Ashley Pilarte

I’m a results-driven Revenue Cycle and Insurance Claims Specialist with 5+ years of experience managing healthcare claims, insurance verification, accounts receivable follow-up, reimbursement resolution, and patient account research. I analyze denied and underpaid claims, verify eligibility and benefits, investigate billing discrepancies, and communicate clearly with insurance carriers, providers, and patients to drive timely resolution.

In my current CORROHEALTH role, I manage patient accounts and conduct detailed research to resolve billing, reimbursement, and eligibility issues. I review claim status, payment activity, and account documentation, investigate denied/rejected/underpaid claims to identify root causes, and maintain accurate records while meeting productivity, quality, and service-level expectations in a high-volume remote environment.

Previously, as a Claims Analyst at MEDUIT and an Insurance Verification Specialist at TEKSYSTEMS, I verified insurance eligibility and coverage limitations, analyzed denials and payment discrepancies, and documented payer communications within system platforms. I focus on HIPAA compliance, accurate documentation, and clean claim submission—working with billing teams to support correct reimbursement and reduce aged accounts receivable.