Ashley Harris Email & Phone Number

United States

o Leads a team of disability specialists in a remote environment, bi-weekly connections, and team meetings.o Assists management with development of the organization related policies, practices, and attainment of operational goals.o Tracks performance and provides analysis and reporting on metrics.o Assist with supervisor calls.o Maintain a direct working relationship with quality and training, as well as leadership, on reporting and identifying trends and opportunities for growth and improvement in the department.o Provides ongoing coaching, counseling, and performance management.o Conduct interviews for future candidates.

Centene (Home State Health Plan), Chesterfield, MONov 2017 – present• Lead (July 2018-Pres)o Coordinate the day-to-day work functions and act as the “go to” person for investigating and resolving complex issue and escalated call requests. o Work with leadership to initiate change requests and process improvement initiative to streamline claims processing and other related tasks.o Contributed to a reduction in escalated requests but empowering staff. Point staff to current materials to answer escalated and complex inquiries from members and providers regarding claims, eligibility, covered benefits and authorization status matters.o On escalated requests, provide first call resolution and “own the process” by working with appropriate internal/external resources to ensure the resolution of all inquiries.o Maintain a direct working relationship with quality and training, as well as leadership, on reporting and identifying trends and opportunities for growth and improvement in the department. o Collaborate with other departments on cross functional tasks and projects in an effort to mmaintain performance and quality standards based on established call center metrics.• Provider Rep (Nov 2017-July 2018)- o Resolve providers inquiries via telephone to answer escalated & complex inquiries regarding claims, eligibility, benefits, appeals & authorizationso Research & identifying processing inaccuracies in claim paymentso Support for Home State Health claim liaison teamo Work with other departments on cross functional tasks & projects. o Handle and resolve complex member data issues.

Maryland Heights, Missouri

Magellan, Maryland Heights, MOApr 2017 – Sep 2017 • Clinical Pharmacy Technician• Handled an average of 150 inbound provider and pharmacy requests daily.• Consistently met or exceeded expectations on daily, weekly, and monthly metrics for productivity and adherence.

Greater St. Louis Area

Express Scripts, St Louis, MOJun 2016 – Apr 2017 Pharmacy Techniciano Process letter requests by manual or automated databases, typing customer service notes in system, pulling Rx, and processing member correspondence.o Work Rx pull requests, re-scan, and work with RPh (retail pharmacist) to obtain appropriate documentation to resolve request.o Routinely worked with little to no direct supervisiono Effectively managed pharmacy requests requiring further review. Many times necessitating an outbound call to a pharmacist and or insurance for authorization. o Additional duties as assigned.

Maryland Heights, Mo

Walgreens, Maryland Heights, MOFeb 2016 – Jun 2016 Pharmacy Techniciano Process new prescriptions, refill prescriptions and answer phone. o Speak with doctor offices and insurance companies Data Entry an Inventory Control & Process Insurance Claims

Saint Louis, Missouri

Charter Communications, Town & Country, MODec 2012 – Jun 2013 Internet Support Repo Took inbound calls from customers to troubleshoot Internet and phone services. Upgrade customer bundles.

Chesterfield, Missouri

Rose International (Verizon), Weldon Springs, MOAug 2010 – Nov 2012 System Analystt/Leado System Analyst- Providing technical solutions to order's that fall out of system due to various errors• Investigate, analytical an problem solvingo Responsible for companies central office operations and switching functionso Processing orders to point of technician dispatch to meet the date of installation for customers.o LEAD-Maintain work goals and responsible for assisting and training team members with day to day dutieso Handle escalations and supervisor calls• Communicated with team members thru an IM environment.o Assisted manager with research on different situations.

Maryland Heights, Missouri

United Health Care, Maryland Heights, MOJul 2009 – Jun 2010 • Customer Service Repo Took inbound calls from members that have Medicare Part D. Processed enrollment applications into Medicare Part D coverage. o Spoke with Dr’s and pharmacy’s regarding prescription drug coverage for member. o Resolved complex enrollment issues, complex claim issues.

US Cellular, Earth City, MOMay 2015- April 2009 Lead/Events Teamo LEAD-Maintain work goals and responsible for assisting and training team members with day to day duties• Handle escalations and supervisor callso Communicated with team members thru an IM environment.Handle scheduling in the store.o Assisted with store inventory. Assisted with diagnostic test of cell phoneso Research billing concerns for customers.o EVENTS TEAM- Provided sales/support for events sponsored by US Cellular. o Diagnosed cell phone issues. o Assisted with research and resolution of customer billing inquires/errors.

Associate Of Science (A.S.), Medical/Clinical Assistant

Earned my Associate Degree.

Hs Diploma, Preparation For College

Activities and Societies: Yearbook CommitteeApart of the Yearbook Committee.

Associate Of Arts And Sciences - Aas