Ashley Nicholson
Corpus Christi,TX
Summary
Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software. Motivated to perform beyond expectations.
Overview
15
15
years of professional experience
Work History
Medical Biller/Collections Specialist
Kidz Now Urgent Care/ Pediatricz Now Primary Care
02.2022 - Current
- Processed billing calls and answered questions from patients and third-party carriers.
- Processed online and paper appeal submissions and refund requests.
- Corrected, completed and processed claims for multiple payer codes.
- Assisted in reconciling deposit and patient collections.
- Logged charges and payments within [Software].
- Contacted customers to discuss past-due accounts and negotiated payment plans.
- Responded to customer inquiries and provided detailed account information.
- Maintained accurate records of customer accounts, payments and payment plans.
- Researched billing errors and discrepancies to initiate corrective action.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Posted payments and collections on regular basis.
- Collected payments and applied to patient accounts.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Liaised between patients, insurance companies, and billing office.
- Delivered timely and accurate charge submissions.
- Audited and corrected billing and posting documents for accuracy.
- Responded to customer concerns and questions on daily basis.
- Encoded and canceled checks using bank machines.
- Researched accounts and completed due diligence to resolve collection problems.
Administrative Assistant
Adventure Investments-Muhamad Almouie, MD
02.2022 - Current
- Executed record filing system to improve document organization and management.
- Received and sorted incoming mail and packages to record, dispatch, or distribute to correct recipient.
- Created and maintained databases to track and record customer data.
- Developed and updated spreadsheets and databases to track, analyze, and report on performance and sales data.
- Managed filing system, entered data and completed other clerical tasks.
- Managed phone and email correspondence and handled incoming and outgoing mail and faxes.
- Volunteered to help with special projects of varying degrees of complexity.
- Identified and recommended changes to existing processes to improve accuracy, efficiency, and quality service.
- Liaised between clients and vendors and maintained effective lines of communication.
- Assisted in budget preparation and forecasting to control expenditure and maximize profitability.
- Verified items billed against items ordered and reconciled differences through follow-up with vendor.
- Recorded deposits, reconciled monthly bank accounts and tracked expenses.
- Generated invoices upon receipt of billing information and tracked collection progress.
- Inspected account books and recorded transactions.
- Reconciled company bank, credit card and line of credit accounts, investigating and resolving discrepancies to keep accounts audit-ready.
- Maintained account accuracy by reviewing and reconciling checks monthly.
- Gathered, evaluated and summarized account data in detailed financial reports.
- Developed monthly, quarterly and annual profit and loss statements and balance sheets.
- Reduced financial discrepancies, effectively reconciling bank accounts and organizing information into accounting software.
Office Manager
OASIS COUNSELING AND PSYCHIATRY
04.2013 - 12.2021
- Maintained computer and physical filing systems.
- Created, maintained and updated filing systems for paper and electronic documents.
- Updated reports, managed accounts, and generated reports for company database.
- Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
- Developed and maintained successful relationships with vendors, suppliers and contractors.
- Managed office operations while scheduling appointments for department managers.
- Established workflow processes, monitored daily productivity, and implemented modifications to improve overall performance of personnel.
- Controlled finances to lower costs and keep business operating within budget.
- Managed compliance to keep organization operating within legal and regulatory guidelines.
- Entered and maintained billing information in company internal databases for accessibility.
- Verified accuracy of billing data and corrected discrepancies.
- Monitored outstanding invoices and performed collections duties.
- Managed invoicing and payment processing operations.
- Executed billing tasks and recorded information in company databases.
- Maintained detailed records of customer payments and billing adjustments.
- Processed customer invoices, credit memos and payments within established timelines.
- Audited billing records to verify accuracy and completeness.
- Responded to customer concerns and questions on daily basis.
- Established team priorities, maintained schedules and monitored performance.
Medical Office Assistant
AMISTAD COMMUNITY HEALTH CENTER
06.2011 - 03.2012
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Provided prompt, polite and professional in-person and telephone customer service.
- Updated patient information and insurance details for accurate electronic medical records.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Prepared patient charts by gathering and organizing medical records ahead of appointments.
- Registered patients and completed associated paperwork for accurate records.
- Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.
- Obtained pre-authorization from insurance companies ahead of medical services.
- Reconciled daily payments received and prepared deposits for smooth office finances.
- Performed various administrative tasks by filing, copying and faxing documents.
- Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
Office Assistant
MARIO QUINTANILLA
06.2008 - 05.2011
- Completed clerical tasks such as filing, copying, and distributing mail.
- Interacted with customers by phone, email, or in-person to provide information.
- Maintained and updated office records, both digital and physical.
- Welcomed office visitors and alerted staff to arrivals of scheduled appointments.
- Managed daily data entry and kept clerical information accurate and up-to-date.
- Collaborated with various departments to complete assigned tasks.
- Scheduled and coordinated travel arrangements for office staff members.
- Assisted with budgeting and financial management to keep office operating within budget.
- Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff.
- Kept office supplies well organized and sufficiently stocked, placing orders promptly to replenish materials before depleted.
- Processed incoming and outgoing mail and packages according to established procedures.
- Coordinated and scheduled meetings and appointments.
- Assisted with onboarding of new employees.
Education
High School Diploma -
Richard Milburn Academy
Corpus Christi03.2003
Medical Office Specialist -
Career Centers Of Texas
Corpus Christi, TX05.2006
Skills
- CPT, ICD-9, ICD-10
- Team management
- Medical terminology
- Medicaid knowledge
- Insurance terminology
- Insurance plan verification
- Clerical support
- Quality control
- High-energy attitude
- Credit card payment processing
- Microsoft Office
- Customer relations
- Expense reporting
- Data entry
- Scheduling and calendar management
- Training and coaching
- File and data retrieval systems
- Medisoft, Record keeping, Troubleshooting
- Billing, Microsoft Office, Recruiting
- Bookkeeping
- Invoicing, Tax preparation
- Customer relations, Team building, Quality control, Team management
- Quickbooks
- Billing
- Administrative Support
- Expense Reporting
- Customer Service
- Office Management
- Data Entry
- Account Reconciliation
- Financial Reporting
- Excellent Multi-Tasking Ability
- Credit and Collections
Timeline
Medical Biller/Collections Specialist
Kidz Now Urgent Care/ Pediatricz Now Primary Care
02.2022 - Current
Administrative Assistant
Adventure Investments-Muhamad Almouie, MD
02.2022 - Current
Office Manager
OASIS COUNSELING AND PSYCHIATRY
04.2013 - 12.2021
Medical Office Assistant
AMISTAD COMMUNITY HEALTH CENTER
06.2011 - 03.2012
Office Assistant
MARIO QUINTANILLA
06.2008 - 05.2011
High School Diploma -
Richard Milburn Academy
Medical Office Specialist -
Career Centers Of Texas
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