ASHLEY HILLARD
Dallas–Fort Worth Area | Open To Remote & On-Site Roles | Relocation Self-Funded
Summary
Healthcare and customer service expert with more than 8 years of experience in demanding environments. Strong background in Medicaid eligibility, insurance verification, and patient advocacy. Successfully streamlined processes to reduce patient care delays and navigate complex insurance matters. Dedicated to ensuring high-quality, compassionate service for patients.
Overview
9
9
years of professional experience
Work History
Financial Counselor
R1RCM- St Vincent Hospital
Indianapolis
09.2024 - Current
- Conduct financial screenings for over 80 uninsured patients weekly to determine Medicaid or Marketplace eligibility.
- Educate families on financial responsibilities, insurance benefits, and payment solutions.
- Assist patients in completing Medicaid and financial assistance applications accurately.
- Verify insurance eligibility and resolve coverage issues while advocating for patient needs.
- Collaborate with Case Management and clinical teams to ensure prompt financial clearance.
- Balance productivity targets with high patient satisfaction during sensitive financial discussions.
Financial Service Rep
Charles Schwab
Indianapolis
01.2024 - 04.2024
- Provided detailed explanations of investment strategies, trading tools, and market mechanics.
- Completed necessary paperwork for establishing new accounts while gathering client information.
- Managed account maintenance tasks, such as adjusting account ownership or closures.
- Addressed customer service inquiries about account balances and payment statuses.
- Researched discrepancies in accounts to resolve issues promptly.
Liability Claims Adjuster
Geico
Indianapolis
11.2022 - 10.2023
- Conducted inbound and outbound communications with insured and claimants regarding auto/property damage incidents.
- Investigated damage claims to ascertain the nature and extent of incidents.
- Interviewed witnesses, insured parties, and claimants to gather essential details about incidents.
- Evaluated police reports, video evidence, and previous claims to enhance understanding of cases.
- Compiled comprehensive reports detailing events and damages associated with claims.
- Reviewed insurance policies to determine applicable coverage for claims.
- Coordinated repair services with mechanics, architects, and contractors for effective resolution.
- Established liability based on evidence gathered during investigations.
Revenue Cycle Insurance Verification Specialist
R1RCM-St Vincent Hospital
Indianapolis
09.2019 - 10.2022
- Verified insurance coverage for inpatient stays at all St. Vincent locations.
- Exceeded productivity standards by managing over 20 accounts daily.
- Engaged with patients and insurance providers to ensure accurate payer selection.
- Contacted insurance companies to confirm coverage and eligibility.
- Determined primary, secondary, and tertiary insurance coverage for comprehensive support.
- Assisted parents with efficient addition of newborns to insurance policies.
- Resolved payment verification issues with insurance companies and patients professionally.
Customer Service Rep
Anthem
Indianapolis
07.2017 - 08.2019
- Responded to incoming calls from members and providers across seven states regarding Medicaid health plans.
- Filed appeals, complaints, and grievances on behalf of members to ensure proper resolution.
- Provided accurate and courteous responses to inquiries per organizational standards.
- Educated members on benefits, policies, coverage, eligibility, and managed health care utilization.
- Processed payments for HIP and Kentucky Health members efficiently.
- Reviewed prior authorization statuses with members and providers to ensure compliance.
- Communicated with provider offices to resolve billing issues related to claims.
- Advised providers on general claims status to facilitate timely processing.
Customer Service Representative
Mdwise
Indianapolis
10.2016 - 07.2017
- Handled incoming calls related to Indiana Medicaid plans HIP, HCC, and HHW from members and providers.s.
- Educated members on benefits, prior authorizations, and program requirements.
- Verified eligibility status to ensure compliance with Medicaid guidelines.
- Assigned primary care doctors to members based on needs and preferences.
- Advised providers on claims processes, including approvals, denials, and submission procedures.
- Checked CPT codes to confirm coverage for procedures and services.
Education
Associates Degree - Business Administration
Purdue Global University
10.2019
Medical Assisting Diploma -
Everest College
01.2011
Skills
- Patient financial counseling
- Insurance verification and claims resolution
- Revenue cycle management
- Customer service and advocacy
- Policy compliance and HIPAA adherence
- Effective communication skills
- Problem-solving strategies
- Microsoft Office proficiency
Relocation
Texas, 01/01/26
Additional Information - Relocation
Self-funded move to Texas scheduled for January 2026; no relocation assistance needed.
Timeline
Financial Counselor
R1RCM- St Vincent Hospital
09.2024 - Current
Financial Service Rep
Charles Schwab
01.2024 - 04.2024
Liability Claims Adjuster
Geico
11.2022 - 10.2023
Revenue Cycle Insurance Verification Specialist
R1RCM-St Vincent Hospital
09.2019 - 10.2022
Customer Service Rep
Anthem
07.2017 - 08.2019
Customer Service Representative
Mdwise
10.2016 - 07.2017
Associates Degree - Business Administration
Purdue Global University
Medical Assisting Diploma -
Everest College