ASHLEY KNUTSON
Gleason,WI
Summary
Results-oriented professional experienced in managing medical office operations and claims processing. Expertise in administrative management, scheduling, billing, and compliance, emphasizing accuracy and effective communication. Proven ability to analyze data and trends, support team collaboration, and resolve technical issues. Committed to enhancing patient care and operational efficiency in healthcare settings.
Overview
12
12
years of professional experience
Work History
Care Partner
Thyme Care
08.2025 - Current
- Provided compassionate support to patients with chronic illnesses, enhancing quality of life and emotional well-being.
- Coordinated care plans with healthcare professionals, ensuring seamless communication and patient-centered services.
- Assisted patients in daily living activities, promoting independence and dignity in their care routines.
- Monitored patient progress, documenting changes and communicating concerns to interdisciplinary teams for timely interventions.
- Served as an advocate for patients'' rights, upholding ethical standards in all aspects of care provision.
- Maintained accurate documentation of patient progress, enabling effective communication among healthcare professionals.
- Provided emotional support to patients and families, fostering a positive environment during difficult times.
- Collaborated with cross-functional teams to define data requirements and ensure accuracy of reporting.
- Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
- Delivered excellent customer service through prompt responses to client inquiries, addressing concerns effectively, and building strong relationships.
- Promoted a positive work environment through effective communication skills and fostering professional relationships among colleagues.
- Boosted team productivity by managing communication channels and ensuring timely responses to inquiries.
Office Manager
Priority Medical Partners
08.2021 - 05.2025
- Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
- Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
- Enhanced team productivity by delegating tasks effectively and overseeing daily workflow.
- Streamlined office operations by implementing efficient filing systems and organizational strategies.
- Maintained strict confidentiality of sensitive patient information, adhering to HIPAA guidelines and safeguarding against potential data breaches.
- Assisted healthcare providers with administrative tasks, enabling them to focus on quality patient care.
- Managed high call volumes while maintaining a polite and professional demeanor.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Streamlined appointment scheduling for improved patient flow and reduced wait times.
- Provided proper scheduling of patients, ensuring timely, and effective allocation of resources and calendars.
- Checked patient insurance, demographic, and health history to keep information current.
- Maintained current and accurate medical records for patients.
- Supported patient care by scheduling appointments to accommodate urgent health needs.
- Assisted physicians with clinical documentation to ensure complete and accurate records for each patient visit.
- Helped patients complete necessary medical forms and documentation.
- Managed phone system effectively, triaging calls as necessary and reducing hold times for callers.
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
- Coordinated patient referrals to specialists or other healthcare providers as needed for comprehensive care management plans.
Medical Receptionist
Doctor's of Physical Therapy
07.2020 - 08.2021
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Streamlined appointment scheduling for improved patient flow and reduced wait times.
- Assisted patients in completing medical forms and documentation to ensure accurate and timely processing.
- Maintained current and accurate medical records for patients.
- Helped patients complete necessary medical forms and documentation.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Managed high call volumes, directing calls to appropriate departments while maintaining a polite and professional demeanor.
- Managed multi-line phone system and pleasantly greeted patients.
- Provided compassionate customer service, creating a welcoming atmosphere for patients and their families.
- Increased patient satisfaction by answering inquiries with empathy and professionalism.
- Reduced no-shows by implementing appointment reminder system through phone calls or text messages.
- Implemented appointment reminder system via phone calls and text messages, reducing no-shows and improving patient attendance.
- Answered patient inquiries with empathy and professionalism, enhancing overall patient satisfaction and trust.
- Collaborated with physical therapists to develop comprehensive treatment plans addressing individual patient needs and goals.
- Adapted exercises to suit varied ages and abilities for personalized patient care.
- Communicated with physicians to provide updates on patient care.
- Increased clinic efficiency with organization of patient schedules and therapy spaces.
- Supported physical therapists in complex procedures, contributing to successful patient rehabilitations.
- Documented patient progress accurately and thoroughly in accordance with regulatory requirements and best practices.
Provider Network Operations
UnitedHealth Group
07.2017 - 04.2020
- Coordinated with IT department on system enhancements designed to optimize the processing and storage of provider data.
- Analyzed data from various sources to identify patterns in claims activity, allowing for more effective prevention strategies moving forward.
- Filed and tracked insurance claims and communicated claims status to patients.
