Summary
Overview
Work History
Education
Skills
Relocation
Additional Information - Relocation
Timeline
Generic

ASHLEY HILLARD

Dallas–Fort Worth Area | Open To Remote & On-Site Roles | Relocation Self-Funded

Summary

Open to relocation to Dallas/Fort Worth area immediately; flexible start date.

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
ASHLEY HILLARD