Ashley Smith
Hampton,VIRGINIA
Summary
Experienced with processing diverse insurance claims and ensuring compliance with regulatory standards. Utilizes attention to detail and analytical skills to identify discrepancies and expedite resolutions. Track record of maintaining accurate records and delivering exceptional customer service.
Overview
5
5
years of professional experience
Work History
Claims Processor
CVS/Aetna
09.2023 - Current
- Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
- Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
- Reviewed applications and supporting documents to verify claims eligibility and accuracy.
- Managed workload and priorities to meet claims processing meet deadlines.
- Utilized specialized software to process incoming claims, enter data and generate reports.
- Utilized excellent analytical and problem-solving skills to quickly and accurately assess insurance claims.
- Maintained strict confidentiality when dealing with sensitive information about patients'' medical histories or personal details.
- Identified fraudulent claims through thorough investigation and documentation of findings.
Accounting Coordinator
Ferguson
05.2022 - 05.2023
- Supported the month-end closing process, efficiently processing journal entries and posting accruals.
- Provided exceptional customer service while resolving billing disputes or payment discrepancies with clients.
- Prepared weekly cash reports consisting of all payments and disseminated information to appropriate correct management staff.
- Maintained accurate documentation regarding accounts payables and accounts receivables in accordance with company policies.
- Coordinated and monitored department workflow to maintain efficiency.
Data Entry Clerk
Ferguson
09.2019 - 01.2021
- Completed data entry tasks with accuracy and efficiency.
- Followed established procedures to enter and process data correctly.
- Organized, sorted, and checked input data against original documents.
- Scanned documents and saved in database to keep records of essential organizational information.
- Entered data into various computer systems accurately using Microsoft Office Suite.
- Verified accuracy of data entered into system to produce error-free reports.
- Sorted documents and maintained organized filing process.
Education
High School Diploma -
Lafayette High School
WilliamsburgSkills
- Claims review
- Accuracy and Precision
- Transactions reconciliation
- Claims
- Claims Processing Software
- Policy Interpretation
- Regulatory Compliance
- Professionalism and Ethics
- Insurance Regulations Understanding
- Data entry proficiency
- Medical terminology knowledge
- Critical Evaluation
- Claims trend analysis
- Allocating claims
- Payments posting
- Attention to Detail
- Records Management
- Data Entry
- Critical Thinking
- Claims Processing
- Data Integrity
- Claims adjustment
- Excellent administrative abilities
- Active Listening
- Microsoft Office
- Customer Service
- Billing Software
- Insurance Claim Forms Review
- Organizing and Prioritizing Work
- Recordkeeping Organization
- Reporting abilities
- Appointment Scheduling
- Documentation skills
- Policy analysis
- Collaborative relationships
Timeline
Claims Processor
CVS/Aetna
09.2023 - Current
Accounting Coordinator
Ferguson
05.2022 - 05.2023
Data Entry Clerk
Ferguson
09.2019 - 01.2021
High School Diploma -
Lafayette High School