- Supported daily operations by collaborating effectively with team members to ensure smooth workflow.
- Negotiated with insurance carriers to secure competitive rates for clients, enhancing customer satisfaction.
- Streamlined data entry processes for increased efficiency and reduced errors.
- Collaborated with IT department on system enhancements to optimize provider data processing and storage.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Maintained high standards of customer service by building relationships with clients.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Fostered strong client relationships to maintain high standards of customer service.
- Updated manuals to reflect changes in rates, rules, or regulations for clarity. when rates, rules, or regulations are amended.
- Contacted clients to provide essential account information and updates. to relay account information.
- Design, evaluate, recommend, and approve changes of forms and reports.
- Review forms forms and reports and confer with management and users about format, distribution, and to identify problems and improvements.
- Analyze data gathered and develop solutions or alternative methods of proceeding.
- Resolve discrepancies in accounting records.
- Review complied data on operating costs and revenues to set rates.
Health Plan Advisor
UnitedHealth Group
03.2015 - 07.2017
- Negotiated favorable contract terms with healthcare providers, achieving cost savings for members while maintaining quality care standards.
- Increased member satisfaction through personalized health plan recommendations and ongoing support.
- Collaborated with healthcare providers to ensure seamless coordination of services for members.
- Resolved member inquiries promptly and accurately, showcasing commitment to exceptional customer service.
- Provided ongoing support to enrolled members, addressing concerns or issues related to their chosen health plans.
- Assisted members in navigating complex insurance policies, simplifying their understanding of coverage benefits.
- Educated clients about health insurance coverage options, benefits and costs.
- Answered inbound calls from existing and future policyholders to answer inquiries and discuss insurance options.
- Provided comprehensive customer service to drive client satisfaction.
- Educated clients on insurance policies and procedures.
- Addressed escalated calls to resolve customer issues effectively and promptly. efficiently, finding satisfactory resolutions for both customers and the company alike.
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
- Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.
- Resolved escalated customer issues, restoring confidence in company's commitment to service excellence.
- Analyzed customer service metrics to identify trends and develop strategies for improvement.
- Managed difficult conversations with compassion and professionalism, helping deescalate tense situations while maintaining a focus on finding resolutions.
- Increased first-call resolution rates by carefully listening to customers' needs and providing accurate information based on their inquiries.
- Expanded knowledge on medical terminology and insurance policies through continuous learning initiatives, enhancing accuracy in communication with clients.
- Followed up with customers about resolved issues to maintain high standards of customer service.
- Met customer call guidelines for service levels, handle time and productivity.
- Verified eligibility and compliance with authorization requirements for service providers.
- Improved patient satisfaction by efficiently processing prior authorization requests and ensuring timely responses.
- Collaborated with healthcare providers to expedite the process of obtaining necessary medical documentation for approvals.
- Reduced claim denials by thoroughly reviewing and analyzing medical necessity documentation before submitting for approval, ensuring all criteria were met.
- Authorized surgical requests in accordance with applicable plan guidelines.
- Triaged unscheduled and emergency authorizations, directing submissions to appropriate personnel for rapid response.
- Managed workload and priorities to meet claims processing meet deadlines.
- Collaborated with cross-functional teams to resolve complex claims issues efficiently and effectively.
- Utilized specialized software to process incoming claims, enter data and generate reports.
- Addressed escalated customer concerns regarding claim denials or delays with empathy, restoring trust in services.
- Assisted in onboarding of new claims processors to familiarize with company procedures, policies and processes.
Education
High School Diploma -
Alpha Omega High School
Lynchburg, VA06-2007
Skills
- Patient scheduling
- Insurance verification
- Healthcare documentation
- Medical terminology
- Scheduling and calendar management
- Office management
- Organizational skills
- Facility management
- Data retrieval systems
- Computer skills
- Microsoft powerpoint, excel, and Word
- Contract negotiations
- Policy development
- Technical support
- Decision-making
- Customer service
- Relationship building
- Healthcare documentation
Timeline
Care Partner
Thyme Care
08.2025 - Current
Office Manager
Priority Medical Partners
08.2021 - 05.2025
Medical Receptionist
Doctor's of Physical Therapy
07.2020 - 08.2021
Provider Network Operations
UnitedHealth Group
07.2017 - 04.2020
Health Plan Advisor
UnitedHealth Group
03.2015 - 07.2017
High School Diploma -
Alpha Omega High School