ASHLEY MANNING
Jupiter Medical Center
Port Saint Lucie
16
years of professional experience
Focused on enhancing patient care as a healthcare administrator. Seeking to apply organizational skills to improve operational processes and assist quality assurance efforts. Proficient in verifying insurance and facilitating patient communication. Ready to accept a challenging role to contribute positively to the healthcare sector.
Work History
Authorization Associate II
1 Year 7 Months- Processed patient authorizations to meet regulatory compliance standards.
- Assisted healthcare providers in collecting required documentation for authorization requests.
- Checked and confirmed insurance eligibility to support timely access to patient care.
- Improved authorization workflows by applying effective process enhancements.
- Collaborated with healthcare providers to clarify authorization requirements and expedite approvals.
- Mentored junior associates on best practices in reviewing and processing authorizations effectively.
- Coordinated closely with insurance providers, ensuring that all required information was accurately submitted during the authorization process.
- Verified insurance eligibility and benefits and updated insurance information.
Insurance Verification Specialist
1 Year 9 Months- 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
8 Years- 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
3 Years 6 Months- 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
2 Years- 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
CPC - Medical Billing & Coding
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
HIPAA compliance
Medical terminology
Follow-up skills
Accuracy and precision
Authorizations
Medical record review
Medical abbreviations
Timeline
Authorization Associate II
Baptist Health South Florida
01.2025 - CurrentRead More
Insurance Verification Specialist
Jupiter Medical Center
11.2024 - CurrentRead More
Clinical Review Specialist II
Sun Life
07.2016 - 07.2024Read More
Team Lead-treatment coordinator
Sage Dental
01.2013 - 07.2016Read More
Team Lead-Surgical assistant
Great Expressions
01.2011 - 01.2013Read More
Indian River State College
CPC from Medical Billing & Coding
Read More