Ashley Shields

Ashley Shields Email and Phone Number

Benefits & Entitlements Specialist, EDPNA @ Care Design New York
albany, new york, united states
Ashley Shields's Location
Albany, New York Metropolitan Area, United States
Ashley Shields's Contact Details

Ashley Shields work email

Ashley Shields personal email

n/a
About Ashley Shields

My resume reflects approximately 18 years of experience in the following areas; NYS Medicaid enrollment and eligibility, community outreach, managed Medicaid health plan marketing, patient advocacy, social services communications, SSA non-attorney representation (EDPNA), Social Security Administration law, disability determinations, SSA/SSI/SSDI/SSD appeals, reconsiderations and waivers, NYS waiver programs OPWDD/Children’s/TBI/NHTD, NYSOH Certified Application Counselor, high dollar healthcare revenue cycle, Large scale healthcare case management, More recently I have filled a role as a subject matter expert for SSA disability law, NYS Medicaid rules, regulations specifically OPWDD eligible individuals and families.

Ashley Shields's Current Company Details
Care Design New York

Care Design New York

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Benefits & Entitlements Specialist, EDPNA
albany, new york, united states
Website:
caredesignny.org
Employees:
328
Ashley Shields Work Experience Details
  • Care Design New York
    Benefits And Entitlement Specialist
    Care Design New York Jun 2018 - Present
    Albany, Ny
  • Shields Consulting
    Company Owner
    Shields Consulting Jun 2018 - Present
  • Meddata
    Patient Advocate
    Meddata Nov 2016 - Jul 2017
    Albany, New York Area
  • Chamberlin Edmonds, Now Change Healthcare
    Heathcare Representative
    Chamberlin Edmonds, Now Change Healthcare Feb 2012 - Apr 2016
  • Nco Financial Systems
    Patient Advocate
    Nco Financial Systems Oct 2009 - Feb 2010
    Albany, New York Area
    Traveling liasion in Capital District hospitals working with uninsured patients. Determine eligiblity and oversee application process for Medicaid, CHP and FHP.
  • Fidelis Care
    Marketing Representative
    Fidelis Care Feb 2007 - Jan 2010
    Albany, New York Area
    Sole designee and FE for Medicaid & CHP & FHP assigned to St Marys Hospital, Troy, NY. Coordinated with hospital staff to provide financial assistance to qualifying patients; screened potential applicants and communicate requirements of eligibility via home visit, local healthcare providers office or at St. Marys hospital. Requested, verified and proofed supporting documentation. Roving Marketing Representative for Rensselaer County; actively supported and promoted Fidelis’ mission.
  • Wellpoint Anthem
    Medical Representative
    Wellpoint Anthem Jan 2004 - Jan 2007
    Albany, New York Area
    Coordinated inquiries for pre-determinations; insurance authorizations on behalf of Physicians, Hospitals and Members; review all pertinent insurance information to establish whether or not procedures were medically necessary; authorize procedures within the scope of plan’s coverage; and conduct applicable and necessary medical coding related to all inquiries.

Ashley Shields Skills

Medicaid Managed Care Social Services Social Security Disability Patient Advocacy Patient Relations Organization Skills Community Outreach Communication Government Compliance Government Communication Healthcare Industry Social Work

Ashley Shields Education Details

Frequently Asked Questions about Ashley Shields

What company does Ashley Shields work for?

Ashley Shields works for Care Design New York

What is Ashley Shields's role at the current company?

Ashley Shields's current role is Benefits & Entitlements Specialist, EDPNA.

What is Ashley Shields's email address?

Ashley Shields's email address is as****@****nny.org

What schools did Ashley Shields attend?

Ashley Shields attended Southern New Hampshire University.

What skills is Ashley Shields known for?

Ashley Shields has skills like Medicaid Managed Care, Social Services, Social Security Disability, Patient Advocacy, Patient Relations, Organization Skills, Community Outreach, Communication, Government Compliance, Government Communication, Healthcare Industry, Social Work.

Who are Ashley Shields's colleagues?

Ashley Shields's colleagues are Rita Feliciano, Gilchrist Gina, A G, Nidia Enciso, Patricia Chapman, Delcia Reid Msw, Gavin Johnson.

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