Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Timeline
Generic

Ashley Depetro

Blairsville

Summary

Results-driven individual with a solid track record in delivering quality work. Known for excellent communication and teamwork abilities, with a commitment to achieving company goals and delivering exceptional service. Passionate about continuous learning and professional development. Desire to become an expert in healthcare administration and other roles.

Overview

14
14
years of professional experience
1
1
Certification

Work History

Medical Biller

CVS
Monroeville
12.2023 - Current
  • Transmitting and submitting claims to insurance payers for reimbursement, support and maintaining notes to resolve billing.
  • Billing reports and queues according to payers and company guidelines.
  • Maintaining department goals and production quotas will resolve open balances for payors.
  • Processed medical claims using electronic billing systems.
  • Reviewed patient information for accuracy and completeness.
  • Communicated with insurance companies to resolve billing issues.
  • Implemented process improvements to enhance billing efficiency and accuracy.
  • Submitted electronic claims to various insurance carriers.
  • Researched discrepancies between billed charges and payments received from insurance companies or other third party payers.
  • Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.

Patient Service Representative/Medical Coding

Excela
Latrobe
01.2022 - 12.2025
  • Responsibilities include posting payments, insurance reimbursement and correspondence, completion of prior authorizations-medical testing, imaging services and medication, scheduling of patients, patient management and various other supportive administration roles.
  • Knowledge in Medisoft and other medical software's.
  • Assisted patients with appointment scheduling and registration processes.
  • Managed patient inquiries via phone and in-person communication.
  • Coordinated insurance verification and eligibility checks for services.
  • Maintained accurate patient records in electronic health systems.
  • Collaborated with team members to improve service delivery efficiency.
  • Adhered to HIPAA regulations when handling confidential patient information.

Medical Billing and Coding Specialist

Neurology- Private Practice
Latrobe
12.2022 - 11.2023
  • Responsibilities include posting payments, insurance reimbursement and correspondence, completion of prior authorizations-medical testing, imaging services and medication, scheduling of patients, patient management and various other supportive administration roles.
  • Knowledge in Medisoft and other medical software's.
  • Assigned appropriate codes for neurology services and procedures.
  • Conducted audits of coded claims to ensure accuracy and completeness.
  • Investigated rejected and denied claims, correcting applicable coding.
  • Submitted clean claims to insurance companies electronically to secure payments.
  • Evaluated patient's financial status to establish budget payment plans.

Assistant Teacher

Great Expectations
Blairsville
11.2021 - 05.2022
  • Assist in classroom setting with infants, younger toddlers, order toddlers and children transitioning into Pre-K.
  • Teach children basic life skills, colors, numbers, words and much more.
  • First Aid/ CPR Certificate, Completed several trainings regarding children safety and class room settings and policies.

Counselor

ICCAP FOOD BANK
Indiana
01.2021 - 11.2021
  • Assist in managing Indiana County Foodbank.
  • Enroll and do qualification checks for individuals enrolling in specific programs.
  • Data entry, completing state and federal documentation.

Medical Assistant

Sleppy Chirpractic
Indiana
08.2020 - 11.2020
  • Greet patients, review charts and schedule appointments.
  • Post payments, verify billing and insurance.
  • Ensure cleanliness of establishment.

Nursing Assistant

Country Living Personal Care Home
Blairsville
08.2011 - 05.2020
  • Assisted the elderly in daily activities, completed state paperwork.
  • Did blood pressures, blood sugars and changed dressings.
  • Assisted in housekeeping.

Education

Certificate - Health Care Management in Medical Billing & Coding

University of Phoenix-Online Campus
Phoenix, AZ
04.2023

Blairsville High School -

Blairsville High School
Blairsville, PA
06.2013

Skills

  • Epic
  • Data entry
  • CPT coding
  • Medical imaging
  • Accounts receivable
  • Diagnostic radiology
  • ICD-9
  • Insurance claims processing
  • Medical billing
  • EMR systems
  • Medical coding
  • Utilization review
  • Insurance verification
  • OSHA
  • Customer service
  • Medicare/ Medicaid
  • Medical terminology
  • ICD-10
  • Accounting
  • Revenue cycle management
  • Medical records
  • Answering phones
  • Proficiency in typing
  • Time management
  • Organizational skills
  • HIPAA compliance
  • Claims processing
  • Patient management
  • Electronic health records
  • Electronic claims
  • Medical terminology expert
  • Attention to detail
  • Account management
  • Payment posting
  • Denial management
  • Billing codes
  • HIPAA compliance certification
  • Teamwork and collaboration
  • Patient account analysis
  • Reimbursements
  • Balance reconciliation
  • Communication skills
  • Claim review

Accomplishments

  • National Honors Society 3.7 GPA

Certification

  • Medical Billing and Coding
  • Healthcare Professionals Coursework

Timeline

Medical Biller

CVS
12.2023 - Current

Medical Billing and Coding Specialist

Neurology- Private Practice
12.2022 - 11.2023

Patient Service Representative/Medical Coding

Excela
01.2022 - 12.2025

Assistant Teacher

Great Expectations
11.2021 - 05.2022

Counselor

ICCAP FOOD BANK
01.2021 - 11.2021

Medical Assistant

Sleppy Chirpractic
08.2020 - 11.2020

Nursing Assistant

Country Living Personal Care Home
08.2011 - 05.2020

Certificate - Health Care Management in Medical Billing & Coding

University of Phoenix-Online Campus

Blairsville High School -

Blairsville High School

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Ashley Depetro