Ashley White
@ashleywhite
I adjudicate high-volume medical claims with accurate reimbursement and denial resolution.
What I'm looking for
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
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
High School
High School Diploma, General Studies
Completed high school education.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Skills
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