Ashley H.

Experience

• 

  Elevance Health

  Dec 2011 - now

  Responsible for managing the daily operations of a single unit for one of the following functional areas of Finance: cash receipts, cash application, claim audits, collections, overpayment vendor validation, provider receivables, ASO billings, and claim adjustments. Developed Inventory reporting & Strategies.Escalation resolution management.Monitored quality of work, trained, coached, counseled, and evaluated performance. Leader from the front. Provided leadership, guidance, and direction to team members in the absence of the manager.Execute on assigned project deliverables Conducted root cause analysis and create inventory management strategies.System management, staffing allocations, and performance tracking.Developed reduction plans, impact analysis and forecasting.Supported cross-functional teams on multiple operation platforms. Provided operational training and technical support to assigned team.Monitored quality of work and provided performance coaching.Inventory management strategist and escalation resolution management.Regulatory and operational document management. Validated eligibility and determined primacy for Medicaid / MedicareEscalation Resolution for RX Pharmacy and Access to care issuesMaintained acceptable performance standards for departmental goalsMentored new hires, supported special projects and system testing Explained benefits, eligibility status, enrollment status and authorizations.Processed complaints and followed established guidelines.Knowledge of state guidelines, regulations and department policiesResolution SME for membership, provider, and credentialing status

  • Manager I Finacial Ops. Payment Integrity

    Jun 2023 - now

  • Operations Expert

    May 2021 - Jun 2023

  • Resource Workforce Management Analyst I

    Sept 2018 - May 2021

  • Operations Expert

    Mar 2017 - Sept 2018

  • Verification Specialist I/ II

    Nov 2013 - Mar 2017

  • Member Service

    Dec 2011 - Nov 2013