Ash’Ley Smith
Lafayette,LA
Summary
Goal-oriented individual with a strong desire to utilize leadership qualities and expand professional knowledge. Aims to contribute to the continued success of Acadian Ambulance as a valued member of the Management Team. Committed to driving organizational growth and achieving strategic objectives through effective decision-making and team collaboration. Dedication to delivering exceptional results while fostering a positive work environment that promotes employee development and customer satisfaction.
Overview
13
13
years of professional experience
Work History
Resolution Specialist
Acadian Ambulance
05.2016 - Current
- Run reports gathering all transports that are covered under the Contract agreement: Review to make sure it meets the billing criteria, reprice charges, and ensure invoice is in the correct billing cycle
- Monitor payment variance with resolution
- Managing problematic issues and review Unbilled reports and making sure invoices are billed in a timely matter
- Reviewing Correspondence including buyouts, closures and bankrupts relating to Facilities
- Participate in weekly meetings and provide follow ups on disputes or time sensitive items that require action
- Communicating with VP and Business Development Coordinator for escalated disputes
- Review and Audit invoices that are delinquent to ensure accuracy of rates and billing details
- Prepare monthly Reports for Administration Review
- Review Timely Filing reports/invoices
Contract Billing Specialist
Acadian Ambulance
05.2014 - 10.2016
- Prepare billings both Daily and Monthly for Hospitals, Nursing Homes, Private Industry, Governmental Agencies, and Van Transports
- Facility Deposits –Reconcile
- Payment Review of Unacceptable or Questionable Payments
- Review Overpayments and Processing of Refunds to Facilities
- Inbound calls relating to Facilities
- Correspondence relating to Facilities
- Prepare monthly Reports for Administration Review
- Run ancillary reports as requested, such as, utilization for their respective facilities
- Pre-verification on the payer types of Governmental Agency or Private Industry
ATAC Specialist
Acadian Ambulance
05.2013 - 10.2014
- Ensure that all appropriate information is documented in CAD prior to dispatch
- Schedule transports in CAD
- Determine whether or not patients will meet medical necessity guidelines for transport
- Verification of patient insurance
- Provide billing-related guidance to operations and the business development team as needed
- Provide price quotes for all private pay
- Obtaining pre-authorizations for non-emergency ambulance and wheelchair transports
Medicaid eligibility specialist
Texas Health and Human Service
11.2011 - 01.2013
- Interviewing clients/responsible parties
- Documenting/ analyzing information gathered
- Providing information and referral services to clients and providers
- Acts on applications accordingly to Medicaid eligibility policy in order to insure timeliness of service delivery
Education
Bachelor of Science Degree - Social Work
Southern University and A&M College
Baton Rouge, LA05.2010
High School -
Northside High School
Lafayette, LA05.2005
Skills
- Contract management
- Billing accuracy
- Invoice auditing
- Data analysis
- Dispute resolution
Timeline
Resolution Specialist
Acadian Ambulance
05.2016 - Current
Contract Billing Specialist
Acadian Ambulance
05.2014 - 10.2016
ATAC Specialist
Acadian Ambulance
05.2013 - 10.2014
Medicaid eligibility specialist
Texas Health and Human Service
11.2011 - 01.2013
Bachelor of Science Degree - Social Work
Southern University and A&M College
High School -
Northside High School
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