Ashley Gorwood
Maricopa,AZ
Summary
Meticulous RCM AR Follow Up Supervisor offering 15 plus years of comprehensive experience in administrative duties, finance, and healthcare. Forward-thinking and recognized for attention to detail, exceptional problem-solving abilities, quickly mastering new skills and commitment to quality and compliance. Take-charge professional delivering executive support and team leadership to business operations.
Overview
23
23
years of professional experience
Work History
RCM AR Follow Up Team Lead Supervisor
Ni2 Health, Inc.
Austin, Texas
02.2023 - Current
- Conduct meetings with staff to deliver updates, changes in directives, and team building.
- Hold regular one-on-one coaching sessions with staff members to encourage personal development.
- Create reports summarizing key performance indicators for management review.
- Conduct and deliver associate performance reviews.
- Track, monitor, and report on trending payer issues, and collaborate with other departments when necessary.
- Modify project plans when needed to better align with client and company objectives.
- Maintain and update SOPs
RCM Insurance Specialist III
Xtend Healthcare
Hendersonville , TN
07.2022 - 02.2023
- Participated in revenue cycle processes, working to maximize profitability, and increase revenue.
- Managed denials, late charges, and other special circumstances by following up with payers, submitting corrected claims, and filing appeals.
- Posted charges, payments, and adjustments.
- Evaluated the accuracy of provider charges, including dates of service, procedures, levels of care, and diagnosis codes.
- Facilitated orientation and training for new hires.
- Verified insurance coverage and eligibility for services using computer software.
Patient Care Coordinator
Dr. Paul Stemmer- General Surgeon
Ridgecrest, CA
01.2017 - 10.2019
- Assessed patient's need for additional resources such as home health aides or durable medical equipment suppliers in order to provide appropriate level of care.
- Communicated with patients and family to develop care plans.
- Scheduled evaluations and procedures for patients.
- Educated patients and caregivers in the use of at-home healthcare equipment.
- Set up referrals for additional services patients needed.
Office Liaison - Internal Medicine & Cardiology
Compassionate Doctors
Ridgecrest, CA
10.2005 - 03.2009
- Assisted with referrals, obtained prior authorizations and retro authorizations when necessary.
- Handled and processed a variety of claims, including short-term and long-term disability, and veteran/military claims.
- Approved and verified prescription refill requests, including obtaining prior authorizations.
- Created and implemented administrative processes and procedures to prioritize job tasks and establish personnel responsibilities.
Unit Secretary - Medical/Surgical & Telemetry Unit
Ridgecrest Regional Hospital
Ridgecrest, CA
08.2004 - 11.2005
- Transcribed physicians' orders and entered data into the computer system: ordering medications, blood tests, diagnostic testing, dietary needs, additional provider consultations, patient transportation, surgical procedures, family meetings, etc.
- Scheduled follow-up appointments for patients upon discharge.
- Answered telephone calls promptly and directed them to appropriate personnel or departments.
Phlebotomist/Nursing
Drummond Medical Group
Ridgecrest, CA
05.2002 - 08.2004
- Answered a multi-line phone system and directed callers to the requested personnel and departments.
- Trained new staff on office procedures, insurance processes, and medical terminology.
- Obtained blood, urine, and hair samples for medical testing.
- Nursing for several departments: OB/GYN, Internal Medicine, Oncology, Ortho, and Pediatrics.
- Certified Cast-Tech - applying casts or splints to fractured or broken bones, as ordered by the Ortho department or Urgent Care.
Education
Successful Completion - Ni2 University Revenue Cycle Process
Ni2 Health, Inc.
04-2024
Certification - Phlebotomy
Boston Reed Medical
Bakersfield, CA06.2002
High School Diploma -
Sherman E Burroughs High School
Ridgecrest05.2002
Skills
- Critical Thinking
- Attention to Detail
- Key Performance Indicators
- Interviewing and Hiring
- Coaching and Mentoring
- Performance Reviews
- Timesheet Management/PTO Approvals
- Quality Assurance Audits
- AR Management
- Trends Tracking
- Creating & Maintaining SOPs
- Management Reporting
- Pivot Tables
- Cerner
- Epic
- Prism
- Verbal and Written Communication
- Revenue Analysis
- Time Management
- Root Cause Analysis
- Microsoft Office/Excel
- Data Analytics
- Performance Management
- Hospital Billing
- Physician Billing
- Planning and Prioritization
- Documentation and Reporting
- Project management
- Team Building
References
- References available upon request.
Timeline
RCM AR Follow Up Team Lead Supervisor
Ni2 Health, Inc.
02.2023 - Current
RCM Insurance Specialist III
Xtend Healthcare
07.2022 - 02.2023
Patient Care Coordinator
Dr. Paul Stemmer- General Surgeon
01.2017 - 10.2019
Office Liaison - Internal Medicine & Cardiology
Compassionate Doctors
10.2005 - 03.2009
Unit Secretary - Medical/Surgical & Telemetry Unit
Ridgecrest Regional Hospital
08.2004 - 11.2005
Phlebotomist/Nursing
Drummond Medical Group
05.2002 - 08.2004
Successful Completion - Ni2 University Revenue Cycle Process
Ni2 Health, Inc.
Certification - Phlebotomy
Boston Reed Medical
High School Diploma -
Sherman E Burroughs High School