Ashley Villagomez
CLEWISTON,FL
Summary
Well-organized and resourceful with a positive and upbeat personality. Seeking a position to show and expand my potential, develop new skills and grow within an organization.
Overview
18
18
years of professional experience
Work History
Precertification Specialist
Lakeside Medical Center
Belle Glade, FL
04.2023 - Current
- Increased accuracy of submitted claims through meticulous attention to detail in verifying insurance eligibility and benefits.
- Ensured smooth communication between healthcare providers, patients, and insurance companies, resulting in timely approvals and positive experiences.
- Enhanced interdepartmental collaboration through effective communication with case managers, physicians, and billing departments.
- Expedited treatment commencement by promptly acquiring authorizations for medically necessary services within required timeframes.
- Developed comprehensive knowledge of various insurance plans, policies, and coverage limitations to provide accurate guidance to patients and providers.
- Conducted thorough follow-ups with insurance companies, ensuring timely receipt of authorization numbers for approved services.
- Minimized claim denials by accurately coding procedures according to CPT guidelines before submission for approval.
- Devised and implemented strategies to streamline eligibility verification processes.
- Resolved discrepancies with client applications to verify eligibility.
- Maintained strict adherence to HIPAA regulations by safeguarding confidential patient information during all aspects of the precertification process.
Paraprofessional
Clewiston Middle School
10.2022 - 04.2023
- Delivered personalized educational, behavioral and emotional support to individual students to enable positive learning outcomes.
- Oversaw students in classroom and common areas to monitor, enforce rules and support lead teacher.
- Kept classrooms clean, neat and properly sanitized for student health and classroom efficiency.
- Instructed small groups of students in basic concepts such as alphabet, shapes and color recognition.
Front Desk Receptionist
My Doctor, PA
Belle Glade, FL
09.2021 - 05.2022
- Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
- Answered multi-line phone system to respond to inquiries and transfer calls to correct departments and personnel.
- Resolved customer issues quickly and notified supervisor immediately when problems escalated.
- Maintained files and records by implementing effective filing systems that boosted efficiency and organization.
- Transcribed phone messages and relayed to appropriate personnel.
- Collected room deposits, fees and payments.
- Verified insurance eligibility.
- Scheduled, rescheduled and canceled appointments.
Centralized Scheduling Specialist
Lakeside Medical Center
Belle Glade, FL
08.2015 - 07.2021
- Documented calls and appointments
- Called physicians and patients to coordinate schedules and set appointments
- Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing
- Successfully scheduled patient appointments and placed reminder calls to ensure exceptional customer experience
- Located, checked in and pulled medical records for patient appointments and incomplete charts
- Coordinated front office duties, including customer service, patient scheduling and billing
- Enhanced office efficiency by handling 100+ callers per day
- Organized paperwork such as charts and reports for office and patient needs
- Contacted hospitals to confirm patients medical histories and prevent inaccurate diagnoses and treatments
- Provided thorough information about admissions policies, financial requirements and check-in procedures
- Verified insurance benefits, processed payments and issued receipts
- Collected demographic and insurance information from patients
- Organized, checked and submitted all related paperwork
- Performed general office duties, including answering multi-line phones, routing telephone calls or messages to appropriate staff and greeting visitors
Outpatient Registration Specialist
Lakeside Medical Center
10.2012 - 12.2014
- Performed general office duties, including answering multi-line phones, routing telephone calls or messages to appropriate staff and greeting visitors
- Operated standard office software applications to compile data and prepare information and correspondence
- Verified insurance benefits and obtained pre-authorizations before any medical procedures were performed
- Collected and distributed messages to team members and managers to support open communication and high customer service
- Directed approximately 50 or more incoming calls to internal personnel and departments, routing to best-qualified entity to respond to callers' needs
- Verified insurance benefits, processed payments and issued receipts
- Collected demographic and insurance information from patients
- Provided thorough information about admissions policies, financial requirements and check-in procedures
ER Registration Clerk
Lakeside Medical Center
04.2011 - 04.2012
- Organized paperwork such as charts and reports for office and patient needs
- Received, recorded and addressed 50 or more incoming and outgoing communication via telephone and email
- Performed general office duties, including answering multi-line phones, routing telephone calls or messages to appropriate staff and greeting visitors
- Submitted authorizations to insurances
- Organized, checked and submitted all related paperwork
- Verified insurance benefits, processed payments and issued receipts
- Collected demographic and insurance information from patients
Courtesy Clerk
Hy-Vee
02.2006 - 01.2007
- Restocked, arranged and organized merchandise in front lanes to drive product sales
- Addressed customer needs, including price checks and merchandise retrieval from upper shelves or stockroom
- Processed monetary transactions by giving and receiving cash, processing coupons and refunds and applying discounts
- Collected and returned non-purchased or returned items to correct shelf locations and arranged displays to promote sales
Education
Associate of Arts - Health Services Administration
Keiser University
Fort Lauderdale, FL2011
High School Diploma - undefined
Lewiston-Altura High School
Lewiston, MN05.2007
Skills
- Bilingual
Awards
- Certificate of Academic Merit
- Financial Counselor Certification
- Patient Access Certification
- Employee of the Month
References
Upon Request.
Timeline
Precertification Specialist
Lakeside Medical Center
04.2023 - Current
Paraprofessional
Clewiston Middle School
10.2022 - 04.2023
Front Desk Receptionist
My Doctor, PA
09.2021 - 05.2022
Centralized Scheduling Specialist
Lakeside Medical Center
08.2015 - 07.2021
Outpatient Registration Specialist
Lakeside Medical Center
10.2012 - 12.2014
ER Registration Clerk
Lakeside Medical Center
04.2011 - 04.2012
Courtesy Clerk
Hy-Vee
02.2006 - 01.2007
Associate of Arts - Health Services Administration
Keiser University
High School Diploma - undefined
Lewiston-Altura High School