Summary
Work History
Overview
Education
Skills
Certification
Work Availability
Timeline
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Ashley Brown

Morrisville,NC

Summary

Results-driven Healthcare Administration and Revenue Cycle Specialist with over 10 years of progressive experience in hospital, physician practice, and home health agency settings. Highly skilled in interpreting insurance contract verbiage, government payer reimbursement guidelines, and managed care agreements. Experienced in contract management platforms, revenue cycle reporting, account audits, and reimbursement calculations. Proven ability to support contract management functions, contract build testing, and file balancing within dynamic healthcare environments.

Work History

Oncology Coordinator

Duke University
02.2024 - Current
  • Review and abstract patient medical records, pathology reports, imaging, and genetic testing to accurately assign oncologist and care pathways based on cancer diagnosis and stage.
  • Develop disease-specific flowsheet for oncology teams, improving scheduling and patient visit management.
  • Collaborate with multidisciplinary teams to ensure accurate data capture for patient care, reporting, and registry tracking.
  • Educate patients on oncology care plans, diagnosis, and treatment options, aligning clinical documentation with care goals.
  • Conducted financial clearance, insurance benefit analysis, and authorization management for patients across all Duke Health departments and service lines, including oncology, cardiology, surgery, and primary care.
  • Resolved insurance denials, coordinated appeals, and collaborated with both clinical and administrative teams to ensure timely patient access to services.
  • Maintained accurate patient financial records and documentation in EPIC, ensuring compliance with HIPAA and insurance regulations.


Global EAP Business Operations Specialist

UnitedHealth Group
12.2021 - 08.2023
  • Managed and analyzed sensitive healthcare data across global EAP programs, maintaining HIPAA compliance.
  • Delivered training on healthcare compliance and data security protocols to improve operational accuracy.

Lead Customer Service Representative

TridentCare Health Services
01.2021 - 06.2022
  • Coordinated patient services and medical record documentation for diagnostic imaging and lab services.
  • Analyzed performance metrics, identified trends, and supported workflow enhancements.

Patient Counselor

Wayne Memorial Hospital
12.2015 - 10.2017
  • Reviewed patient records, assisted with insurance paperwork, and collaborated with legal and medical teams to process claims.
  • Ensured data accuracy and compliance with medical billing and HIPAA standards.

Benefits/Claims Specialist

XEROX
04.2008 - 12.2014


  • Developed and implemented process improvements that reduced claim resolution times significantly.
  • Maintained knowledge of open enrollment, benefits claims processes, claims principles procedures and HIPPA regulations.
  • Managed daily insurance verification, authorization, and reimbursement processes for Medicare, Medicaid, and Managed Care contracts.
  • Interpreted insurance contract language to ensure compliance with reimbursement structures and timely authorization approvals.


Overview

17
17
years of professional experience
1
1
Certification

Education

Bachelor of Science (B.S.) - Healthcare Administration

Southern New Hampshire University
Manchester, NH
05.2020

Skills

  • Oncology Data Abstraction
  • Medical Record Review
  • Cancer Staging & Terminology (AJCC, ICD-O)
  • Data Analysis & Metric Tracking
  • EPIC EMR Documentation
  • HIPAA & Regulatory Compliance
  • Financial Clearance & Authorization Management
  • Medical Terminology Expertise
  • Microsoft Office (Excel, Word, Outlook)
  • Attention to Detail & Critical Thinking
  • Excellent Interpersonal & Written Communication
  • Organizational & Time Management Skills

Certification

Certification In Progress: Certified Tumor Registrar (CTR) Preparation

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline

Oncology Coordinator

Duke University
02.2024 - Current

Global EAP Business Operations Specialist

UnitedHealth Group
12.2021 - 08.2023

Lead Customer Service Representative

TridentCare Health Services
01.2021 - 06.2022

Patient Counselor

Wayne Memorial Hospital
12.2015 - 10.2017

Benefits/Claims Specialist

XEROX
04.2008 - 12.2014

Bachelor of Science (B.S.) - Healthcare Administration

Southern New Hampshire University