Ashley Veillard

• Case Management: Oversaw 100+ cases from intake to closure. Managed care across healthcare providers, ensuring seamless treatment and recovery, including medical records review and bill analysis.
• Insurance: Handled health and auto insurance claims, including coverage verification and authorization.
• Client Interaction: Acted as liaison between clients and law firm, handling daily communications and updates. Advocated for clients’ medical needs and communicated effectively with legal teams.
• Negotiations & Settlements: Secured deductions on medical balances and prepared demand files for insurance carriers. Negotiated with insurance carriers for settlements and managed health insurance subrogation.
• Documentation: Maintained detailed case records and progress reports to support legal claims and treatment processes.
• Crisis Management: Addressed acute clinical situations and provided immediate support, ensuring client safety and effective care.

Advocated as a vaccine expert who provided exceptional level of customer service

• Facilitated vaccine contract changes with partners
• Monitored vaccine usage, exceeded metrics, and used Inventory Management Tool.

Identified and mitigated risk of financial impacts for practice partners with discrepancies in their vaccine inventory

• Developed procedures to effectively manage and maintain business vaccine inventory.
• Generated reports using PivotTables and customized data to pinpoint and address variances, coordinating with practice partners to resolve financial impact that resulted from variances

Coordinated orders and reimbursement with manufactures to ensure accurate vaccine coverage

• Ensured accurate vaccine records and communication with manufacturers (Pfizer, Merck, GSK) for compliance.

Managed accounts for numerous practice partners throughout the nation reviewing topics such as;

• Inventory reconciliation
• Product usage
• Compensation
• Patient billing questions

Found solutions to provider problems with patient eligibility, and medical reporting using Customer Relationship Management (CRM)software

• Solved provider issues with patient eligibility and medical reporting using CRM software. Ensured HIPAA compliance for all PHI, PII, and payment data, and managed quality assurance for account inquiries.

Simultaneously completed various projects and partner outreach

• Managed multiple projects with strict deadlines, utilized Salesforce for tracking, and delegated tasks while coordinating with other departments.

• Coordinated shift-based inventory receiving, auditing and restocking.
• Enhanced operations and boosted productivity through employee training, coaching and creating work schedules.
• Led team of 10 employees per shift
• Remained calm and professional in stressful circumstances, effectively diffusing situations.
• Cross-trained in every store role to maximize operational knowledge.