Tarshia Ashton
Houston,TX
Summary
Personable and dedicated account specialist with extensive experience in the healthcare industry. Seeking a position in an office environment where there is a need for a variety of office management
task including, computer knowledge, organizational abilities, Business intelligent and database
program use. I'm a solid team player with an upbeat, positive attitude and proven skills in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Specialize in quality, speed and process optimization. Articulate, enthusiastic and results-oriented with demonstrated passion for building relationships, cultivating partnerships and growing businesses. Quickly learn and master new technology; equally successful in both team and self-directed settings; and proficient in a range of computer systems.
Overview
18
18
years of professional experience
Work History
Patient Financial Services Representative
Houston Behavioral Healthcare Hospital
01.2023 - Current
- Review all self-pay balances with credit balances to ensure balance is accurate and processes all refunds (both by check and credit card) for approval in timely manner.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Chased insurance companies to achieve accurate and timely payments.
- Works effectively with Assessment & Referral staff to maximize all pre-admission activities.
- Works effectively with Case Management staff to minimize potential for clinical denials.
- Works effectively to maximize overall collection efforts of hospital
- Participates in training programs to ensure activities are effective
- Ensures compliance with hospital policies and procedures and is knowledgeable and compliant with all applicable Federal and State requirements
- Conducts detailed discussion with patients, obtains information and completes required tasks to determine patient’s eligibility for Medicaid and other federal, state, and local government or private sources as appropriate
- Aid in financial interview for Medicaid application process, file Medicaid application, and educate patients/families about payments and requesting signatures.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Updated patient records with accurate, current insurance policy information.
- Communicated verification and authorization status updates with URdepartment to facilitate decision-making for patient admissions and insurance coverage.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Assisted with medical coding and billing tasks.
- Obtained payments from patients and scanned identification and insurance cards.
- Contacted customers to discuss past-due accounts and negotiated payment plans.
- Responded to customer inquiries and provided detailed account information.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Assisted patients with understanding personalized insurance coverage and benefits.
City Carrier Assistant
United States Postal Service
10.2021 - 01.2023
- Operated vehicles and equipment to transport packages and mail pieces.
- Planned and cased mail in sequence of delivery for designated route.
- Collected mail from letter boxes on specific route both on foot and by vehicle.
- Sorted and placed mail into mailboxes and post office boxes with high levels of accuracy.
- Used portable devices to maintain system records by scanning items delivered to homes and businesses.
- Engaged customers with pleasant demeanor and offered to help with mail-related issues.
- Prepared and organized Type materials or mail for delivery.
- Collected deposits, payments and fees for Type services.
Data Entry Clerk
Network Promotions
11.2019 - 10.2021
- Completed data entry tasks with accuracy and efficiency.
- Organized, sorted, and checked input data against original documents.
- Sorted documents and maintained organized filing process.
- Communicated with supervisors and colleagues to process data quickly and resolve discrepancies.
- Entered data into various computer systems accurately using Microsoft Office Suite.
- Verified accuracy of data entered into system to produce error-free reports.
- Followed established procedures to enter and process data correctly.
- Scanned documents and saved in database to keep records of essential organizational information.
- Created and maintained data entry logs to track data entry activities.
- Entered numerical data into databases with speed and accuracy using 10-key pad.
Provider Relations Representative
Sutherland Global Logistics
10.2014 - 11.2019
- Managed provider relations mailbox by triaging inquiries, facilitating resolution of incoming requests and forwarding requests to appropriate parties.
- Answered provider inquiries via email, telephone and written correspondence.
- Increased provider satisfaction scores 80% by collecting and credentialing demographic updates, investigating claims and inquiries and overseeing network integrity.
- Reviewed expenses and fund allocations for accounts at regular intervals to verify credited surplus and deficits based on payment schedules and claim submissions.
- Fostered strong, positive relationships with key providers by coordinating, facilitating and leading partnership meetings and identifying on-site enrollment opportunities.
- Identified network gaps and collaborated with recruiters to fill deficiencies.
- Initiated physician and hospital orientations to support ongoing education of health care provider community.
- Verified patient insurance eligibility and entered patient information into system.
- Answered incoming calls, scheduled appointments and filed medical records.
- Provided excellent customer service to patients and medical staff.
- Processed payments using cash and credit cards, maintaining accurate records of transactions.
- Facilitated communication between patients and various departments and staff.
Medicare Enrollment Specialist
Coventry Health Care
05.2011 - 06.2014
- Assisted clients with completion of applications and paperwork.
- Communicated with people from various cultures and backgrounds on application process.
- Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
- Scheduled appointments with applicants to gather information and explain benefits processes.
- Used computer-aided guidance packages such as skills assessment tools, career planners, psychometric tests and personal inventories to assist clients in determining strengths and weaknesses.
- Sorted out jobs relevant to interests of candidates to forward information to candidates.
- Self-motivated, with a strong sense of personal responsibility.
- Proven ability to learn quickly and adapt to new situations.
- Worked effectively in fast-paced environments.
- Worked well in a team setting, providing support and guidance.
- Managed time efficiently in order to complete all tasks within deadlines.
- Excellent communication skills, both verbal and written.
Accounts Payable Clerk
City of Houston
06.2005 - 05.2008
- Managed over 50 customer inquires per day
- Generated and submitted invoices based upon established accounts receivable schedules and terms
- Generated financial statements and reports detailing accounts receivable status
- Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft
- Applied proper codes to invoices, files and receipts to keep records organized and easily searchable
- Organized budget documentation and tracked expenses to maintain tight business controls
- Paid vendors by monitoring discount opportunities and paid employees by receiving and verifying expense reports
- Kept vendor files accurate and up-to-date to expedite payment processing
- Disbursed petty cash by recording entries and verifying documentation
- Generated accounts payable reports for management review to aid in financial and business decision making
Education
Diploma - Medical Assistant
Texas School of Business
2011
High School Diploma - undefined
Washington B T High School
2008
Skills
- ICD-10
- Medical billing
- HIPAA
- Medical Records
- Benefits Administration
- Insurance Verification
- Oracle
- Epic
- EMR Systems
- Deductible and Co-Pay Calculation
- Advising Patents
- Financial Clearance Management
- Medical Records Verification
- Insurance Authorizations
- Prior Authorization Processing
- Patient Eligibility Requirements
- Financial Counseling
- Data Verification
- Maintaining Financial Records
- Schedule Patients
- Patient Contact
- Payment Plan Options
- Payment Scheduling and Collection
- Trainer Mentoring
- Calculating Liabilities
- Terms Review and Enforcement
- Delinquent Account Notification
- Managed Care
- Data Review
- Document Management
- Insurance Terminology
- Payor Procedures
- Adaptable and Flexible
- Patient Health Information Access
- Process Evaluations
Timeline
Patient Financial Services Representative
Houston Behavioral Healthcare Hospital
01.2023 - Current
City Carrier Assistant
United States Postal Service
10.2021 - 01.2023
Data Entry Clerk
Network Promotions
11.2019 - 10.2021
Provider Relations Representative
Sutherland Global Logistics
10.2014 - 11.2019
Medicare Enrollment Specialist
Coventry Health Care
05.2011 - 06.2014
Accounts Payable Clerk
City of Houston
06.2005 - 05.2008
Diploma - Medical Assistant
Texas School of Business
High School Diploma - undefined
Washington B T High School
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