Ashley Forston

• Accurately entered requests for prior authorizations.

• Accurately generated written correspondence.

• Oversaw daily operations of the department, including a team of up to 18, ensuring smooth workflow and timely completion of tasks.

• Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
• Resolved conflicts among team members promptly, maintaining a harmonious working environment conducive to productivity.
• Demonstrated commitment to the organization''s core values, leading by example and fostering a culture of excellence.
Collaborated with other departments to achieve organizational goals, fostering teamwork across various functions.

• Fostered culture of continuous improvement by leading regular review sessions to identify and implement process improvements.
• Mentored staff members, helping them develop their skills as Medical Management Specialists while also fostering a positive work environment.
• Conducted thorough audits of requests and letters to ensure compliance with legal requirements and industry best practices.
• Developed comprehensive training materials for new Medical Management Specialists, ensuring a consistent standard of knowledge across the team.
• Managed multiple projects simultaneously, effectively prioritizing tasks to meet expectations.
• Assisted in recruitment of staff to build team of top performers.
• Generated reports detailing findings and recommendations.
• Conducted regular reviews of staff production and identified areas for improvement.
• Evaluated staff performance and provided coaching to address inefficiencies.
• Developed effective improvement plans in alignment with goals and specifications.
• Helped meet changing demands by recommending improvements to business systems or procedures.
• Devised and implemented processes and procedures to streamline operations.
• Supported system projects by defining clear requirements and effectively communicating them to technical teams.
• Streamlined project management with effective communication and collaboration across cross-functional teams.
• Collaborated with other departments for letter layout and template design and compliance with protocols.
• Maintained multiple departmental SharePoint sites.
• Maintained InfoPath forms for the generation of written correspondence.

• Worked inquiries from customer service regarding issues with pharmacy, billing, claims and member eligibility.
• Entered and maintained member records into enrollment systems while maintaining excellent production and quality.
• Assisted in preparing records and samples for the annual audit from Medicare.
• Proofread and wrote Desktop Level Procedures to ensure instructions are clear and easy to follow.

• Pulled and maintained detailed daily data spreadsheets, using Excel and SQL processes.
• Enhanced office efficiency by managing schedules, organizing files, and maintaining a clean workspace.
• Supported recruitment processes, scheduling interviews and communicating with applicants to improve hiring timelines.
• Added new material to file records and created new records.

• Tracked orders and notified customers of status or potential delays.
• Adapted quickly to unexpected disruptions in the supply chain, developing contingency plans to minimize negative impacts on business operations.
• Improved order accuracy through meticulous data entry and verification processes.

• Ensured accurate record-keeping with diligent data entry and database management for vital company information.
• Managed filing system, entered data and completed other clerical tasks.
• Managed phone and email correspondence and handled incoming and outgoing mail and faxes.

• Supervised a staff of various backgrounds, many with behavioral or psychological issues or in the Kentucky Juvenile Justice Program in a job training program to learn racetrack jobs.
• Oversaw daily operations of the department, ensuring smooth workflow and timely completion of tasks.
• Reported on student progress, behavior and social skills to upper management, case workers, and social workers.
• Mentored staff members in their career development, sharing knowledge from years of experience in the field of horse racing.

• Assisted in the administration of medications, vaccinations, and treatments as prescribed by the veterinarian.
• Prepared monthly invoices utilizing QuickBooks.
• Provided billing support and ensured all bills were paid in full and timely,

• Confirmed all insurance benefits met standards of admissions as dictated by policy.
• Collected information, forms and signatures from patients or family members to create efficient admissions experience.
• Verified insurance information, collected payment or co-payment for services and created record of visit for future billing.
• Managed incoming calls from patients and other medical establishments through a switchboard and transferred calls to the proper extension.