Ashley Torres
Grand Prairie,Texas
Summary
Experienced Care Coordinator and AR Specialist with a strong background in case management and care planning. Skilled in analyzing and reporting data, I have 6 years of experience in various roles within the medical field. Expertise lies in resolving customer and client issues, building lasting relationships that contribute to company profitability. Dedicated to providing exceptional support to patients by offering accurate information on insurance coverage, finance options, and documentation requirements. Proficient in scheduling and database management, ensuring streamlined communication and reduced correspondence backlogs. Identify client needs and concerns to enhance engagement strategies and overall service delivery. Proven track record in office management, committed to optimizing productivity, efficiency, and service quality across diverse environments.
Overview
1
1
Certification
Work History
AR Specialist
Kleiman Evangelista Eye Centers of Texas
- Analyze customer accounts to reconcile when discrepancies are found
- Reviewed remittance codes from EOBs/AR
- Posted charges payments and adjustments
- Thoroughly analyzed unpaid invoices and minimized unpaid accounts
- Submitted refund request for claims paid in error
- Tracked multiple accounts through on Excel spreadsheet to collect balances due and process refunds.
New Patient Coordinator
Total Wellness and Bariatrics
- First point of contact for patients inquiring about services such as Bariatric surgery, Hormone Replacement Therapy, Medicinal Weight Loss and Aesthetics
- Experienced in various Electronic Medical Records systems, including Rain Tree and Tebra
- Manage multiple Excel spreadsheets with new patient inquiries to track quota and collect data regarding marketing to provide feedback
- Manage scheduling for practice doctors as well as our Nutritionist and Aesthetics staff
- Verify insurance benefits, submit and track prior authorization requests
- Discuss benefits and eligibility with patients along with cost breakdown and collect co-pay, deductibles and assisted with payment postings.
Patient Service Representative
Arlington Orthopedic Associates
- Worked with Electronic Medical Records systems such as Green Way and Phreesia
- Gathered required information from patients to schedule appointments for office visits, injections, physical therapy and surgical procedures
- Collected co-pays for deductible and co-insurance fulfillment or collected self-pay payments and posted to Waystar.
Team Lead- Patient Benefit Advisor
Molina Healthcare
- Worked with systems such as QNXT, FAD(CISCO) and CRM
- Filed grievances
- Updated demographics of member's account
- Verified member's eligibility and benefits
- Sent requested medical documentation to patient and provides as needed
- Responsible for delegating team issues, kept track of time off requests and scheduled training for new and current employees.
Patient Service representative/ Call Operator II
Healthcare Associates of Texas
- Assisted patients in all service aspects, including but not limited to accepting payments, prescription billing questions, and pricing for medical procedures
- Assisted facility doctors and nurses with translating for Spanish speaking patients
- Managed high call volume and schedules for multiple providers
- Assisted patients with registration via phone or in person and collected their insurance information for the purpose of verifying benefits
- Worked with Electronic Health Record systems such as Allscripts PM, Phreesia, and eClinicalWorks in which patient data was entered to maintain patient accounts
- Completed administrative work, which included filing, faxing, and sending our reminder emails.
Education
2015 Graduate -
Crosswinds High School
Associated of Arts in Healthcare Management -
Dallas County College
01.2025
Skills
- Proficient in Microsoft (excel, Word, PowerPoint)
- Computerized charting in Electronic Medical Record systems (Raintree, Tebra, GreenWay, eClinicalWorks)
Certification
Public Notary, 2018
Volunteer Experience
Immaculate Conception, Grand Prairie Homeless Outreach Program
References
Available upon request.
Timeline
AR Specialist
Kleiman Evangelista Eye Centers of Texas
New Patient Coordinator
Total Wellness and Bariatrics
Patient Service Representative
Arlington Orthopedic Associates
Team Lead- Patient Benefit Advisor
Molina Healthcare
Patient Service representative/ Call Operator II
Healthcare Associates of Texas
2015 Graduate -
Crosswinds High School
Associated of Arts in Healthcare Management -
Dallas County College
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