Ashley Gates

Responsible for obtaining insurance authorizations for chemotherapy for a very busy multi-physician oncology center.

• Abstracted pertinent information from patient records regarding diagnoses, pathology, staging for insurance/authorization purposes along with reviewing current NCCN Guidelines
• Worked with supervisor to assess needs and determine best courses of action.
• Managed filing systems for electronic and hard copy documents to keep organized records.
• Entered data, generated reports, and produced tracking documents.

• Processed medical records requests from outside providers according to facility, state, and federal law.
• Maintained accuracy, completeness, and security for medical records and health information.
• Maintained patient records systems by archiving, scanning and indexing important documents and files.
• Analyzed complex medical records to identify discrepancies in accuracy and completeness.
• Kept accurate log of requests for medical information and records
• Established and managed policies for completing, coding, signing and indexing records.

Responsible for obtaining authorizations for outpatient surgery for very busy medical center.

• Researched missing or inaccurate information to establish insurance eligibility and patient liabilities.
• Verified by telephone or internet eligibility and benefits for third-party payer insurance from information provided on patient registration form.
• Received patient type change notification and took action necessary to meet third-party payer care and coverage guidelines.

• Maintained confidentiality of all medical records and sensitive information to comply with HIPAA regulations.
• Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
• Scanned medical records in digital format for easy retrieval and accessibility.
• Assisted in preparation of medical records to release to other medical facilities requesting for patient history and information.
• Responded to patient inquiries to provide information and details of medical records.
• Implemented new policies and procedures in order to streamline medical records department workflow on a daily basis

• Greeted customers entering store and responded promptly to customer needs.
• Built relationships with customers to encourage repeat business.
• Operated cash register for cash, check, and credit card transactions with excellent accuracy levels.
• Worked flexible schedule and extra shifts to meet business needs.
• Stocked, tagged and displayed merchandise as required.
• Tallied cash drawer at beginning and end of each work shift.

Maintained paper charts for three providers.

• Obtaining mail
• Checking faxes
• Organizing all faxes by provider, document type.
• Ensuring all documents were reviewed by physician before filing into patient chart