Ashley King
Port Saint Lucie
Summary
Dedicated and detail-oriented healthcare administrator with a strong focus on improving patient care. Seeking a position to utilize organizational skills for enhancing operational efficiency and supporting quality assurance initiatives. Expertise in insurance verification and patient communication. Eager to take on a challenging new role to make a positive impact in the healthcare industry.
Overview
14
14
years of professional experience
Work History
Insurance Verification Specialist
Jupiter Medical Center
11.2024 - Current
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Updated patient records with accurate, current insurance policy information.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Coordinated scheduling for upcoming patient visits.
Clinical Review Specialist II
Sun Life
07.2016 - 07.2024
- Researched, followed-up and resolved open or pending authorizations
- Calculated cash payment estimates for patients for upcoming visits or procedures
- Initiated contact with insurance companies for verification of benefits
- Reviewed and verified all insurance plans to confirm patients’ eligibility and benefits
- Verified specific CDT codes through medical insurance companies to verify coverage and eligibility
- Verified whether patients plan is primary or secondary, HMO/PPO, or commercial carrier insurance
Team Lead-treatment coordinator
Sage Dental
01.2013 - 07.2016
- Handled high volume calls
- Scheduled and maintained my doctor’s schedule
- Verified insurance coverage breakdowns, and patient responsibility
- Handled my doctors schedule for multiple office locations
- Held morning huddles with my team to discuss the plan of action for the day ahead
Team Lead-Surgical assistant
Great Expressions
01.2011 - 01.2013
- Held morning huddles with my team to discuss the plan of action for the day ahead
- Worked chairside with my doctor during examinations and surgeries
- Sterilized instruments
- Took diagnostic x-rays
- Handled high volume calls
- Schedule patients for their upcoming surgeries
- Handled my doctors schedule for multiple office locations
Education
As In Health Care Administration -
Indian River State College
Fort Pierce, FL05.2025
Skills
- Microsoft Applications
- Detail-Oriented
- Strong Communication
- Adaptability
- Effective Issue Resolution
- Time Management
- Experience with Epic Software
- Dentrix Proficiency
- Authorization Process
- Organized Data Management
- Proficient in HIPAA Standards
- Reviewing Patient Eligibility Criteria
- Insurance coverage verification
- Coverage and authorizations
- Coordination and scheduling
- Electronic medical records
- Prior authorization processing
- Patient communication
Timeline
Insurance Verification Specialist
Jupiter Medical Center
11.2024 - Current
Clinical Review Specialist II
Sun Life
07.2016 - 07.2024
Team Lead-treatment coordinator
Sage Dental
01.2013 - 07.2016
Team Lead-Surgical assistant
Great Expressions
01.2011 - 01.2013
As In Health Care Administration -
Indian River State College