Ashton Roberson
Round Rock,TX
Summary
Reliable Medical Biller with coding and medical terminology knowledge. Polished and hardworking performer with background overseeing accounts and handling records management tasks. Team-oriented person with great decision-making skills. Skilled in financial statement preparation, general ledger activities, accounts receivable processing and collections. Effective leader with 8 years of hands-on experience in the medical revenue cycle industry.
Overview
9
9
years of professional experience
Work History
Patient Access Rep
R1 RCM Inc
11.2017 - Current
- Labor&Delivery patients registration
- Newborn accounts
- Outpatient scheduling and intakes
- Direct Admits
- Hospice admits
- Answering patients' questions and maintaining reception area
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
Medical Biller, Accounts Receivable Manager
PUREDI
05.2021 - 03.2023
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable
- Prepared billing statements for patients and verified correct diagnostic coding
- Devised new methods to improve billing workflows
- Delivered timely and accurate charge submissions
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records
- Researched and followed up on denied insurance claims
- Generated reports and analyzed trends to maximize reimbursement and reduce claim denials
- Collected payments and applied to patient accounts
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers
Office Assistant
Reformation Massage & Bodywork
09.2020 - 09.2022
- Schedule clients for massages
- Sales of products and massage packages
- Cleaning/sanitizing instruments
- Interacted with customers by phone, email, or in-person to provide information
- Welcomed office visitors and alerted staff to arrivals of scheduled appointments
- Ordered office supplies and kept office stocked with needed resources to operate smoothly
- Coordinated and scheduled meetings and appointments
- Managed daily data entry and kept clerical information accurate and up-to-date
- Assisted with onboarding of new employees
- Completed clerical tasks such as filing, copying, and distributing mail
Medical Biller, Accounts Receivable
RC Billing
10.2019 - 05.2021
- Accounts Receivable
- Third party billing company for oncology facilities
- Denied/unpaid claims, insurance verification, authorization processes
- Second and state level appeals
- Communicated with insurance companies to research and resolved coding discrepancies
- Researching procedures, and diagnostic codes to determine proper reimbursement
- Assisted in preparation of medical reports for external parties
- Interacted with physicians and other healthcare staff to ask questions regarding patient services
- Sorted and distributed incoming and outgoing medical records
- Utilized electronic medical record systems to store, retrieve and process patient data
- Verified signatures and checked medical charts for accuracy and completion
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
Medical Biller, Accounts Receivable
Touchstone Medical Imaging
10.2016 - 10.2019
- Accounts Receivable
- Handle claim denials, appeals and processing for different provider locations
- Call insurance companies verifying patient coverage, benefits and referrals and authorization requirements
- Posted and adjusted payments from insurance companies
- Printed and reviewed monthly patient aging report and solicited overdue payments
- Precisely completed appropriate claims paperwork, documentation and system entry
- Identified and resolved patient billing and payment issues
- Located errors and promptly refiled rejected claims
- Communicated effectively and extensively with other departments to resolve claims issues
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Customer Service Specialist
Accenture
04.2014 - 09.2016
- Provided Texas Medicaid Providers with Information about patient's Texas Medicaid Benefits
- Assist clients with Medicaid benefits and locating providers; and prescription issues
- Answered/Resolved medicaid claim denials and rejections by providers
- Technical assistance with Texas Medicaid portal and online systems
- Texas Medicaid provider enrollment applications
- Participated in team meetings and training sessions to stay informed about product updates and changes
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor
- Answered customer telephone calls promptly to avoid on-hold wait times
- Achieved high satisfaction rating through proactive one-call resolutions of customer issues.
Education
Certification - Certified Professional Coder
American Academy of Professional Coders
Online09.2023
Associate of Science - Health Information Technology
National American University
Austin, TX12.2023
Diploma - Medical Assistant
Sanford-Brown College
Austin, TXHigh School Diploma - undefined
Elgin High School
Elgin, TXSkills
- Microsoft Office
- Insurance Claims Analysis
- Emergency Room Services
- ICD-10
- Benefits Verifications
- Revenue Operations
- CPT
- Data Entry
- Reviewing Patient Information
- Accounts Payable and Accounts Receivable
- EMR/EHR Systems
Affiliations
AAPC Member
March 2023-current
Timeline
Medical Biller, Accounts Receivable Manager
PUREDI
05.2021 - 03.2023
Office Assistant
Reformation Massage & Bodywork
09.2020 - 09.2022
Medical Biller, Accounts Receivable
RC Billing
10.2019 - 05.2021
Patient Access Rep
R1 RCM Inc
11.2017 - Current
Medical Biller, Accounts Receivable
Touchstone Medical Imaging
10.2016 - 10.2019
Customer Service Specialist
Accenture
04.2014 - 09.2016
Certification - Certified Professional Coder
American Academy of Professional Coders
Associate of Science - Health Information Technology
National American University
Diploma - Medical Assistant
Sanford-Brown College
High School Diploma - undefined
Elgin High School
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