Ashley Gibson
Mesquite,TX
Summary
Secure a career opportunity to fully utilize my training and skills, while also making a significant contribution to the success of the company.
Overview
13
13
years of professional experience
Work History
Administrative Assistant/Coordinator Assistant
Iconma Staffing (City Of Hope)
10.2022 - 10.2023
- Coordinate events as assigned under supervision of the Director/Philanthropy Dept
- It also includes working with committees and volunteers
- Responsible for all event related tasks including internal event request forms, auction management, mailings, signage, shipping materials, etc
- Knowledge of donor data management system (AccessHope) for report management in relation to event registration, financial tracking and constituent research
- Mail invitations/notices and follow-up regarding attendance
- Responsible for event registration lists and Master Tracking
- Work with Web Marketing to routinely update event related websites and on-line registration when needed
- Assist in producing event collateral including invitations, brochures, agenda booklets, etc
- (Initiate and coordinate support from Marketing Communications as necessary.)
- Provide administrative support to department as requested: appointment scheduling, screening and routing calls, taking messages, typing reports, handling confidential material
- Draft donation, in-kind and post event thank you letters under supervision of clerical manager
- Data Entry
Data Entry Specialist
Apex Staffing (Cuna Mutual Group)
05.2022 - 10.2022
- Entering new and updated policy information for burial/funeral insurance plans
- Searched Canada 411 and Canada post websites to verify correct address to update
- Used ALIS and eCase system to update and pull new address change request
- Updated Excel spreadsheet showing if address has been updated or not
- Ran Excel report/audit on cases completed daily
- Entered customer and account data by inputting alphabetic and numeric information on keyboard according to screen format
- Verifies entered customer and account data by reviewing, correcting, deleting, or reentering data.
Benefit/Insurance Verification Specialist
AcroCorp Staffing (Evolent Healthcare)
11.2021 - 05.2022
- Reply and handle inquiries via inbound telephone and other communication channels, regarding health plan benefits and claims, eligibility, medical and other healthcare procedures, billing and payments and other related topics
- Conduct out-bound and/or return calls to customers as necessary
- Assisted patients and physicians office with Grievances and Appeals
- Read, comprehend and verbalize processes and procedures of the organization and of health insurance coverage
- Handled benefit verification for Medicaid, Medicare, Medicare Advantage and private insurance companies
- Assisted with claims
- Contract Management
Claims Processor
DALLAS, TX
01.2020 - 10.2021
- Used various Kemper support systems such as Kemper Claim Center (KCC), Medflow(AIS) and Dimensions 360(D360) to upload and view PIP claims
- Retrieve claims from Medflow Adjuster system (AIS) and Upload to Kemper Claim Center (KCC) for payment
- Processed outgoing mail certified and regular mail, and sent out to Attorneys, claimants and policyholders
- Processed and signed POA forms
- Assigned and routed Claim forms to the correct file group to be handled
- Index claims documents by identifying and routing them appropriately through an Imaging system (Ana Claims, Image Right and Amtrust Manager)
- Operate a variety of office equipment, including computers with dual monitors, printers, copy machines and Rightfax.
Customer Service Representative
Baylor Scott & White Health
DALLAS, TX
12.2018 - 12.2019
- Use internal knowledge materials and resources to educate clients on our billing and claims procedures, and quickly and accurately respond to service-related billing inquiries from existing members, including but not limited to questions related to health claims (previously-filed claim status, disputes, charge explanations, CPT code usage, etc.), refund requests, manual eligibility verification, and more via email, phone, and chat
- Conduct outbound calls to payors, to confirm client eligibility, obtain member EAP authorization, and discuss claim submissions on a case by case basis
- Researched financial issues on customer accounts and ensure issues are effectively resolved in a timely manner
- Reviewed the patient accounting system to ensure all communications are covered, explained, and documented
- Resolved customer grievances and escalated the appropriate issues to supervisor or the other departments
- Interpret a variety of specialized communications/documents, including commercial/managed care EOBs, Medicare remittances and Medicaid R&S
- Used soft collection experience, with exceptional skills in conflict resolution, patient-centered communication, while using advanced technical knowledge of the business office
- Handled Grievances and Appeals for open claims
- Handled inbound and outbound Medicare, Medicaid private insurance companies calls regarding claims and payments
- Contract Management
Client Service Representative
Catapult staffing (Corelogic)
LAS COLINAS, TX
06.2018 - 12.2018
- Inbound/Outbound customer service calls assisting with property tax and flood questions related to Mortgage loans for US Bank, SLS, Ditech/Greentree, MB Financial and SunTrust
- Received/responded to and processed customer telephone inquiries regarding mortgage real estate issues in a HIGH-VOLUME call center
- Provide information on property tax disbursements out of borrower’s escrow account to the appropriate Tax Authority
- Open research task for any property tax related issues, whether it be for delinquent taxes, increases in taxes or updating the property tax amounts.
