Summary
Overview
Work History
Education
Skills
Timeline
Generic

ASHLEY BARRETT

Lauderhill,FL

Summary

Healthcare operations professional focused on claims, eligibility, benefits verification, and authorization review. Leads large teams, supports performance coaching and scheduling, and resolves processing errors while maintaining HIPAA compliance, accurate records, and efficient workflow execution.

Overview

8
8
years of professional experience

Work History

Benefits Processor

HealthSpring
Fort Lauderdale, Florida
08.2026 - Current
  • Reviewed benefit documents and verified data accuracy, maintaining integrity of HealthSpring records.
  • Resolved processing errors by applying policy guidelines and plan documents, enhancing overall claims processing accuracy.
  • Processed member claims enrollment forms and correspondence, ensuring timely and accurate enrollment for HealthSpring.
  • Entered customer information into claims and eligibility systems.
  • Maintained confidential health records and protected sensitive member information.

Billing Supervisor (Specialty Pharmacy)

NYU Langone Health/ New York University
05.2020 - 08.2026
  • Manages a team of 25+ responsible for processing authorizations for specialty pharmacy drugs and infusions
  • Resolved issues and escalations related to authorizations and customer service
  • Evaluates the performance of team members and provides feedback regarding meeting benchmarks and productivity
  • Managed workflow and implemented process improvements to enhance staff development
  • Mentored and monitored entry-level staff, supporting daily functions including scheduling, time-off requests, and workforce management

Insurance/Claims Verifier

Rand Eye Institute
01.2019 - 03.2020
  • Executed insurance verification for assigned payors through electronic eligibility software, telephone, or fax, ensuring timely and accurate processing of claims
  • Performed account maintenance by validating statement groups, financial class, and payor codes for accuracy and currency
  • Resubmitted claims with corrected codes, modifiers, and other PHI
  • Ensured compliance with HIPAA guidelines and company policies to protect patient private health information (PHI)

Benefits and Authorization Specialist

Advent Health
10.2018 - 01.2019
  • Verified insurance benefits, eligibility, and authorization requirements to facilitate patient access to necessary services
  • Tracked accounts for changes in authorization status and communicated updates to relevant stakeholders
  • Calculated patient estimates based on copay, coinsurance, and out of pocket information for surgical procedures
  • Organized patient case files and coordinated sending of clinical documentation to support timely processing of authorizations

Education

B.S. - Health Sciences/Pre-Clinical

UNIVERSITY OF CENTRAL FLORIDA
Orlando, FL
01-2017

High School Diploma - International Affairs

POMPANO BEACH HIGH SCHOOL
Pompano Beach, FL
01-2011

Skills

  • Benefits verification
  • Authorization management
  • Insurance verification
  • Eligibility systems
  • Claims processing
  • HIPAA compliance
  • Process Improvement
  • Team Management
  • Staff Development
  • Customer Service
  • Critical Thinking
  • Case Management

Timeline

Benefits Processor

HealthSpring
08.2026 - Current

Billing Supervisor (Specialty Pharmacy)

NYU Langone Health/ New York University
05.2020 - 08.2026

Insurance/Claims Verifier

Rand Eye Institute
01.2019 - 03.2020

Benefits and Authorization Specialist

Advent Health
10.2018 - 01.2019

B.S. - Health Sciences/Pre-Clinical

UNIVERSITY OF CENTRAL FLORIDA

High School Diploma - International Affairs

POMPANO BEACH HIGH SCHOOL
ASHLEY BARRETT