Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic

Ashley Freeman

Midland,GA

Summary

Analytical problem-solver with excellent communication skills. Effective at interviewing claimants, compiling records and documenting findings. Well-versed in insurance policies, practices and standards.

Overview

14
14
years of professional experience

Work History

Claims Representative III

Elevance Health
03.2022 - Current

Responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures.

Participate in claims workflow projects.

Responds to telephone and written inquiries and initiates steps to assist callers regarding issues relating to the content or interpretation of benefits, policies and procedures, provider contracts, and adjudication of claims. Adjusts voids and reopens claims on-line within guidelines to ensure proper adjudication.

Customer/client contact.

Assist with training of staff.

Works without significant guidance.

Claims Representative II

Elevance Health
10.2020 - 03.2022

Responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures.

Adjustment Team- responded to written and phone inquiries.

Processed Facility Claims: High dollar, COB, Medicare, and Medicaid

Claims Representative I

Elevance Health
11.2018 - 10.2020

Responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures.

Processed Professional Claims: COB, Medicare, and Medicaid.

Quality Assurance Specialist

BancTec
12.2013 - 03.2018

Conducted rigorous quality assurance checks on financial documents, achieving a commendable 98% accuracy rate.

Implemented and maintained comprehensive quality control procedures, resulting in a 20% reduction in errors.

Collaborated with cross-functional teams to promptly address quality issues, contributing to enhanced client satisfaction.


Indexing Specialist

BancTec
10.2012 - 12.2013

Implemented efficient indexing processes, reducing error rates by 20% and enhancing document retrieval speed.

Conducted training sessions for team members on advanced indexing techniques, resulting in a 15% improvement in accuracy.

Enhanced indexing accuracy by implementing new software tools and refining existing processes.

Streamlined workflow for efficient document organization, reducing overall project completion time.

Achieved high-quality results with thorough research and meticulous attention to detail in indexing tasks.

Processing Clerk I

BancTec
10.2009 - 06.2011

Meticulously processed a high volume of financial transactions, consistently meeting or exceeding daily quotas.

Collaborated with cross-functional teams to resolve discrepancies, resulting in a 15% reduction in turnaround time.

Improved data accuracy by diligently reviewing and verifying information on processing documents.

Enhanced workflow efficiency by promptly sorting, organizing, and distributing incoming correspondence for further processing.

Education

Business Office Assistant

Columbus Technical College
Columbus
03.2006

Skills

  • Professional and Facility Claims Processing
  • Medicaid Claims/Medicare/COB Claims
  • Correspondence Team
  • Adjustment Team
  • Experience with Claims Quality Review
  • Excellent Research Skills
  • Exceptional Communication Skills
  • Extensive knowledge of WGS
  • Extensive knowledge of CIW
  • Proficient in Microsoft Office
  • PLM2
  • Project Management
  • Team Collaboration
  • Cross-functional Collaboration

Accomplishments

  • Achieved a commendable 98% accuracy rate in document processing, exceeding company benchmarks.
  • Spearheaded the implementation of a new quality management system, resulting in a 15% increase in operational efficiency.
  • Recognized twice as "Employee of the Month" for consistently maintaining high-quality standards.
  • Played a pivotal role in the successful completion of an internal audit, ensuring compliance with industry regulations.

Timeline

Claims Representative III

Elevance Health
03.2022 - Current

Claims Representative II

Elevance Health
10.2020 - 03.2022

Claims Representative I

Elevance Health
11.2018 - 10.2020

Quality Assurance Specialist

BancTec
12.2013 - 03.2018

Indexing Specialist

BancTec
10.2012 - 12.2013

Processing Clerk I

BancTec
10.2009 - 06.2011

Business Office Assistant

Columbus Technical College
Ashley Freeman