Ashley Falkner
Colfax,WI
Summary
Dynamic medical billing professional with extensive experience at Dunn County, adept at resolving denied claims and ensuring timely reimbursements. Proven track record in insurance verification and customer service, with a strong focus on HIPAA compliance. Skilled in managing accounts receivable while fostering effective communication with healthcare providers to enhance billing operations.
Overview
15
15
years of professional experience
Work History
Medical Biller
Dunn County
03.2021 - Current
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Collaborated with healthcare providers, ensuring accurate documentation for seamless billing operations.
- Manages resident personal money for their trust accounts.
Medication Aide
Glenhaven Inc.
10.2020 - 03.2021
- Maintained a safe and clean environment by adhering to infection control protocols during medication administration.
- Achieved high levels of efficiency while distributing medications by organizing daily routines around individual patient schedules and needs.
- Took patient vital signs, height, and weight measurements and monitored glucose and patient wellbeing.
- Coordinated daily medicine schedules and administration to help clients address symptoms and enhance quality of life.
- Checked vital signs on daily basis and contacted supervisor regarding patient health concerns or behavioral changes.
- Demonstrated adaptability in the face of medical emergencies, providing crucial assistance during critical situations as needed.
- Administered prescribed drugs to high-volume patient caseload.
- Supported the nursing staff with essential tasks, streamlining the overall care process.
Social Service Designee
Glenhaven Inc.
05.2018 - 03.2021
- Facilitated group sessions aimed at building life skills and promoting personal growth among participants.
- Increased community awareness of available services through regular outreach efforts and targeted marketing campaigns.
- Advocated for policy changes that positively impact vulnerable populations within the community served by the organization.
- Evaluated the effectiveness of interventions over time, making adjustments as required to optimize outcomes for clients.
- Enhanced program effectiveness by collaborating with interdisciplinary teams to address client concerns holistically.
- Maintained confidentiality and professionalism at all times while handling sensitive client information and situations.
- Established trusting relationships with clients, fostering open communication and enabling effective advocacy on their behalf.
Activity Assistant
Glenhaven Inc.
04.2016 - 05.2018
- Managed activity calendar, ensuring diverse options catered to a wide range of interests and abilities.
- Provided compassionate support for residents experiencing emotional challenges or undergoing personal transitions within their living environment.
- Conducted sensory stimulation activities for memory care patients, improving mood regulation and reducing agitation incidents.
- Coordinated special events to celebrate holidays, birthdays, or other milestones that fostered a sense of community within the residence.
- Boosted social interaction among residents through the organization of group events and outings.
- Promoted mental fitness by facilitating trivia games and puzzles that challenged cognitive abilities while encouraging socialization among peers.
- Enhanced resident engagement by developing and implementing creative activities tailored to individual needs.
Certified Nursing Assistant
Glenhaven Inc.
04.2010 - 04.2016
- Provided high-quality personal care services such as bathing, grooming, dressing, and feeding to ensure patient dignity.
- Assisted patients with daily living activities for enhanced comfort and wellbeing.
- Checked patient vitals such as temperature, blood pressure, and blood sugar levels.
- Maintained a clean, safe environment by sanitizing surfaces, changing linens, and disposing of waste properly.
- Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
- Improved patient care quality by monitoring and recording vital signs, fluid intake, and output.
- Promoted good oral and personal hygiene by aiding patients with shaving, bathing, and teeth brushing.
- Reduced fall incidents by implementing safety measures like bed alarms and proper positioning techniques.
Education
High School Diploma -
Boyceville High School
Boyceville, WI05.2009
Skills
- Insurance claims
- Insurance billing
- Medical billing
- Electronic claims
- HIPAA compliance
- Insurance verification
- Customer service
- Accounts receivable
- Data entry
Timeline
Medical Biller
Dunn County
03.2021 - Current
Medication Aide
Glenhaven Inc.
10.2020 - 03.2021
Social Service Designee
Glenhaven Inc.
05.2018 - 03.2021
Activity Assistant
Glenhaven Inc.
04.2016 - 05.2018
Certified Nursing Assistant
Glenhaven Inc.
04.2010 - 04.2016
High School Diploma -
Boyceville High School
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