Ashley Beaulac
@ashleybeaulac
I process healthcare claims, medical records, and compliance documentation accurately.
United StatesWhat I'm looking for
I've supported healthcare operations across Los Angeles County Department of Mental Health, APIDEL TECH, and Tri-Star Risk Management, processing medical documentation, claims, and records in high-volume environments.
At Los Angeles County Department of Mental Health, I process clinician reports and medical documentation while using IBHIS and EMR systems to review patient files, referrals, and provider documentation. I verify Medi-Cal and Medicare coverage, track Grievance & Appeals documentation, and safeguard PHI under HIPAA requirements.
At APIDEL TECH, I managed a daily queue of 40+ medical and health benefit claim files, adjudicated claims, applied Coordination of Benefits rules, and prepared files for Provider Dispute Resolution. I also supported provider appeal and denial reviews to identify payment variances and contract mismatches.
My background also includes workers' compensation claims examination, payroll support, account reconciliation, and client support for sensitive employee records.
Experience
Work history, roles, and key accomplishments
Intermediate Typist Clerk
Los Angeles County Department of Mental Health
Oct 2022 - Jul 2026 (3 years 9 months)
Processed complex clinician reports and official medical documentation for mental health cases, ensuring compliance with county, state, and Medi-Cal regulatory standards. Supported patient operations using IBHIS and EMR systems, verified member health coverage, and assisted with Grievance & Appeals tracking.
Claims Associate
Apidel Tech
Jul 2021 - Nov 2021 (4 months)
Managed a high-volume daily queue of 40+ medical and health benefit claim files, achieving strict productivity and accuracy thresholds. Reviewed and adjudicated claims using Coordination of Benefits rules, facilitated audits, and supported Provider Dispute Resolution processes.
HR Payroll Assistant
Calivas Truck and Polishing
Sep 2019 - Dec 2019 (3 months)
Processed payroll files, billing summaries, and cross-departmental invoicing structures using internal software and advanced Excel models. Completed account reconciliations and internal file audits while protecting sensitive corporate financial records.
Workers' Compensation Claims Examiner
Tri-Star Risk Management
Sep 2018 - Sep 2019 (1 year)
Evaluated complex workers' compensation claim folders and directed medical management activities. Coordinated communication with medical providers, employers, and legal stakeholders, and processed treatment authorizations and utilization reviews.
Investigated complex multi-jurisdictional payroll variances and reconciled employee historical data for high-value corporate accounts. Managed high-volume sensitive employee archives while preserving data integrity and confidentiality.
Education
Degrees, certifications, and relevant coursework
University of Phoenix
Bachelor of Science, Human Services
Bachelor of Science in Human Services degree from the University of Phoenix.
Availability
Location
United StatesAuthorized to work in
Job categories
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