Ashley Brown
Morrisville,NC
Summary
Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability, adaptability, and a positive attitude with swift capacity to learn and apply new skills. Willingness to take on added responsibilities to meet team goals, their success and achieve positive results.
Overview
18
18
years of professional experience
Work History
Financial Care Counselor
Duke Health
02.2024 - Current
- Review patient charges to ensure accuracy and answer questions concerning billing procedures and charges.
- Manage clinic work queues following appropriate policies and procedures.
- Analyze, organize, and utilize complex data and rules related to contracting and patient's benefits to provide financial clearance.
- Obtain authorizations, analyze benefit requirements, prior approval and follow up appointments.
- Review denials for evaluations and appeals, working collabortavily with insurance payors providers and the patients'.
Global EAP Business Operations Specialist
United Health Group
12.2021 - 08.2023
- Adhered to HIPPA policies and guidelines in relation to legal, financial, and client credentialing while integrating anti-discrimination laws and procedures.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, procedures and HIPAA regulations.
Lead Customer Service Representative
Tridentcare Health Services
01.2021 - 06.2022
- Engaged clients over the phone to answer questions, and address service complaints.
- Assisted providers with procedures, orders, and complex problems.
Phone/Chat Tech Advisor
Kelly Services
10.2017 - 07.2019
- Provided customer service satisfaction by incorporating skills such as probing, analyzing, isolating, and resolving troubleshooting issues.
Patient Counselor
Wayne Memorial Hospital
12.2015 - 10.2017
- Performed under minimal supervision; worked closely with attorneys, insurance adjusters, and patients daily related to motor vehicle accidents.
- Established and maintained rapport with local and state law enforcement to obtain the necessary information.
Benefits/Claims Specialist
Xerox
04.2008 - 12.2014
- Handled customer claims for medical services and processed insurance claims and paperwork.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, procedures and HIPAA regulations.
Certified Nursing Assistant
Paul Spring Retirement Community
05.2008 - 06.2010
- Promoted oral and personal hygiene by aiding patients with shaving, bathing, and teeth brushing.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Cared for clients with diagnoses such as respiratory failure, diabetes, Parkinson's disease and muscular dystrophy.
Training Manager
Baskin Robbins
07.2006 - 05.2007
- Trained new hires to help perform cross-training exercises with experienced workers.
- Conducted orientation sessions and organized on-the-job training for new hires.
- Communicated all learning and performance objectives, schedules, and training assessments to upper management.
Education
BA - Healthcare Administration
Southern New Hampshire University
05.2020
Skills
- Multi-Tasking skills
- Advanced communication skills, oral and written
- Medical terminology and procedure knowledge
- Ability to comply and understand with policies and procedures
- Planning and coordination
- Organization and time management skills
Timeline
Financial Care Counselor
Duke Health
02.2024 - Current
Global EAP Business Operations Specialist
United Health Group
12.2021 - 08.2023
Lead Customer Service Representative
Tridentcare Health Services
01.2021 - 06.2022
Phone/Chat Tech Advisor
Kelly Services
10.2017 - 07.2019
Patient Counselor
Wayne Memorial Hospital
12.2015 - 10.2017
Certified Nursing Assistant
Paul Spring Retirement Community
05.2008 - 06.2010
Benefits/Claims Specialist
Xerox
04.2008 - 12.2014
Training Manager
Baskin Robbins
07.2006 - 05.2007
BA - Healthcare Administration
Southern New Hampshire University
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