Ashley Lyles
Fredericksburg
Summary
Seeking a full-time administrative position in a fast paced environment with opportunities for advancement.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Office Coordinator/Authorization Specialist
Mary Washington Healthcare
04.2022 - Current
- Navigates the EMR system to verify patient information is correct
- Uploads insurance cards and medical record information as needed
- Uses insurance resources to verify the patient has active insurance for scheduled appointment
- Submits insurance authorization as needed for patients scheduled procedure and scans and documents authorization approval in the patients chart
- Calculates the estimated out of pocket for the patients scheduled appointment and makes outbound calls to the patient as needed to advise the balance due at time of service
- Setups payment plans as needed and documents scheduled payment arrangement in the patients chart as needed
- Answers insurance operator line as needed for billing and procedure questions
- Completes all other office duties as needed
Licensed Insurance Agent/Customer Service
Geico
12.2017 - 04.2022
- Answer phone by responding to the needs of customers in a timely manner,
- Collects and processes payments made by the customer using computer system, Answers all questions regarding the insurance policy that the customer may have,
- Completes quotes on behalf of the customer in order to update the policy,
- Sends paperwork as needed to the customer to include policy documents, Identification cards, and letters
- Sends insurance verification on behalf of the customer as needed
Collections/Front Desk Associate
Hilltop Physical Therapy
12.2016 - 12.2017
- Greets patients and checks-in patients for appointments,
- Schedules appointments as needed,
- Answers phone as needed, responds to billing questions and directs other calls to appropriate department as needed,
- Scans documents for therapist into appropriate patient file,
- Prints and verifies statements are correct and prepares for mail,
- Forwards all delinquent accounts to collections agency,
- Verifies patients insurance benefits and authorization for services received,
- Follows up on unpaid claims and completes appeals and sends correspondence as needed to ensure payment received for services rendered,
- Enters charges into computer database and sends claims to insurance companies for payment,
- Completes daily balance reports to collect unpaid balances on accounts,
- Performs all other office duties as needed
Claims Specialist
LifeCare Medical Transports
04.2016 - 12.2016
- Enters all insurance and patient payments into computer database
- Reconciles accounts to verify all payments posted in computer database
- Processes credit card payments and enters into computer database
- Follows up on all unpaid claims, contacting insurance companies as needed
- Completes appeals as needed to reprocess claim denials
- Answers multi-phone line regarding billing questions as needed
- Performs all other basic office duties as needed
Front Desk Coordinator/Medical Billing Specialist
SA Medical
10.2009 - 04.2016
- Efficiently submits medical claims to insurance company
- Handles all claim submission for neurosurgery, cardiovascular surgery, trauma, endocrinology, infectious disease, senior care, palliative care, and sleep study services
- Data entry of patient demographics
- Applies patients’ payments to account balances
- Posted insurance payments to patients account from insurance payer EOB,
- Ran electronic remittance and ran system report to ensure all insurance payments posted correctly,
- Respond to patient phone calls by third ring using excellent customer service skills
- Collects payments from patients for balance due on account
- Explains patients account balance, when the patient has questions regarding a statement.
Education
Bachelors of Healthcare Administration
Liberty University
Lynchburg, VACertified Medical Billing and Coding Specialist - undefined
Career Training Solutions
Fredericksburg, VA04.2009
High School Diploma - undefined
Courtland High School
Spotsylvania, VA06.2007
Skills
- Strong knowledge of all Microsoft Office XP Programs
- Typing – 50wpm
- Excellent interpersonal skills, confident and poised in interactions with individuals at all levels
- Highly trustworthy, ethical and discreet, committed to superior customer service
- Dedicated individual, achieving a reputation for consistently going beyond what is required
- Detail oriented and resourceful in the completion of projects
- Highly regarded for a proactive attitude and an ability to think laterally, providing ideas and solutions
- Organized individual with exceptional follow through capabilities
- Team player
HONORS, ACHIEVEMENTS, & AWARDS
Business &Technology Program Certificate – May 2007, Cooperative Office Education Program Certificate – May 2007, Certified Medical Billing and Coding Specialist April 2009
Accomplishments
Top Agent Award
Productivity award
Microsoft office program completer
Certification
Medical Billing Certification
Timeline
Office Coordinator/Authorization Specialist
Mary Washington Healthcare
04.2022 - Current
Licensed Insurance Agent/Customer Service
Geico
12.2017 - 04.2022
Collections/Front Desk Associate
Hilltop Physical Therapy
12.2016 - 12.2017
Claims Specialist
LifeCare Medical Transports
04.2016 - 12.2016
Front Desk Coordinator/Medical Billing Specialist
SA Medical
10.2009 - 04.2016
Certified Medical Billing and Coding Specialist - undefined
Career Training Solutions
High School Diploma - undefined
Courtland High School
Bachelors of Healthcare Administration
Liberty University