Ashley Merkle
Bates City,MO
Summary
Diligent Claims Processor versed in insurance processes and claims procedures. Offers great attention to detail and time management abilities to successfully handle large volume of claims. Highly accurate and thorough with focus on completing error-free work in line with processing guidelines.
Overview
5
5
years of professional experience
Work History
Medical Claims Processor
Pipeline Industry Benefit Fund
2020.02 - 2024.02
- Reviewed and analyzed medical, vision, and dental claims to ensure accuracy, completeness, and compliance with company policies.
- Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
- Utilized specialized software to process incoming claims and enter data.
- Reduced errors in claims submissions through meticulous attention to detail and thorough review processes.
Claims Processor
Saint Francis Healthcare System
2019.08 - 2020.01
- Utilized specialized software to process incoming claims denied by Medicaid.
- Complied with regulations and guidelines related to claims processing to maintain quality and adherence to standards.
- Utilized excellent analytical and problem-solving skills to quickly and accurately assess insurance claims.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Office Manager
Anspire
2018.11 - 2019.07
- Streamlined office operations by implementing efficient filing systems and organizational strategies.
- Maintained up-to-date customer records, facilitating accurate invoicing and prompt payment receipt.
- Supported month-end closing activities, ensuring accuracy in financial records and adherence to deadlines.
- Provided exceptional customer service to both internal departments and external clients regarding billing inquiries or disputes resolution.
Education
Associate of Arts - Sociology
Oklahoma State University
Stillwater, OKMedical Billing And Coding Certificate - Medical Billing And Coding
Community Care College
Tulsa, OK11.2019
Skills
- Medical Terminology
- Data Entry Accuracy
- Attention to Detail
- Scrupulous Records Management
- Organizational Abilities
- Telephone Etiquette
- Insurance Claims Processing
- HIPAA
- Customer Service
- Medical billing and coding
- Medical coding knowledge
Timeline
Medical Claims Processor
Pipeline Industry Benefit Fund
2020.02 - 2024.02
Claims Processor
Saint Francis Healthcare System
2019.08 - 2020.01
Office Manager
Anspire
2018.11 - 2019.07
Associate of Arts - Sociology
Oklahoma State University
Medical Billing And Coding Certificate - Medical Billing And Coding
Community Care College
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