Ashley Wiggins
Garland,TX
Summary
Dependable Patient Care Coordinator with 5+ years of experience. Talented at supporting office operations and physicians by coordinating and safely documenting patient information. Friendly and helpful in patient interactions to improve satisfaction ratings and patient loyalty.
Overview
18
18
years of professional experience
Work History
Insurance and Benefits Coordinator
American Health Imaging
07.2021 - 05.2024
- Collaborated with healthcare providers to ensure proper documentation for successful authorizations.
- Streamlined workflow processes for faster turnaround times, using data-driven approaches and continuous improvement techniques.
- Achieved higher accuracy rates in authorizations, utilizing attention to detail and organizational skills.
- Streamlined insurance authorization processes by implementing efficient workflow strategies.
- Managed high-volume caseloads to meet strict submission deadlines, prioritizing tasks accordingly.
- Expedited claim approvals by maintaining strong relationships with insurance representatives.
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
- Verified eligibility and compliance with authorization requirements for service providers.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Fielded telephone inquiries on authorization details from plan members and medical staff.
- Generated, posted and attached information to claim files.
- Checked documentation for accuracy and validity on updated systems.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Maintained confidentiality of patient finances, records, and health statuses.
Patient Care Coordinator
American Health Imaging Inc.
09.2015 - 07.2021
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients
- Retained strong medical terminology understanding in effort to better comprehend procedures
- Followed specific security rules and guidelines to protect sensitive data, including patient medical records and payment card information
- Instructed clients on amounts covered under benefits plans in easy-to-understand terminology
- Updated all patient and insurance data regularly and carefully inputted changes into company's computer system
- Answered phone calls to provide assistance, information and medical personnel access to maximize office efficiency
- Called patients to schedule appointments, consistently double-checking information and availability
- Processed patient payments and scanned identification and insurance cards
- Answered multi-line phone system and directed callers to requested personnel and departments
- Call insurance companies and obtain pre-authorizations for radiology scans.
Assistant Store Manager
Cato Fashions
09.2006 - 12.2015
- Stocked, replenished and organized inventory, completing tasks faster than average associates
- Assisted customers by checking system to find merchandise at other locations, arranging for shipments and delivery
- Maintained accurate and attractive merchandise displays to maximize purchases
- Maintained assigned area to store standards by setting up and monitoring accurate ad signage and correct merchandise placement
- Engaged positively with each customer, providing professional and polite support for sales and service needs
- Recruited and hired individuals demonstrating passion, dedication and added value to team
- Handled scheduling for two store shifts across 7-day work weeks to promote proper and adequate staffing
- Closely monitored customer behavior and purchasing preferences, offering constructive guidance to bolster services.
Education
Certificate of Diagnostic Medical Sonography in Diagnostic Medical Sonography -
Sanford Brown College
Atlanta, GA05.2014
Skills
- Patient care
- Knowledge of insurance practices
- Knowledge of ICD 10 and CPT codes
- Highly organized
- Able to effectively prioritize work on a daily basis
- Excellent communication skills
- Ability to multitask
- Strong attention to detail
- Proficient in Microsoft office, excel, outlook, teams
- Verbal and written communication
- Relationship Building
- Written and oral communication
- Benefits Explanation
- Time Management
- Reliability
- Self Motivation
- Task Prioritization
- Goal Setting
- Professionalism
Timeline
Insurance and Benefits Coordinator
American Health Imaging
07.2021 - 05.2024
Patient Care Coordinator
American Health Imaging Inc.
09.2015 - 07.2021
Assistant Store Manager
Cato Fashions
09.2006 - 12.2015
Certificate of Diagnostic Medical Sonography in Diagnostic Medical Sonography -
Sanford Brown College