ASHLEY FLEURIVAL
Summary
Experienced professional with 9+ years of extensive expertise in healthcare administration and inventory management. Skilled in-patient scheduling, insurance authorization verification and financial clearance within a medical setting. Proficient in EPIC cadence registration, Epic Resolute billing, Microsoft Excel, and Inventory systems, ensuring optimal product availability. Skilled at streamlining processes to enhance operational efficiency and patient satisfaction.
Overview
14
14
years of professional experience
Work History
Senior Patient Account Representative
Northwell Health
New Hyde Park, New York
03.2026 - Current
- Monitored accuracy of fee structure and reimbursement payment schedules for all cash deposits and refunds.
- Researched, review and resolved complex billing Remits,UB-04 forms, and reimbursement issues efficiently.
- Ensured accurate charge capture, claim submission, and payment posting processes.
- Investigated claim denials in Epic Resolute, coordinating timely resolutions with payers and internal teams.
- Collaborated with cross-functional departments to enhance workflow and improve patient financial outcomes.
- Documented denials in SSI, AEOS, and Epic systems for appeals submitted to appropriate clearinghouses.
Insurance and Financial Clearance Coordinator
Weill Cornell Medicine
New York, NY
09.2022 - 01.2026
- Responsible for obtaining financial clearance and prior balances that patients may have.
- Ensure that pre-authorization numbers prior to the scheduled exam are listed with accurate facilities/Mds' Npi/Tax Id numbers to limit claim denials.
- Ensures that patient demographics, insurance eligibility, and verification information have been established and documented in Epic cadence
- Obtain authorizations, pre-certifications/referrals, and scan documentation into the EMR EPIC system. Assist in creating referrals while verifying medical information from the MD's office.
- Manage follow-ups on outstanding claims to expedite payment processing. knowledge of insurance policies and regulatory changes affecting billing processes. Ensured compliance with HIPAA regulations.
- Reach out to the MD regarding appeals and denials of exams to submit additional paperwork in a timely manner. Analyzed patient financial data to ensure accurate account management and resolution.
- Assisted patients in understanding their financial responsibilities and payment options. Collaborate with offsite healthcare providers to verify insurance eligibility and benefits.
Senior Patient Coordinator (Dermatology)
Weill Cornell Medicine
New York
08.2021 - 10.2022
- Facilitated timely patient assistance as primary contact for practice, scheduling tests, appointments, and procedures.
- Complete initial registration when scheduling new patients, with all required demographic and insurance information.
- Import and verify the correct insurance for the patient's visit.
- Managed TeleMed requests for urgent appointments, ensuring prompt access for patients.
- Handled urgent COVID-related calls from patients visiting the office, ensuring prompt responses.
- Answer phones, respond to inquiries, and triage calls to appropriate MDs, medical assistants, nurses, and secretaries.
- Coordinated clerical and administrative support, including filing and scheduling meetings and appointments using EPIC system.
Physician Office Assistant II (Breast Cancer)
Memorial Sloan Kettering Cancer Center
New York
04.2018 - 07.2021
- Collect and input oncology clinical notes, pathology paperwork, radiology CDs, lab reports, and Oncotype results into the EPIC/Cadence EMR system, while reviewing patient charts for additional notes that may be required for treatment.
- Acted as primary contact for patient concerns, efficiently scheduling treatments and responding to calls while managing tasks through Outlook and addressing voicemails.
- Direct communication with MDs, NPs, and the chemotherapy team to finalize and submit the correct drugs to be mixed and prepared prior to patients' appointments.
- Coordinated with nurse practitioners, Echo, clinical research team, and MRI team to facilitate timely treatment scheduling for patients.
- Collaborated with clinical research and care teams at MSK to input data and synchronize office visits with clinical trial appointments and chemotherapy care plans.
- Assisted MD with submitting and correcting CPT codes, modifiers, and ICD codes for payment procedures weekly.
Patient Access Representative
Schweiger Dermatology Group
Long Island City, New York
04.2017 - 03.2018
- Scheduled patient appointments in Nextech, ensuring alignment with physician expertise and patient insurance coverage for optimal care delivery.
- Communicated with patients via Klara.com, effectively coordinating information flow between physicians, assistants, managers, and pharmacies to streamline patient care.
- Ensured patient labs and notes in NextEMR contained accurate details for future reference.
- Organized inventory by stocking medical supplies and arranging equipment, contributing to a well-maintained and efficient workspace.
Lead SWAT Inventory Specialist
Best Buy
Various Locations, New York
10.2012 - 03.2019
- Manage inventory levels to ensure product availability and accuracy. Conduct regular audits to verify stock counts. Utilize inventory management systems for tracking and reporting stock movements.
- Investigated discrepancies between physical counts and computer records, updated inventories using barcode scanners to enhance stock availability and minimize shortages while ensuring proper storage conditions.
- Maintained accurate records of purchases, shipments, products, and returns; optimized inventory levels at Best Buy through audits and replenishment planning, monitored shrinkage reports via Excel and POS systems, and prepared purchase/transfer orders for offsite and various Best Buy locations.
- Enhanced order processes with suppliers to ensure timely deliveries.
- Responded to customer requests regarding product availability, researched sales trends to forecast future product needs, and utilized ROS tracking systems for shipments to improve visibility and accountability.
Education
Bachelor of Science - Business Administration- Healthcare
Western Governors University
06-2027
Diploma - Medical Billing & Coding
The Manhattan Institute
New York01-2017
Skills
- Insurance verification processes
- Financial clearance processes
- Knowledge of medical insurance billing
- ICD-10 and CPT coding proficiency
- Electronic Medical Records Management
- Epic Systems proficiency
- Claims processing systems
- Auditing skills
- Healthcare provider collaboration
- Data entry and record keeping
- Patient Scheduling and Coordination
- Proficient in Microsoft Word and Excel
- Database management capabilities
- Regulatory compliance standards
- Effective time management
- Customer service with CRM focus
- Claims processing systems
Timeline
Senior Patient Account Representative
Northwell Health
03.2026 - Current
Insurance and Financial Clearance Coordinator
Weill Cornell Medicine
09.2022 - 01.2026
Senior Patient Coordinator (Dermatology)
Weill Cornell Medicine
08.2021 - 10.2022
Physician Office Assistant II (Breast Cancer)
Memorial Sloan Kettering Cancer Center
04.2018 - 07.2021
Patient Access Representative
Schweiger Dermatology Group
04.2017 - 03.2018
Lead SWAT Inventory Specialist
Best Buy
10.2012 - 03.2019
Bachelor of Science - Business Administration- Healthcare
Western Governors University
Diploma - Medical Billing & Coding
The Manhattan Institute