Ashton Crews
Billing Specialist
Lexington,SC
Summary
Detail-oriented and methodical Billing Specialist offering 15 years of experience in related roles. Exceptional abilities in conducting research, problem-solving and prioritizing simultaneous tasks. Leverages resourcefulness, critical thinking skills and superior work ethic for top job performance.
Overview
10
10
years of professional experience
Work History
AR and Billing Specialist
Medical Services of America
09.2016 - 03.2020
- Combined billing expertise and analytical mindset to manage billing operations for Internal Medicine practice
- Oversight of billing, administrative functions, and customer service
- Facilitated medical payment processing valued at $150k weekly
- Maintained compliance with HIPAA Privacy and Security Regulations to protect patients' medical records and information
- Facilitated electronic and paper claims to insurance companies, including Medicare and Medicaid for timely collection of payments
- Implemented enhanced practices to simplify billing, organize accounts, and deliver time and cost-savings
- Promptly and accurately processed and posted patient claims and payments from medical insurance companies
- Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within department.
- Researched and resolved billing discrepancies to enable accurate billing.
- Prepared and submitted monthly billing reports to management for financial overview.
- Used data entry skills to accurately document and input statements.
- Researched denials on claims and unpaid claims over 30 days to maintain system accuracy, improve collections, and drive revenue
- Addressed and resolved issues, complaints, and concerns to patient satisfaction; communicated with patients to resolve variances to increase collections and revenue
- Managed monthly reconciliation schedules to ensure integrity of accounts; researched and resolved denied insurance claims.
- Improved billing accuracy by implementing streamlined invoicing process.
Insurance Coordinator
The Vein Clinic
05.2015 - 05.2016
- Managed patient communications, scheduling, billing, and insurance authorizations
- Demonstrated strong interpersonal skills in relaying complex information to patients and families and resolving issues
- Communicated with patients regarding surgery cost responsibilities; obtained insurance authorizations and posted charges
- Scheduled appointments and provided prompt resolution to patient questions, concerns, and issues; researched, identified, and resolved billing issues to support cost controls
- Researched eligibility and benefits for 75 patients daily.
Financial Coordinator
Southlake Family Dental
03.2014 - 03.2015
- Improved financial reporting accuracy by streamlining data entry processes and implementing automated systems.
- Answered questions over phone and in-person regarding billing, scheduling and treatment.
- Explained insurance benefits, fees and procedures to patients.
- Contacted insurance carriers to discuss policies and individual patient benefits.
- Submitted claims to insurance companies on same day as patient treatment.
- Followed up with delinquent accounts to obtain funds and reduce aging balances.
- Accurately completed financial statement audits and thoroughly reviewed results.
- Optimized organizational systems for payment collections, AR, deposits, and recordkeeping.
- Enhanced cash flow management by optimizing payment schedules.
- Increased departmental efficiency, implementing standardized procedures for all financial coordinator tasks.
- Managed accounts receivable functions, ensuring timely payments and accurate recordkeeping.
- Maintained high level of confidentiality when handling sensitive financial information.
Insurance Coordinator
The Vein Clinic
01.2010 - 03.2014
- Managed patient communications, scheduling, billing, and insurance authorizations
- Negotiated favorable payment plans for uninsured patients, easing financial burdens while maintaining revenue goals for organization.
- Maintained comprehensive knowledge of various insurance policies, staying current with industry changes to provide expert guidance to patients and colleagues.
- Ensured strict adherence to HIPAA regulations when handling sensitive patient information, promoting privacy protection throughout all operations.
- Optimized workflow efficiency by creating well-organized schedules for appointments, follow-ups, and claim processing deadlines.
- Prevented costly delays in treatment authorization approvals by submitting complete documentation packages with attention to detail.
- Scheduled appointments and provided prompt resolution to patient questions, concerns, and issues; researched, identified, and resolved billing issues to support cost controls.
- Reduced claim denial rates by meticulously reviewing medical records and verifying accuracy of billing codes before submission.
- Assisted patients in understanding their insurance benefits, explaining complex policy terms, and addressing concerns compassionately.
- Enhanced customer satisfaction by efficiently handling insurance claims and processing policy updates.
- Streamlined office workflows for increased productivity, organizing and maintaining client files.
- Enhanced patient satisfaction with timely and accurate insurance verifications, ensuring seamless access to healthcare services.
Education
No Degree - Nursing
Midlands Technical College
West Columbia, SCSkills
- Billing, Collections & Reimbursements
- HIPAA/Patient Privacy Regulations
- Medical Terminology
- Research
- Electronic Health Records
- Organizational & Time Management skills
- Microsoft Office Suite (Word, Excel, Outlook)
- Payment Posting
- Month-End Closing Procedures
- Professionalism
- Attention to Detail
- Problem Solving Abilities
- Data Entry Proficiency
- Denial Management
- Self-Motivated
- Critical Thinking
- Good Telephone Etiquette
- Interpersonal Communication
Websites
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
When I look back on my past and think how much time I wasted on nothing, how much time has been lost in futilities, errors, laziness, incapacity to live; how little I appreciated it, how many times I sinned against my heart and soul—then my heart bleeds. Life is a gift, life is happiness, every minute can be an eternity of happiness!
Fyodor Dostoevsky
Timeline
AR and Billing Specialist
Medical Services of America
09.2016 - 03.2020
Insurance Coordinator
The Vein Clinic
05.2015 - 05.2016
Financial Coordinator
Southlake Family Dental
03.2014 - 03.2015
Insurance Coordinator
The Vein Clinic
01.2010 - 03.2014
No Degree - Nursing
Midlands Technical College