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Elizabeth J. Ashbaugh
12090 Calle De Montana #254
El Cajon, CA 92019
H (619) 303-4929
C (612) 345-2683
 
Software Skills:
 
Officeally (Practice Mate) Medical Software, Medisoft Version 12 and 14, Medical Manager, MedFx, Eclispe, Paychex, Quick Books, Clear Connect and Zirmed Electronic Billing Software, Cerner Powerworks, DISC Level 7 and 8 (Vital Works) Computer System, IDX, MN ITS, DME Express, and SyMed Credentialing Software.
 
Work Experience:
 
Albert J. Sharf, MD, INC., National City, CA 08/10 – current (Temporary assignment)
 
Insurance Specialist/Payroll/Credentialing/Accounts Receivable
 
  • Entering charges daily for Medicare, Medi-cal, HMO’s, PPO’s, Private insurance, Personal Injury, and Workers Compensation 
  • Worked aging and set-up patient arrangements for amounts due for their deductibles and co-insurance balances 
  • Coding charges with CPT, HCPC and ICD-9 codes, filing appeals to insurance companies and Worker’s Compensation
  • Posting payments from EOB’s/EOR’s, posting patient copays and co-insurance, and working denials from the EOB/EOR’s
·         Submitting claims electronically, contacting insurance companies and Attorney's, and responsible for prior authorizations, for the follow-up of all denied claims, and the filing of claims to the patient’s secondary insurance carriers. 
·         Attaching all appropriate documentation (from EMR) to claims that are filed to Worker’s Compensation Carriers.
  • Help this practice with their contracting, credentialing, re-credentialing with HMO’s, PPO’s, IPA’s and Managed Care carriers.
  • Responsible for the Payroll for ten employees and the calculation of their accrued PTO
 
PDS, San Diego, CA 09/09 –08/10
 
Account Insurance Specialist for Orthopedics/Physical Therapy and a Neurosurgeon
 
  • Entering charges daily for Medicare, Medi-cal, HMO’s, PPO’s, Private insurance, Personal Injury, and Workers Compensation 
  • Worked aging and set-up patient arrangements for amounts due for their deductibles and co-insurance balances 
  • Coding charges with CPT, HCPC and ICD-9 codes, filing appeals to insurance companies and Worker’s Compensation
  • Posting payments from EOB’s/EOR’s, posting patient copays and co-insurance, and working denials from the EOB/EOR’s
·         Submitting claims electronically, contacting insurance companies and Attorney's, and responsible for prior authorizations, for the follow-up of all denied claims, and the filing of claims to the patient’s secondary insurance carriers. 
·         Attaching all appropriate documentation (from EMR) to claims that are filed to Auto/Personal Injury and Worker’s Compensation Carriers.
 
Water and Sports Physical Therapy, San Diego, CA 07/09 – 08/15/09 (Contracted Office position)
Central Urgent Medical Care, Montclair, CA 04/09 - 08/09 (Contracted Credentialing/Contracting position)
Robin Center Chiropractic/ Midway Healthcare Services and Physical Therapy, Robbinsdale, MN 08/07 – 07/09
 
Office Manager/ Collections/Insurance Specialist/Contracting and Credentialing
 
  • All aspects of the office, from scheduling and rescheduling appointments, answering multi-line phones, coding charges with CPT, HCPC and ICD-9 codes, entering charges daily for Medicare, Medi-cal, HMO’s, PPO’s, and Workers Compensation 
·         Submitting claims electronically, posting payments, contacting insurance companies and Attorney's and responsible for prior authorizations, for the follow-up of all denied claims, and the filing of claims to the patient’s secondary insurance carriers. 
  • Attaching all appropriate documentation to claims that are filed to Auto/Personal Injury and Worker’s Compensation Carriers.
  • Hired, trained and managed a staff of five and was responsible for all staff evaluations, payroll, accounts receivable/accounts payable and bank deposits. Helped with the training of staff to use computer software to its potential. 
  • Help these practices with their contracting, credentialing, re-credentialing with HMO’s, PPO’s, IPA’s and Managed Care carriers.
  •  Worked aging and set-up patient arrangements for amounts due for their deductibles and co-insurance balances  
 
 
 
 
 
 
 
 
Western Orthopaedic Surgery, Ltd., St. Louis Park, MN 03/05 to 08/07
 
Office Manager/Collections/Contracting and Credentialing/Project Coordinator/Insurance Specialist/Surgery Sch