Patient Account Representative
Schumacher Clinical Partners
DALLAS, TX
10.2017 - 06.2018
- Respond to inquiries concerning account balances, third party payments, etc
- From patients, relatives and/or third-party payers in a timely manner
- Claims processing, matching and mailing of secondary claims
- Responsible for posting cash/check receipts (co-pays) and miscellaneous monies received via the mail and interoffice into the computer and post insurance/patient payments received via lockbox or EFT daily
- Completed Charity write-offs once requested documentation received from facility
- Responsible for communication with insurance companies like Government insurance (Medicaid and Medicare) and private insurance companies to resolve payment problems and reimbursement issues
- Handled HIPAA complaints
- Reviewed and explained EOB with patient
- Knowledge of Medical terminology.
CUSTOMER SERVICE SPECIALIST II
SAFETY KLEEN
RICHARDSON, TX
03.2017 - 09.2017
- Handled 60-100 inbound customer service calls daily from Fortune 500 companies, thousands of small private companies and numerous federal, state and governmental entities
- Scheduled environmental, energy and industrial services
- Assisted with training once new trainees were in production/out of classroom (OJT)
- Dispatched technicians Data Entry
UNDERWRITING SERVICE ASSISTANT
STATE FARM AUTO INSURANCE
RICHARDSON, TX
04.2013 - 03.2016
- Data Entry Research policy information and enter policy changes
- Updated policy with vehicles changes, driver changes, driver exclusions, policy cancellations, address changes, name changes, etc
- Backdated any policy changes
- Contacted Agent’s office when policy changes not completed or correct information not received.
CUSTOMER SERVICE REPRESENTATIVE
MONITRONICS INTERNATIONAL LLC.
DALLAS, TX
09.2010 - 05.2013
- Takes incoming customer service calls from subscribers and dealers
- Interprets coded alarm signals received from customers’ monitoring system which includes unlawful intrusions, fire, panic, supervisory activity or two-way voice
- Assists customers who call with questions regarding billing and payment related inquiries
- Takes escalated customer service calls to resolve customer problems and escalated issues
- Follow-ups with alarm service technicians regarding job tickets
- Able to open, close and reassign jobs as needed
- Performed Level 1 Technical support
- Data Entry
Education
Technical Diploma - Medical Office Specialist
Kaplan College
03.2010
High School Diploma -
LakeHighlands High School
05.2004
Skills
- Data Entry
- Process Optimization
- Data Accuracy
- Customer Service Excellence
- Cross-Functional Collaboration
- Strategic Planning
- Financial management
- Team Leadership
- Efficient Documentation
- Task Prioritization
- Communication
Timeline
Administrative Assistant/Coordinator Assistant
Iconma Staffing (City Of Hope)
10.2022 - 10.2023
Data Entry Specialist
Apex Staffing (Cuna Mutual Group)
05.2022 - 10.2022
Benefit/Insurance Verification Specialist
AcroCorp Staffing (Evolent Healthcare)
11.2021 - 05.2022
Claims Processor
01.2020 - 10.2021
Customer Service Representative
Baylor Scott & White Health
12.2018 - 12.2019
Client Service Representative
Catapult staffing (Corelogic)
06.2018 - 12.2018
Patient Account Representative
Schumacher Clinical Partners
10.2017 - 06.2018
CUSTOMER SERVICE SPECIALIST II
SAFETY KLEEN
03.2017 - 09.2017
UNDERWRITING SERVICE ASSISTANT
STATE FARM AUTO INSURANCE
04.2013 - 03.2016
CUSTOMER SERVICE REPRESENTATIVE
MONITRONICS INTERNATIONAL LLC.
09.2010 - 05.2013
Technical Diploma - Medical Office Specialist
Kaplan College
High School Diploma -
LakeHighlands High School
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