ASHLEY GAUSE
Gresham,SC
Summary
Personable and dedicated professional with extensive experience. Solid team player with upbeat, positive attitude and proven skill in establishing rapport with clients. Articulate, enthusiastic and results- oriented with demonstrated passion for building relationships, cultivating partnerships and growing businesses
Overview
9
9
years of professional experience
Work History
Specimen Collector
Affordable Lab And Testing Solutions
01.2022 - Current
- Labeled and prepared specimens for shipment to laboratory facilities.
- Completed in-house testing procedures for quick results.
- Printed results reports and submitted for review.
- Adhered to compliance standards for confidentiality, accuracy and safety.
- Labeled transfer tubes and followed exact directions for handling and storing specimens for transport.
- Centrifuged blood samples as outlined in clinical protocols.
- Used personal protective equipment correctly to protect coworkers and patients.
CLAIMS CARE COORDINATOR
UNITEDHEALTH
07.2022 - Current
- Responded to incoming calls and inquiries, effectively assisting patients in managing their appointments and care
- Delivered exceptional customer service, utilizing strong problem- solving skills to enhance the patient/ clinician relationship
- Facilitated communication between customers and care providers ( doctor' s offices), ensuring seamless appointment scheduling and connections with internal specialists.
- Worked productively in fast-moving work environment to process large volumes of claims.
HUMAN RESOURCE ASSISTANT
UNITED STATES ARMY
09.2014 - 01.2023
- Served as the primary point of contact and subject matter expert for employee inquiries pertaining to payroll, paperwork, and promotions Demonstrated exceptional customer service skills to ensure optimal customer satisfaction
- Processed and maintained paperwork for overseas service members with efficiency and accuracy.
- Conducted new hire orientation to verify completion of appropriate paperwork, recording information on human resources database.
- Filed paperwork, sorted, and delivered mail and maintained office organization.
- Developed and implemented policies and procedures to use for recruitment, employee relations and benefits administration.
PATIENT SERVICE REPRESENTATIVE
Doctors Care Urgent Care
03.2020 - 06.2022
- Demonstrated expertise in coordinating effective communication channels between patients, family members, medical staff, administrative staff, and regulatory agencies
- Proficiently utilized Cerner and Epic systems to streamline medical claims processing
- Conducted thorough interviews with patients or their representatives, thereby identifying and resolving care- related issues.
- Provided exceptional customer service to patients, answering questions and addressing concerns.
- Filed and maintained patient records in accordance with HIPAA regulations.
OFFICE MANAGER
AMERICAN MATERIALS
01.2017 - 03.2020
- Executed operations of office machines, including photocopiers, scanners, facsimile machines, voice mail systems, and personal computers
- Delivered exceptional technical support to internal employees
- Responded promptly and effectively to technical inquiries via phone, email, and in- person
- Managed and enhanced f i l ing, inventory, mailing, and database systems manually or utilizing computer software.
CLAIMS CUSTOMER SERVICE ADVOCATE
BLUE CROSS BLUE SHIELD
01.2016 - 01.2017
- Effectively communicated with customers through telephone or in- person interactions, providing comprehensive information regarding products and services
- Demonstrated proficiency in taking and accurately entering orders, cancelling accounts, and gathering necessary information related to customer complaints
- Maintained meticulous records of customer interactions and transactions, documenting inquiries, complaints, comments, and actions taken.
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
Education
High School Diploma -
Creek Bridge High
Marion, SC05.2017
Associate of Science - Electronic Medical Records
MILLER MOTTE
Wilmington, NC04.2017
Certification - Pharmacy Tech/ Phlebotomist
Palmetto School of Careers
Myrtle Beach, SC01.2020
Skills
- Customer Service- Oriented Multitasking & Prioritizing
- Data Entry and Database Software Skilled Collaborator
- Critical Thinking
- Process Improvement Records Management Medical Terminology Insurance Verification Quality Assurance
- Certified in 10- key
- CPT, HCPCS, ICD- 9 , ICD- 10 Codes
- Med Trak Software Training, Docu Tap, Cerner, and Epic
- Insurance Verification 10 Key Certified
- Human Resources
- Electronic Medical Records Medical Terminology
- Administrative Support Email Support
- Appointment Scheduling Clams Processing
- Medical Terminology
- Performing Urinalysis
- First Aid/CPR
Timeline
CLAIMS CARE COORDINATOR
UNITEDHEALTH
07.2022 - Current
Specimen Collector
Affordable Lab And Testing Solutions
01.2022 - Current
PATIENT SERVICE REPRESENTATIVE
Doctors Care Urgent Care
03.2020 - 06.2022
OFFICE MANAGER
AMERICAN MATERIALS
01.2017 - 03.2020
CLAIMS CUSTOMER SERVICE ADVOCATE
BLUE CROSS BLUE SHIELD
01.2016 - 01.2017
HUMAN RESOURCE ASSISTANT
UNITED STATES ARMY
09.2014 - 01.2023
High School Diploma -
Creek Bridge High
Associate of Science - Electronic Medical Records
MILLER MOTTE
Certification - Pharmacy Tech/ Phlebotomist
Palmetto School of Careers