Ashley Taylor
Rockingham,NC
Summary
Dedicated and empathetic Medical Assistant offering experience in direct patient care and medical office management experience. Committed to obtaining highest level of patient satisfaction. Dedicated to complying with regulatory and practice standards. Cultivates trust and rapport with patients through excellent communication and interpersonal skills.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Insurance Verification Specialist
Jupiter Medical Center
Jupiter, FL
01.2022 - Current
- Determined estimated self-pay portion by calculating charges, co-insurance and deductibles.
- Contacted patients to confirm demographic information and communicate financial responsibilities.
- Navigated through multiple online systems to obtain documentation.
- Instructed clients on amounts covered under benefits plans in easy-to-understand terminology.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Verifying health insurance information and obtaining authorizations, pre-certifications, and/or referrals for inpatient, observation, and scheduled outpatient elective services
- Utilizes electronic-scheduling/registration/financial systems, payer's websites, and recorded calls to validate health coverage and benefits in processing approval for medical services
- Maintains proper documentation in all systems
- Works closely with Managed Care and understands health insurances rule sets, manuals, and contract language•Contact patient's insurance company to verify coverage, initiate authorizations, provide clinical documentation and follow up on previously submitted prior authorizations
- Process authorizations electronically, utilizing payer portals, fax, or telephone working with the payers to secure authorizations
- Determines medical necessity for services using medical criteria software
- Review and verify all insurance plans and confirm patient's eligibility and benefits
- Document findings and all pertinent information in the notes section of the patient's record and appointment notes in a thorough and clear manner
- Provides documentation upon request from insurance companies
- Works well in a team environment to accomplish common tasks to solve problems and enhance the smooth and efficient flow of the practice
- Answers telephone, responds to questions, directs calls, and documents messages
- Works cooperatively and provides coverage for responsibilities of co-workers when assigned or as need arises
- Develops and promotes the use of effective methods of communicating with physicians, managers, peers, trainees, and staff on a regular basis
- Obtain authorization renewals, verify physician written orders are active, and certification of medical necessity and or detailed written order is in place
- Maintains the confidentially of patient's records and any related work
- Performs other duties as assigned
Medical Assistant
Planned Parenthood
West Palm Beach, FL
10.2020 - 01.2022
- Seeks position providing direct and indirect patient care in busy medical office
- Work history, planned parenthood
- Verify patient information by interviewing patient, recording medical history confirming purpose of visit
- Prepare patients for examination by performing preliminary physical tests, taking blood pressure, weight
- Phlebotomy Inputting the patients HPI
- Assist Doctor with office procedures such or implant, IUD insertions etc.
Assistant Manager
Dunkin' Donuts
Boynton Beach, FL
08.2019 - 05.2021
- Dunkin donut
- Managing register cash positions and conducting bank deposits
- Putting away truck deliveries and ordering product shipments
- Ensuring all employees are adhering to company food safety standards
- Addressing customer concerns quickly and efficiently
- Working directly with the store sales goals
- Open and close the store
- Optimizing profits by controlling costs
- Hiring, training, and developing new employees
- Resolving customer issues to their overall satisfaction
- Maintaining an overall management style that follows company best practices.
Assistant Manager
McDonald's
West Palm Beach, FL
08.2016 - 08.2019
- Managing register cash positions and conducting bank deposits
- Putting away truck deliveries and ordering product shipments
- Ensuring all employees are adhering to company food safety standards
- Addressing customer concerns quickly and efficiently
- Working directly with the store sales goals
- Open and close the store
- Optimizing profits by controlling costs
- Hiring, training, and developing new employees
- Resolving customer issues to their overall satisfaction
- Maintaining an overall management style that follows company best practices
- Enforced company policies and procedures to strengthen operational standards across departments.
pharmacy
04.2012 - 08.2013
- Tech, southeastern career college
Education
Some College (No Degree) - Medical Assistant
Southeastern Career College
West Palm BeachSkills
- Venipuncture and Phlebotomy
- Cleaning and Organizing
- Examination Preparation
- Procedure Assistance
- Updating Medical Records
- Pharmacy Relations
- Medication Administration
- Understands Medical Procedures
- HIPAA Compliance
- Cleaning and Sanitizing
- Answering and Routing Calls
- Prescription Refill Fulfillment
- Customer Service Attitude
- Communication and team management abilities
- Leadership abilities
- Dispensing Medications
References
Deshantia Bell (561)758-2749 Supervisor
LaChare Clark (561)294-5997 Supervisor
Deshantia Bell (561)723-7718 Former co-worker
Certification
- Medical Assistant- Still in School
- CPR
Timeline
Insurance Verification Specialist
Jupiter Medical Center
01.2022 - Current
Medical Assistant
Planned Parenthood
10.2020 - 01.2022
Assistant Manager
Dunkin' Donuts
08.2019 - 05.2021
Assistant Manager
McDonald's
08.2016 - 08.2019
pharmacy
04.2012 - 08.2013
Some College (No Degree) - Medical Assistant
Southeastern Career College