Ashley Kelly
Sachse
Summary
Dental Patient Coordinator with expertise in medical billing and coding, recognized for improving patient onboarding processes. Proficient in managing multi-line phone systems and providing exceptional customer service, resulting in high client satisfaction. Strong analytical skills contribute to successful outcomes in fast-paced environments.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Dental Patient Coordinator
Heartland Dental
Sachse
04.2024 - Current
- Managed multi-line phone system to efficiently handle patient calls.
- Scheduled and confirmed patient appointments using Dentrix software.
- Processed new patient registrations to enhance onboarding efficiency.
- Verified insurance eligibility and benefits with health plans prior to visits.
- Obtained referrals and precertifications to ensure timely service delivery.
- Collected co-payments, coinsurances, and outstanding balances before services.
- Scanned and organized medical records in electronic medical record system for accessibility.
Claims Adjuster
State Farm
Richardson
11.2023 - 03.2025
- Investigated claims proactively across 15 licensed states, applying coverage and documenting files accurately.
- Processed insurance claims and followed up on claim status to ensure client satisfaction.
- Coordinated with underwriters to facilitate timely issuance of policies.
- Managed inbound and outbound calls for customer inquiries and third-party communications.
- Assisted clients with policy changes and responded to inquiries efficiently.
- Referred claims to subrogation department or Special Investigations Unit as needed.
Customer Advocate Specialist
HCSC
Richardson
10.2023 - 10.2024
- Coordinated with providers and BCBS of Tx members to assess tools and manage requests.
- Performed accurate data entry, including DX and CPT codes, while ensuring customer inquiries received prompt responses.
- Analyzed inquiries to anticipate needs and determine appropriate next actions for accurate responses.
- Managed inbound call center operations for medical pre-authorization requests.
- Trained in Boing, PNG HET, and ERS processes.
- Utilized strong communication skills to effectively resolve customer inquiries via phone, email, and chat.
Client Manager
Davaco
Irving
07.2021 - 08.2023
- Prepared and submitted repair estimates for efficient claims processing.
- Evaluated closing content, photos, documentation, damage, and causation issues.
- Managed and dispatched over 100 requests monthly to ensure timely service delivery.
- Sourced vendors for clients to optimize repair solutions and costs.
- Maintained contact with customers as key liaison during issue escalation.
- Analyzed customer reports to provide oversight and meet service expectations.
- Communicated effectively across dynamic teams in field and office environments.
- Handled stressful situations while maintaining high levels of customer service.
Dispatcher/Medical Intake
TridentCare
Carrollton
06.2017 - 07.2021
- Dispatched 80 to 110 cases per 8-hour shift across 26 facilities.
- Managed Technologist assignments based on schedules for optimal coverage.
- Facilitated daily needs of Technologists, including directions and client information.
- Oversaw intake, distribution, and completion of all daily cases and lab orders.
- Upscaled and enrolled clients in additional benefits based on medical needs.
- Paged Technologists for STAT, ASAP, and PRIORITY cases as necessary.
- Reviewed and organized results to ensure timely distribution to facilities.
- Coordinated with multiple departments to promote effective communication and case completion.
Education
Associate Degree - Nursing, CNA
Maria Nursing School
Mesquite, TX11.2014
High school diploma - Basic
H Grady Spruce High School
Dallas, TX05.2001
Skills
- ICD-10 coding
- Tomcat and WebSphere
- SAP and Oracle
- Data intake and entry
- Certified nursing assistant (CNA)
- Windows operating systems
- Medical billing and coding
- Telecommunications expertise
- Fraud analysis techniques
- Cisco networking
- Microsoft Excel and PowerPoint
- Medicare knowledge
- Smartsheet proficiency
- Project management skills
- Analytical skills
- Filing systems management
- Mortgage servicing processes
- PKMS software proficiency
- Documentation review and management
- Java programming
- Dispatching operations
- Microsoft Word proficiency
- AS400 systems knowledge
- Time management strategies
- Web services integration
- Microsoft Office suite expertise
- Computer literacy skills
- Contract management strategies
- Property management experience
- Kana software proficiency
- Medical collections expertise
- Administrative support experience
- Customer care excellence
- data entry accuracy
Certification
Professional In Human Resources, All Lines Claim Adjuster License, 11/01/24, 10/31/26
Personal Information
- Willing To Relocate: Anywhere
- Authorized To Work: US for any employer
- Title: Client Manager
Timeline
Dental Patient Coordinator
Heartland Dental
04.2024 - Current
Claims Adjuster
State Farm
11.2023 - 03.2025
Customer Advocate Specialist
HCSC
10.2023 - 10.2024
Client Manager
Davaco
07.2021 - 08.2023
Dispatcher/Medical Intake
TridentCare
06.2017 - 07.2021
Associate Degree - Nursing, CNA
Maria Nursing School
High school diploma - Basic
H Grady Spruce High School