Matthews, NC
06.2010

Skills

  • Active listening
  • Communication
  • Attentive to details
  • Time management
  • Decision making
  • Typing
  • Technical support
  • Team player
  • CPT-Coding
  • Medical terminology
  • Microsoft office
  • Customer service

Summary

Dedicated and experienced professional seeking a role to utilize my skills in community engagement., Authorized to work in the US for any employer

Timeline

Emergency Dispatch

Concentrix
11.2023 - 03.2025

Logistics Assistant

Nesco Resource
02.2021 - 07.2023

Claims Appeal Specialist

Optim Healthcare
06.2020 - 08.2023

Patient Service Representative

Talent Bridge
10.2018 - 01.2020

Cashier

Walmart
11.2012 - 01.2018

Emergency Medical Dispatch Certification -

IAED

CPR Certification -

School Or University

Certification in Community Health -

Robeson Community College

Diploma -

Weddington High School

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