Ashley Austin
West Islip,NY
Summary
Resourceful Admitting Support Specialist offering expertise in problem-solving, data analysis and customer service. Adept at quickly learning new technologies and processes for driving success. Proven track record of successfully managing multiple projects and developing innovative solutions. Top-notch communicator with excellent time management, administrative and customer service skills.
Overview
10
10
years of professional experience
Work History
ADMITTING SUPPORT SPECIALIST
NORTHWELL
12.2022 - Current
- Interview patients and obtains all relevant demographics, insurance information and required signatures.
- Enters all demographic information into patients chart and verifies accuracy.
- Collects point of service payments, as required.
- Explains regulations to patient and answers questions and concerns.
- Obtain prior authorization for Radiology Imaging.
- Schedule appointments for Imaging to be completed at the most convenient time for the patient.
- Knowledge of ICD10 and CPT codes properly aligning with recommended imaging.
- Provide all instructions necessary for imaging to be completed in a timely manner.
- Communicate effectively via telephone, email, and in person.
- Performs chart processing and reconciliation.
- Performs related duties, as required.
- Follow all company policies and procedures to deliver quality work.
- Listen and respond to customer requests and forwarded necessary information to superiors.
- Interpreted clients' needs and introduced services to fit specific requirements.
- Upheld HIPAA regulations and standards for protecting patient information.
- Retrieved medical data for physicians and patients.
ADMITTING SPECIALIST
NEMOURS
09.2022 - 12.2022
- Contacting insurance companies to confirm eligibility.
- Verifying guarantor details.
- Schedule follow up specialist appointments.
- Ensure all mandatory forms are completed.
- Collect all copay, coinsurance and self-pay amount due for services rendered.
- Registered patients for labs, surgeries and radiology.
- Arranged forms and charts for each patient.
- Verified patient details and insurance coverage and collected co-pays.
- Adhere to end of day business processing standard by verifying that cash analysis and receipts balance.
PAYOR ENROLLMENT SPECIALIST
SYMPLR
06.2021 - 09.2022
- Reviewing documentation.
- Scanning enrollment documents into the system.
- Communicating with management regarding projects assigned.
- Conducting research into information needed to enroll providers.
- Completing projects in a timely fashion.
- Data Validation upon entering provider information into the system.
- Communicating with insurance plans and designated contact person(s) to assist with provider enrollment.
- Reviewed documents processed by employees.
- Enrolled providers with insurance companies.
- Enrolled providers with Northwell Hospital.
- Verified providers demographics and licenses.
- Located DEAs and processed CAQHs.
- Submitted Medicare and Medicaid applications.
- Handled COAs for providers.
- Scanned in documents to providers charts.
- Verified eligibility with insurance companies.
- Communicated with providers to ensure all information was updated.
- Handled correspondence on behalf of providers.
- Used Excel, Outlook, eMedNY and CARE.
PATIENT CARE REPRESENTATIVE
CITY MD
06.2019 - 06.2021
- Assisting patients with the check-in and discharge procedures.
- Scheduled Radiology appointments for patients, STAT, Urgent or Routine.
- Obtained imaging reports, scanned reports into patients chart and forwarded them to the ordering providers to relay to patients directly.
- Answering phone calls and triaging callers to appropriate departments.
- Maintaining cleanliness of the waiting room and desk area(s).
- Reviewing and data validation of patient demographics.
- Managed front desk staff.
- Processed DOMO reports.
- Responsible for inventory of facility.
- Responsible for ordering and signing off on medical supply orders.
- Upheld confidentiality requirements and regulatory compliance guidelines.
- Responded to patient queries and concerns concerning insurance coverages and deductibles.
- Maintained confidentiality of patient data and condition to safeguard health information.
PRESCHOOL TEACHER
TUTOR TIME
03.2015 - 06.2019
- Maintenance of the classroom.
- Maintaining an open line of communication with the parents to provide updates throughout the day, regarding their children and progress.
- One to one meetings with parents.
- Creating lesson plans for the children and assisting with areas where the children needed more assistance.
- Developed weekly lesson plans and activities to engage children and promote learning.
- Established positive communication with parents in daily conversation and formal conferences.
- Maintained organized, fun and interactive classroom to help children feel safe.
- Gave one-on-one attention to children while maintaining overall focus on entire group.
- Maintained well-controlled classrooms by clearly outlining standards and reinforcing positive behaviors.
- Educated students in foundational concepts such as shapes, numbers, and letters.
- Sanitized toys and play equipment each day to maintain safety and cleanliness.
- Applied play-based strategies to provide diverse approaches to learning.
- Observed children to identify individuals in need of additional support and developed strategies to improve assistance.
- Monitored students' academic, social, and emotional progress and recorded in individual files.
- Provided the children with meals and snacks.
DATA ENTRY
ARAMEX INTERNATIONAL COURIER
03.2014 - 03.2015
- Inspecting packages to ensure the contents are within guidelines to send to certain countries.
- Reaching out to the customers to confirm if their shipment(s) were received.
- Data validation and searching the customer's name into the system to ensure accurate delivery.
- Completed data entry tasks with accuracy and efficiency.
- Organized, sorted, and checked input data against original documents.
- Communicated with supervisors and colleagues to process data quickly and resolve discrepancies.
- Sorted documents and maintained organized filing process.
Education
CRIMINAL JUSTICE -
NASSAU COMMUNITY COLLEGE
01.2015
HIGH SCHOOL DIPLOMA -
SOUTH SIDE HIGH SCHOOL
06.2013
Skills
- Microsoft Office
- Data Entry
- Organizational skills
- Detailed oriented
- Basic office skills
- Medical Terminology
- Time Management Skills
- Fast Learner
- Works well with others and individually
- Proficiency with both IOS and Windows
- ECW
- Epic
- Excel
- Microsoft Word
- Powerpoint
- Outlook
- Leadership
- Prior Authorization
- Resource Allocation
- Emergency Response
- Quality Assurance
Timeline
ADMITTING SUPPORT SPECIALIST
NORTHWELL
12.2022 - Current
ADMITTING SPECIALIST
NEMOURS
09.2022 - 12.2022
PAYOR ENROLLMENT SPECIALIST
SYMPLR
06.2021 - 09.2022
PATIENT CARE REPRESENTATIVE
CITY MD
06.2019 - 06.2021
PRESCHOOL TEACHER
TUTOR TIME
03.2015 - 06.2019
DATA ENTRY
ARAMEX INTERNATIONAL COURIER
03.2014 - 03.2015
CRIMINAL JUSTICE -
NASSAU COMMUNITY COLLEGE
HIGH SCHOOL DIPLOMA -
SOUTH SIDE HIGH SCHOOL