Ashley Nicole Winchester
Tullahoma,TN
Summary
Organized and dependable candidate successful at managing multiple priorities. Willing to take on additional responsibilities to meet team goals.
Overview
13
13
years of professional experience
Work History
Revenue Cycle Collections Specialist
Paradigm
Remote
01.2024 - Current
- Managed aging accounts receivable for worker’s compensation medical bills to ensure timely payment.
- Identified bills of high priority due to short timely filing requirements or high dollar balances
- Facilitated escalation of bills to internal and external contacts if initial collection efforts were unsuccessful
- Analyzed EOBs and submitted reconsideration requests for underpaid or denied claims.
- Reviewed EDI rejections daily to resolve billing errors
- Monitored trending issues and collaborated with management to determine effective resolutions.
Senior Revenue Specialist
Enablecomp
Remote
11.2021 - 01.2024
- Promoted from Revenue Specialist to Senior Revenue Specialist in March 2023. Maintained all duties listed below in addition to serving as a mentor to less experienced team members, identifying process improvement opportunities and resolving claims of high complexity.
- Used EPIC to locate patient medical record matching the billed CPT code. Submitted worker’s compensation physicians bills and corresponding medical records with the appropriate payer as a third party billing agent. Maintained clear record of actions taken.
- Followed up with payer to verify receipt of the bill and processing status. Resubmitted bills as needed to facilitate timely payment
- Analyzed explanation of benefits to identify underpayments or erroneously denied bills. Followed up with payer for reconsideration or submitted appeal as necessary.
- Posted payments to matching invoice in company system
Customer Service Representative
Arise Virtual Services
Remote
06.2020 - 11.2021
- Provided friendly customer support as an independent contractor for Intuit QuickBooks, addressing inquiries related to product usage, data conversion, report generation, and payroll functionalities.
Interactive Video Teller
Ascend Federal Credit Union
Tullahoma, TN
07.2019 - 03.2020
- Delivered exceptional customer service to members navigating financial transactions.
- Reconciled ending cash and check totals to ensure financial accuracy.
Eligibility Counselor
State of Tennessee
Nashville, TN
07.2012 - 08.2018
- Assessed eligibility for government assistance programs including SNAP and Medicaid, ensuring compliance with federal regulations.
- Tracked pending applications and reviewed reports to meet processing deadlines
- Referred individuals or families in need of further support to appropriate local agencies
Education
Bachelor of Science Degree - Accounting
Western Governors University
10.2021
Bachelor of Science Degree - Psychology
Middle Tennessee State University
Murfreesboro, TN05.2010
Skills
- Above average skills with Microsoft Excel
- Revenue Recognition
- Revenue Operations
- Interpersonal Communication Skills
- Researching Abilities
- Monthly Financial Statements
Timeline
Revenue Cycle Collections Specialist
Paradigm
01.2024 - Current
Senior Revenue Specialist
Enablecomp
11.2021 - 01.2024
Customer Service Representative
Arise Virtual Services
06.2020 - 11.2021
Interactive Video Teller
Ascend Federal Credit Union
07.2019 - 03.2020
Eligibility Counselor
State of Tennessee
07.2012 - 08.2018
Bachelor of Science Degree - Accounting
Western Governors University
Bachelor of Science Degree - Psychology
Middle Tennessee State University