Ashley Pies
Overland Park,KS
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.
Driven training/mentoring and customer service professional with insurance agency experience. Decisive negotiator and salesperson.
Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level claims position. Ready to help team achieve company goals.
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
7
7
years of professional experience
Work History
Senior Claim Processing Specialist
One80/Risk Strategies; Montage
11.2020 - Current
- Streamlined interdepartmental collaboration through implementation of centralized communication channels and shared databases.
- Maintained strict confidentiality of sensitive client information, adhering to data protection regulations at all times.
- Provided exceptional service to policyholders throughout the entire claims lifecycle, from initial reporting to final resolution.
- Actively participated in ongoing professional development opportunities to stay abreast of industry trends and advancements.
- Enhanced claim processing efficiency by streamlining workflows and implementing time-saving procedures.
- Reduced claim processing errors through meticulous attention to detail and thorough review of documentation.
- Strengthened customer retention by resolving complex cases with tactful negotiation skills.
Med Aide
Edgewood Assisted Living
05.2018 - 11.2020
- Took patient vital signs, height, and weight measurements and monitored glucose and patient wellbeing.
- Interacted kindly with patients and families and displayed positive, outgoing attitude, resulting in establishment of long-term, professional relationships.
- Reduced medication errors by maintaining accurate documentation of administered medications.
- Administered medications to patients and remained vigilant for negative side effects.
- Supported nursing staff by monitoring patients for side effects or adverse reactions to medications.
- Safeguarded patient privacy by adhering strictly to HIPAA regulations during all aspects of medication handling and administration processes.
- Coordinated daily medicine schedules and administration to help clients address symptoms and enhance quality of life.
- Assisted patients with dressing, grooming and feeding needs, helping to overcome, and adapt to mobility restrictions.
- Promoted patient safety with thorough knowledge of medication interactions and contraindications.
- Maintained high standards of cleanliness and organization within the medication storage area, reducing potential risks associated with cross-contamination or mixups.
- Checked vital signs on daily basis and contacted supervisor regarding patient health concerns or behavioral changes.
- Kept close eye on behavior and emotional responses of clients to address concerns and protect each person from harm.
- Provided training and mentoring for newly hired Certified Medication Aides, promoting a consistent level of quality care across all staff members.
- Enhanced patient care by administering medications according to prescribed schedules and dosages.
- Contributed to efficient facility operations by preparing and organizing medications in advance for scheduled distribution times.
Certified Medication Aide
Faye Wookey Assisted Living Center
08.2017 - 05.2019
- Took patient vital signs, height, and weight measurements and monitored glucose and patient wellbeing.
- Interacted kindly with patients and families and displayed positive, outgoing attitude, resulting in establishment of long-term, professional relationships.
- Reduced medication errors by maintaining accurate documentation of administered medications.
- Administered medications to patients and remained vigilant for negative side effects.
- Supported nursing staff by monitoring patients for side effects or adverse reactions to medications.
- Safeguarded patient privacy by adhering strictly to HIPAA regulations during all aspects of medication handling and administration processes.
- Coordinated daily medicine schedules and administration to help clients address symptoms and enhance quality of life.
- Assisted patients with dressing, grooming and feeding needs, helping to overcome, and adapt to mobility restrictions.
- Promoted patient safety with thorough knowledge of medication interactions and contraindications.
- Maintained high standards of cleanliness and organization within the medication storage area, reducing potential risks associated with cross-contamination or mixups.
- Checked vital signs on daily basis and contacted supervisor regarding patient health concerns or behavioral changes.
- Kept close eye on behavior and emotional responses of clients to address concerns and protect each person from harm.
- Provided training and mentoring for newly hired Certified Medication Aides, promoting a consistent level of quality care across all staff members.
- Enhanced patient care by administering medications according to prescribed schedules and dosages.
Education
High School Diploma -
Doland High School
Doland, SD05.2008
Skills
- ICD-10 Coding Familiarity
- Claims Management Expertise
- Claims Processing Software
- HIPAA Compliance Understanding
- Critical thinking abilities
- Organizational abilities
- Training and mentoring
- Time management mastery
- Analytical Problem Solving
- Medical billing knowledge
- Quality Assurance Practices
- Insurance Regulations Proficiency
- Claims review
- Claims
- Data entry proficiency
- Accuracy and Precision
- Medical terminology knowledge
- Customer Service
- Decision-Making
- Claims Processing
- Microsoft Office
- Documentation skills
Timeline
Senior Claim Processing Specialist
One80/Risk Strategies; Montage
11.2020 - Current
Med Aide
Edgewood Assisted Living
05.2018 - 11.2020
Certified Medication Aide
Faye Wookey Assisted Living Center
08.2017 - 05.2019
High School Diploma -
Doland High School