ASHLey OCHOA
Houston
Summary
Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals.
Overview
5
5
years of professional experience
Work History
Insurance Verification Specialist
CHI St. Lukes Cardiology
HOUSTON
01.2026 - Current
- Verified patients' insurance coverage, ensuring eligibility for procedures and timely appointment scheduling.
- Reviewed medical records for accuracy, confirming all required information for pre-authorization requests.
- Entered data in EMR database to record payer, authorization requirements and coverage limitations.
- Responded promptly to customer inquiries regarding their benefits and eligibility status.
- Educated patients on insurance benefits and coverage limitations, enhancing their understanding of financial responsibilities.
- Accessed various online systems to retrieve necessary documentation efficiently.
Medical Office Specialist
HCA Tomball Womens Healthcare Center
Tomball
01.2025 - 12.2025
- Processed patient registration and medical forms, facilitating timely access to healthcare services.
- Completed intake and insurance forms, streamlining patient onboarding and ensuring compliance with healthcare regulations.
- Transmitted correspondence and medical records by mail, e-mail and fax.
- Ensured accuracy of financial transactions through analysis of account balances, supporting seamless billing operations.
Insurance /Prior Authorization Specialist
RemX - Mckesson
Remote
11.2024 - 01.2025
- Reviewed medical records to ensure accuracy and completeness prior to submitting for preauthorization review.
- Managed incoming calls from providers to provide timely status updates on pending authorizations.
- Maintained current knowledge of insurance policies and procedures to effectively navigate prior authorization requirements.
Receptionist / Insurance Verifier
Texas Eye Institute
Houston
06.2022 - 02.2024
- Verified patient insurance coverage for medical services and procedures.
- Managed inquiries from providers, patients, and payers about prior authorization requests, facilitating timely communication.
- Updated customer records through accurate data entry, ensuring information integrity.
- Prepared documents such as letters, memos, invoices or reports using Microsoft Word or Excel software programs.
Medical Front Desk/insurance verifier
Eyesite
Houston
06.2021 - 06.2022
- Verified insurance coverage and eligibility before appointments and procedures, ensuring patients received appropriate care without delays.
- Assessed insurance policy terms to determine patient coverage and limitations.
- Answered phones professionally, providing timely information and assistance to patients while adhering to organizational protocols.
- Processed cash and credit card payments with accuracy, ensuring financial transactions were completed without discrepancies.
Education
Associate of Applied Science - Healthcare Administration
Lone Star College System
Certificate - Medical Billing and Office
Houston Community College
TXCertificate - EKG technician
Houston Community College
TXHigh School Diploma -
Hastings High School
TXSkills
- Insurance benefits verification
- Prior authorization management
- Insurance claim processing
- Patient intake procedures
- Data entry accuracy
- Document management
- Cost calculation
- Customer service
References
References available upon request
Timeline
Insurance Verification Specialist
CHI St. Lukes Cardiology
01.2026 - Current
Medical Office Specialist
HCA Tomball Womens Healthcare Center
01.2025 - 12.2025
Insurance /Prior Authorization Specialist
RemX - Mckesson
11.2024 - 01.2025
Receptionist / Insurance Verifier
Texas Eye Institute
06.2022 - 02.2024
Medical Front Desk/insurance verifier
Eyesite
06.2021 - 06.2022
Associate of Applied Science - Healthcare Administration
Lone Star College System
Certificate - Medical Billing and Office
Houston Community College
Certificate - EKG technician
Houston Community College
High School Diploma -
Hastings High School