ASHLEY WALLACE
BETHALTO,IL
Summary
Collaborative team-player with ownership mentality looking for advancement opportunity in a Healthcare setting. Success driven individual with over 15 years of experience in different healthcare related positions looking to manage a cohesive team to better serve patient satisfaction and employee morale.
Overview
11
11
years of professional experience
Work History
Senior Patient Service Representative
BJC Medical Group
Alton, IL
03.2022 - Current
- Started as as medical secretary doing checkout for GI - including schedule follow ups as well as surgical procedures, but was promoted to senior patient service rep with a larger variety of responsibility
- Collaborate with providers on both provider and patient needs
- Attend Weekly Leadership meetings where we discuss problems within the office and potential solutions
- Assist practice administrator and office manager with any tasks needed at their request
- Obtain prior authorization for surgical procedures and diagnostic imaging
- Manage provider schedules
- Assist with training new employees
- Serve as a point person for questions and concerns from other staff members
- Communicate with hospital staff to ensure flow between the GI office and GI Lab is efficient
- Verify patient registration information, ensure information is updated and patients are schedule correctly
- Assist in going through several different work queues including patient needing to be scheduled, needing authorizations obtained, needing referrals obtained and needing registration updated
- Complete any CRMs sent to office by attempting to obtain retro authorizations
SURGERY SCHEDULER
Mercy East Community
St. Louis, MO
09.2021 - Current
- Scheduled pre-operative visits and post-operative follow-up appointments in EMR system
- Discussed pre-op instructions, cost estimates and obtained pre-op medical questions
- Built surgery cases in EPIC in order for the OR to place them on the surgery board
- Coordinated, at times, with other surgeons for joint cases
- Called surgery patients in advance to confirm details and resolve last-minute concerns
- Submitted and obtained authorizations necessarily for scheduled surgeries
- Kept doctors fully informed on any changes to their surgery schedules, issues with obtaining insurance approval, patient concerns regarding surgery, etc
- Attempted retro authorizations if codes were changed intra-op
- Managed the doctors' schedules via their Google calendars.
REFERRAL COORDINATOR
Associated Physicians Group
Alton, IL
09.2020 - 09.2021
- Started at front desk for both Internal Medicine and Physical Therapy
- Answered phones, printed daily appointment reports, checked in upwards of 100 patients a day, collected copays, updated patient paperwork, scheduled follow up appointments
- Transferred to back office for triage and referrals
- Answered phones regarding scheduling, medical questions and referrals
- Submitted insurance referrals for patients to see specialists as well as obtained prior authorizations for outpatient imaging and procedures
- Maintained providers' schedules and frequently checked for accuracy
- Rescheduled appointments when necessary
- Assisted patients with getting appointments at facilities or specialists our office had referred them to if necessary.
FRONT OFFICE SUPERVISOR
Forefront Dermatology
Town and Country, MO
05.2015 - 09.2020
- Checked patients in, verified insurance, collected copays, updated paperwork, scanned documents into patient charts, obtained referrals from PCP offices
- Ordered supplies in line with need and monitored use for compliance with budget limitations
- Used patience, tact, and diplomacy to defuse anger and resolve conflicts between staff or with outside individuals
- Trained new employees in clerical tasks and office policies to enhance productivity
- Assisted in opening and running a new location as the Assistant Manager
- Evaluated employee performance reviews on an ongoing basis and provided feedback accordingly so that staff members could continue improving their skillset over time .
- Scheduled surgeries which included checking for authorizations.
- Worked closely with office manager and reported employee productions that either needed recognition or correction
- Created policies and procedures to maintain an efficient front office work flow
ER TECHNICIAN
SSM Health
Saint Louis, MO
04.2013 - 05.2015
- Assisted with ambulation, positioning, elimination, and personal hygiene to support activities of daily living and routine comfort measures
- Completed hourly purposeful rounding to check on and assist assigned patients
- Handled wide range of direct patient care, including cleaning wounds, caring for catheters, and drawing blood for tests
- Monitored psych patients
- Answered ER phone and paged on call doctors needed for ER consults
- Performed EKGs, supplied necessary instruments to nursing staff, transported patients for testing/admission and responded to codes.
Education
CNA License -
Lewis And Clark Community College
Godfrey, IL06-2008
HIGH SCHOOL DIPLOMA -
Alton High School
06.2006
Skills
- Documentation scanning
- Schedule coordination
- Multitasking and Organization
- Team Leadership
- Problem-Solving
- Payment collection
- Office reception
- Maintain records
- Medical terminology
- Insurance verification and prior authorizations
- Patient scheduling
- Answer telephones
- Clerical support
Timeline
Senior Patient Service Representative
BJC Medical Group
03.2022 - Current
SURGERY SCHEDULER
Mercy East Community
09.2021 - Current
REFERRAL COORDINATOR
Associated Physicians Group
09.2020 - 09.2021
FRONT OFFICE SUPERVISOR
Forefront Dermatology
05.2015 - 09.2020
ER TECHNICIAN
SSM Health
04.2013 - 05.2015
CNA License -
Lewis And Clark Community College
HIGH SCHOOL DIPLOMA -
Alton High School