Summary
Overview
Work History
Education
Skills
Timeline
Generic

Ashley Perkins

The Bronx

Summary

Strategic Revenue Cycle Leader (MHA/MBA) with 15+ years of expertise at Memorial Sloan Kettering Cancer Center. Proven track record in mentoring high-performing teams to optimize prior authorizations, denials management, and billing compliance. Expert in leveraging Epic EMR data to drive process improvements, reduce reimbursement cycles, and enhance interdepartmental collaboration. A dedicated professional known for bridging the gap between complex financial operations and superior patient care delivery

Overview

16
16
years of professional experience

Work History

Specialist II, Authorization & Billing

MSKCC (Memorial Sloan Kettering Cancer Center)
New York
01.2018 - Current
  • Lead the end-to-end authorization and billing lifecycle for high-volume oncology services, ensuring 100% timely approvals for complex procedures and specialty medications.
  • Navigate Epic EMR to synthesize clinical documentation and physician notes, successfully establishing medical necessity to secure insurance approvals via portals and EDI.
  • Manage charge capture and coding verification (CPT/ICD-10), facilitating "clean claim" submissions to Medicare, Medicaid, and Commercial payers.
  • Research and resolve complex authorization and billing discrepancies; lead peer-to-peer review coordination with clinical teams and submit formal appeals to recover denied revenue.
  • Monitor aging reports and insurance remittances (EOBs/ERAs) to identify root causes of delays, successfully accelerating reimbursement cycles and reducing Days in A/R.
  • Serve as the primary liaison between patients, clinical providers, and insurance case managers while conducting audits to ensure strict adherence to HIPAA and payer regulations.

Radiology Service Assistant

MSKCC (Memorial Sloan Kettering Cancer Center)
New York
01.2010 - 01.2018
  • Coordinated patient intake by greeting, checking in, and verifying identity, ensuring smooth patient flow between waiting areas and clinical rooms.
  • Assisted patients with preparation tasks, including dressing, undressing, and securing personal belongings before imaging exams, ensuring comfort and readiness.
  • Managed high-volume phone lines, scheduled radiology appointments, and prepared patient paperwork and medical records prior to procedures, supporting operational efficiency.
  • Safely move patients to and from the radiology department using wheelchairs or stretchers, maintaining constant observation of their comfort and condition.
  • Ensure exam rooms are clean, organized, and stocked with necessary clinical supplies through daily inventory checks.
  • Input and update patient data into hospital information systems (such as Epic) and assist in the processing of departmental records

Education

Master of Health Administration (MHA) and Master of Business Administration (MBA) -

University of Phoenix
Jersey City, NJ
01-2023

Bachelor of Psychology -

University of Phoenix
Tempe, AZ
09-2016

Skills

  • Prior Authorizations
  • Denials Management
  • Billing Optimization
  • Compliance Auditing
  • Insurance Policies
  • Epic EMR
  • Data Analysis
  • Process Improvement
  • Project Management/Team Leadership
  • Problem Solving
  • Communication
  • Medical Records

Timeline

Specialist II, Authorization & Billing

MSKCC (Memorial Sloan Kettering Cancer Center)
01.2018 - Current

Radiology Service Assistant

MSKCC (Memorial Sloan Kettering Cancer Center)
01.2010 - 01.2018

Master of Health Administration (MHA) and Master of Business Administration (MBA) -

University of Phoenix

Bachelor of Psychology -

University of Phoenix
Ashley Perkins