Ashmiel Adams
Dunwoody,GA
Summary
Detail-oriented healthcare professional with over four years of experience, including two in the healthcare sector. Expertise in medical billing, claims processing, and accounts receivable management, with a proven track record in denial resolution and financial reconciliation. Proficient in utilizing billing software and Electronic Health Records (EHR) systems to improve operational efficiency and accuracy. Committed to enhancing revenue cycle processes while providing exceptional patient advocacy and customer service.
Overview
6
6
years of professional experience
Work History
Billing Specialist
United Digestive
05.2025 - Current
- Managed end-to-end medical billing operations by reviewing, coding, and submitting high-volume professional and facility claims while ensuring compliance with ICD-10-CM, CPT, HCPCS, HIPAA, and payer-specific billing guidelines.
- Analyzed claim denials, payment trends, and reimbursement data to identify root causes, improve first-pass claim acceptance, reduce accounts receivable aging, and optimize revenue cycle performance using Excel and practice management reporting tools.
- Performed data validation, charge reconciliation, and account audits by comparing billing records with electronic health records (EHR), improving data integrity, billing accuracy, and compliance with organizational quality standards.
- Generated and maintained billing, collections, and productivity reports by tracking KPIs including denial rates, reimbursement trends, clean claim rates, and payment turnaround times, providing actionable insights to leadership to support operational decision-making.
Patient Access Representative
American Health Imaging
Atlanta, GA
03.2023 - 03.2025
- Manage patient registration, insurance verification, and billing inquiries to optimize financial transactions.
- Coordinate with healthcare providers and billing departments to ensure timely and accurate claim submissions.
- Assist patients with billing statements, payment posting, and resolving outstanding balances.
- Maintain compliance with healthcare regulations, safeguarding patient information, and financial data.
- Utilize EHR and billing software to track patient accounts and streamline claims processing.
Account Representative
State Farm
Sandy Springs, GA
10.2022 - 02.2023
- Processed insurance claims, billing adjustments, premium payments, and policy modifications.
- Educated clients on billing cycles, claim resolution processes, and coverage details to ensure transparency.
- Conducted account audits and reconciliations, identifying and correcting billing discrepancies.
- Provided claims analysis and financial reporting to improve billing accuracy and efficiency.
Customer Service Representative
American Family Insurance
Remote, GA
04.2022 - 08.2022
- Assisted policyholders with billing inquiries, payment plans, and premium processing.
- Addressed billing disputes, coordinated claim resolutions, and ensured compliance with financial policies.
- Maintained accurate financial records and supported revenue cycle efficiency.
Front End Cashier & Customer Service Representative
T.J. Maxx
Dunwoody, GA
07.2020 - 05.2021
- Processed customer transactions, handled cash management, and financial reconciliations.
- Resolved billing disputes, assisted customers with refunds, and promoted payment accuracy.
- Ensured compliance with store policies, and loss prevention strategies.
Education
High School Diploma -
Chamblee Charter High School
05.2021
Skills
- Medical Billing & Coding (CPT, ICD-10, HCPCS)
- Insurance Verification and Claims Processing
- Revenue Cycle & Denial Management
- Procedure Orders (MRI/CTs, Radiology, DME, Mammograms)
- Patient Account & Financial Reconciliation
- Healthcare Compliance & Regulations (HIPAA, CMS)
- Customer Service & Conflict Resolution
- ability to communicate information written and verbally
- Experience with Word and Excel
- Knowledge of the use of general office equipment
- Process, file and maintain record request by payers and report patient information for health requirements and standards
- Prior AR claims experience
- Experience in health care setting; familiarity with CPT, ICD-9 codes
- Maintain medical records for the purposes of audit and claim resolution
- MS Excel
- Attention to detail
- Data collection
Timeline
Billing Specialist
United Digestive
05.2025 - Current
Patient Access Representative
American Health Imaging
03.2023 - 03.2025
Account Representative
State Farm
10.2022 - 02.2023
Customer Service Representative
American Family Insurance
04.2022 - 08.2022
Front End Cashier & Customer Service Representative
T.J. Maxx
07.2020 - 05.2021
High School Diploma -
Chamblee Charter High School