Ashlei Crump
Katy
Summary
Detail-oriented healthcare professional with experience as an LTSS Service Coordinator, transitioning into a Medical Release of Information Specialist role. Proven background in managing confidential patient records, ensuring HIPAA compliance, and coordinating accurate, timely documentation across multidisciplinary teams. Skilled in reviewing, processing, and safeguarding sensitive health information while meeting regulatory requirements and organizational deadlines. Brings strong organizational skills, attention to detail, and a commitment to data integrity, and patient privacy.
Overview
10
10
years of professional experience
Work History
LTSS Service Coordinator
Community Health Choice
Houston
03.2024 - Current
- Reviewed, processed, and safeguarded patient health records in accordance with HIPAA, state law, and contractual requirements.
- Conducted telephonic assessments to evaluate medical, social, and long-term care needs.
- Coordinated patient services and care plans for diverse community health needs.
- Reviewed, processed, and safeguarded patient health records in accordance with HIPAA, state law, and contractual requirements.
- Assisted in training new staff on operational procedures and patient interactions.
Program Coordinator
Centene
Houston
08.2023 - 03.2024
- Coordinated program activities across multiple departments to enhance collaboration.
- Received inbound calls from members to educate them on Case Management services and facilitate enrollment into Case Management programs.
- Managed assigned tasks from health plan referral queues, conducting outreach to members identified for Case Management services
Case Management Representative
Methodist Healthcare
Houston
02.2022 - 08.2023
- Delivered Medicare Notices of Discharge, captured required signatures, and addressed patient and representative questions regarding appeal rights.
- Assisted with clerical and clinical functions for patients, physicians, and staff.
- Coordinated follow-up appointments and confirmed timely delivery of post-acute services and equipment to support continuity of care.
- Documented insurance authorizations, approvals, and denials while assisting with appeals processes.
Medical Management Specialist
Anthem, Inc
Houston
04.2016 - 02.2022
- Provided non-clinical support to the Medical Management and Operations teams to support daily workflows and service delivery.
- Coordinate care with multidisciplinary teams, including providers, internal departments, and community resources, ensuring timely and appropriate services.
- Maintain accurate and compliant documentation of assessments, care plans, referrals, and communications in electronic health record systems.
- Support regulatory compliance, quality assurance initiatives, through record-keeping and adherence to HIPAA and state laws.
Education
Bachelor of Science - Health Information Management
Western Governors University
Salt Lake City, UT12-2028
BACHELOR OF SCIENCE - HEALTH ADMINISTRATION
University of Phoenix
Phoenix, AZ10.2021
Skills
- Clinical documentation & Record Management
- Attention to Detail & Quality Assurance
- Electronic Health Records (EHR/EMR)
- HIPAA Compliance & PHI Compliance
- Long-Term Services & Supports (LTSS) Coordination
- Case management
Timeline
LTSS Service Coordinator
Community Health Choice
03.2024 - Current
Program Coordinator
Centene
08.2023 - 03.2024
Case Management Representative
Methodist Healthcare
02.2022 - 08.2023
Medical Management Specialist
Anthem, Inc
04.2016 - 02.2022
Bachelor of Science - Health Information Management
Western Governors University
BACHELOR OF SCIENCE - HEALTH ADMINISTRATION
University of Phoenix