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Ashley White

@ashleywhite

I adjudicate high-volume medical claims with accurate reimbursement and denial resolution.

United States
Message

What I'm looking for

I'm looking to continue processing and resolving complex healthcare claims, applying payer guidelines, coding research, reimbursement analysis, and HIPAA-compliant documentation in a quality-focused remote environment.

At Sutherland Global, I process 70+ complex Commercial, Medicare, and Medicaid medical claims daily, adjudicating hospital facility and professional billing claims across inpatient, outpatient, emergency, and non-emergency services.

I investigate coding, documentation, reimbursement, and denial issues using payer guidelines, fee schedules, and ICD-10, CPT, and HCPCS research. I maintain 95% Procedural Quality, 98% Payment Accuracy, and 99% Financial Accuracy while protecting PHI under HIPAA requirements.

My earlier remote support work at Aspen Dental and ResultsCX strengthened my patient insurance verification, documentation, scheduling, and customer-resolution skills.

Experience

Work history, roles, and key accomplishments

SG
Current

Data Claims Specialist

Sutherland Global

Jul 2024 - Present (2 years 1 month)

Processes 70+ complex medical claims daily across Commercial, Medicare, and Medicaid lines of business, adjudicating Hospital Billing (HB) and Professional Billing (PB/HCFA-1500) claims. Reviews claims for discrepancies, coding issues, and reimbursement accuracy, and resolves denial-related issues through documentation review and system analysis.

Education

Degrees, certifications, and relevant coursework

HS

High School

High School Diploma, General Studies

Completed high school education.

Tech stack

Software and tools used professionally

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