ASHLEY NORALES
BROOKLYN,USA
Summary
Healthcare administrative professional with expertise in optimizing patient experiences through effective health insurance processing and precise management of patient records. Demonstrated success in assessing and resolving claim denials while ensuring accurate eligibility verification. Focused on enhancing operational workflows in dynamic healthcare settings.
Overview
1
1
Language
9
9
years of professional experience
Work History
Administrative Assistant
Brooklyn Center for Psychotherapy
Brooklyn, USA
01.2022 - Current
- Assisted patients in person or by phone with health insurance updates, enhancing patient satisfaction
- Checked health insurance eligibility and benefits to ensure accurate patient coverage
- Determine coordination of benefits for patients with multiple health insurances
- Review denial medical claims to determine reason of denial
- Maintained accurate patient health insurance information in electronic records.
- Contacted health insurance companies to reprocess claims, facilitating timely reimbursements
- Fax Spend Down documents to Medicaid on a monthly basis for patients with surplus income
Patient Care Coordinator
Housing Works
Brooklyn, USA
01.2021 - 08.2021
- Managed medical records to ensure accurate patient information and compliance with regulations
- Administering Medical Forms
- Administering forms for providers and patients
- Oversaw case management, facilitating comprehensive support for patients throughout their treatment journey
- Coordinated Undetectable Program to support patient adherence to treatment plans
- Enrolling patients into Cabenuva
Intake Specialist
Housing Works
Brooklyn, USA
05.2019 - 01.2021
- Facilitated enrollment of uninsured patients into insurance programs, enhancing access to healthcare.
- Executed insurance enrollment processes, ensuring clients received necessary health benefits.
- Oversaw case management enrollment to support client needs.
- Coordinated case management referrals, connecting clients with essential resources and support services.
- Directed clients to relevant programs to facilitate support services.
- Updated patients' primary care providers and insurance information
- Generate lead in EICARE for new patients including MRN
- Operated front desk as receptionist, greeting clients and directing calls.
- Completing sliding scale fee application for uninsured clients
Medical Assistant
Housing Works
Brooklyn, USA
08.2017 - 05.2019
- Performed Phlebotomy, EKG, and vitals
- Performed Rapid HIV testing
- Contacted patients to deliver test results and schedule follow-up visits, enhancing patient care.
- Coordinated communication with laboratory to expedite delivery of test results.
- Managed prior authorizations from insurance providers to secure necessary treatments.
- Prepared rooms for patient examinations
Education
AOS Degree - Medical Assisting
Mandl School, the College of Allied Health
New York, NY08-2016
Skills
- Health Insurance
- Patient Enrollment Process
- Insurance Claim Processing
- Claims Review Process
- Health Records Management
- Medical Terminology
- HIPAA regulations
- OSHA regulations
- Record management
- Enrollment management
- Microsoft Office
- Computer skills
- CPR
- First Aid
Skills Achievements
- Understanding of Medical Terminology, Anatomy and Physiology, Health Insurance, and Pharmacology
- Ability to perform EKG, Phlebotomy, Urinalysis, and Vital Signs
- Certified in CPR and First Aid
- Trained in HIPAA and OSHA regulations
- Proficient with Microsoft Office (Word, PowerPoint, Excel, and Outlook)
- Bilingual in English and Spanish
- Navigator Training Program Certified
- Alere Certified
Languages
Spanish
Full Professional
Timeline
Administrative Assistant
Brooklyn Center for Psychotherapy
01.2022 - Current
Patient Care Coordinator
Housing Works
01.2021 - 08.2021
Intake Specialist
Housing Works
05.2019 - 01.2021
Medical Assistant
Housing Works
08.2017 - 05.2019
AOS Degree - Medical Assisting
Mandl School, the College of Allied Health