Ashley Royston
Vermontville,MI
Summary
Compassionate healthcare professional with background in medical assistance, known for high productivity and efficient task completion. Possess specialized skills in patient care, medical record keeping, and clinical procedures. Excel in communication, empathy, and teamwork, ensuring optimal patient experiences and seamless support to healthcare teams.
Overview
19
19
years of professional experience
Work History
Professional Horse Trainer
Royston Performance Horses, LLC
Vermontville, MI
07.2019 - Current
- Coordinated regular appointments for farriers and veterinarians.
- Conditioned horses for particular tasks.
- Developed processes for animal handling with a focus on communicating through firm yet soothing methods.
- Collaborated with owners on training continuation strategies.
- Led training program enabling 10 animals to enhance behaviors and achieve owner goals.
- Analyzed behavioral and physical attributes of animals to recommend tailored outcomes aligning with owner's goals.
- Upheld cleanliness and orderliness of animal zones to ensure optimal safety.
- Developed foundational horsemanship and riding skills in beginners.
- Formulated efficient budgeting strategies by analyzing associated costs.
- Implemented methods for elevating profit margins over time.
- Utilized business software packages to manage files.
- Formulated proactive measures to meet immediate budgetary constraints.
- Scheduling Client/Horses each month for training
- Detected early symptoms in horses to prevent further complications.
- Ordered supplies as needed; tracked inventory levels and placed orders with vendors when necessary.
- Processed invoices for payment; tracked payments received from vendors and clients.
- Scheduled meetings and sent invitations specifying time and location.
Eligibility Specialist
Ameriben
Remote
11.2022 - 06.2024
- Performed manual data entry to process enrollment in proprietary software systems.
- Ensured accurate and balanced numbers through the processing of monthly billing reports.
- Generated detailed reports utilizing proprietary software systems.
- Examine customer questions about coverage eligibility, addressing both internal and external concerns.
- Maintain compliance with HIPAA and HITRUST requirements, optimizing information security.
- Maintained client email communication.
- Proofread documents carefully to check accuracy and completeness of all paperwork.
- Attended regular training sessions to stay up-to-date on new rules and regulations.
- Entered client information and files into databases for further review and tracking.
Supervisor of Operations/Certified Medical Assistant
Oaklawn Medical Group Plastic Surgery
Marshall, MI
08.2014 - 08.2019
- Formulated methods to increase profitability.
- Registered incoming patients.
- Copied insurance details to streamline patient information for accurate record-keeping.
- Collected pertinent documentation for surgical billing purposes.
- Prepared consent documents and managed all necessary pre-surgery paperwork.
- Executed clerical tasks including word processing, data entry, phone answering and filing.
- Gathered client medical histories, medication details, symptoms, and allergies.
- Ensured service providers met authorization requirements.
- Maintained accountability of referral submissions throughout prior authorization process.
- Scheduled new patient appointments with providers.
- Updated electronic records with patient insurance data, demographic details, and health history.
- Carried out daily tasks by professionally communicating with physicians, nursing staff, technicians and medical assistants
- Trained new staff on office procedures, insurance processes and medical terminology
- Verified documents and associated records to catch and resolve discrepancies
- Facilitated approval processes for necessary preauthorizations from insurers for pending procedures.
- Assisted in minor surgical procedures such as suturing lacerations or removing stitches under the direction of a physician.
- Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment.
Certified Medical Assistant
Sparrow Thoracic And Cardiovascular Institute
Charlotte, MI
01.2012 - 08.2014
- Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted
- Communicated clearly and effectively with patients to verify information, determine the purpose of the visit, and record medical history.
- Promoted office efficiency, coordinated charts, completed insurance forms, and helped patients with diverse needs.
- Documented vital signs and health history for patients in clinic and hospital environments.
- Managed over 50 patient calls per day.
- Enhanced patient outcomes by providing knowledgeable education on procedures, medications, and other physician instructions.
- Arranged surgeries with the surgical center, confirming times with patients, and preparing admission and consent forms.
- Collected and documented patient medical information such as blood pressure and weight
- Performed clerical duties, such as word processing, data entry, answering phones, and filing.
- Maintained detailed records of test results by entering data and patient information into the computer.
- Efficiently performed insurance verifications, pre-certifications, and pre-authorization functions.
- Performed preliminary physical tests to accurately record results in the patient history summary.
- Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment
- Scheduled appointments for patients via phone and in person.
- Educated patients about medications, procedures, and physicians' instructions.
- Contacted pharmacies to submit and refill patients' prescriptions.
- Collaborated with local pharmacies to resolve and clarify issues with patient medication.
- Conducted insurance verification, pre-certification, and pre-authorization functions.
Certified Medical Assistant/Prior Authorization Specialist
Sparrow Medical Group North
East Lansing, MI
11.2007 - 01.2013
- Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted
- Communicated clearly and effectively with patients to verify information, determine the purpose of the visit, and record medical history.
- Documented vital signs and health history for patients in clinic and hospital environments
- Promoted office efficiency, coordinated charts, completed insurance forms, and helped patients with diverse needs.
- Prepared and submitted over 15 prior authorizations per day.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.
- Arranged consultations with experts for patients.
- Ensured full data integrity by maintaining accurate records on in-progress and completed referrals.
- Evaluated insurance coverage and determined eligibility for medical procedures.
- Secured information on benefits and precertification from insurance providers for patients.
- Coordinated efficient handling of incoming and outgoing messages.
- Monitored the advancement of referral requests to ensure seamless processing.
- Provided comprehensive information about referral processes to patients.
- Acquired authorizations for patient referrals from medical practitioners.
- Acquired necessary approvals for diagnostic imaging and other services.
- Organized appointments by aligning with both patient needs and insurance guidelines.
Registration Specialist
Hayes Green Beach Memorial Hospital
Charlotte, MI
01.2006 - 11.2009
- Coordinated cancellations, modifications, and special requests efficiently.
- Coordinated and registered appointments using Booker scheduling systems.
- Prepared medical records for chart audits according to front desk and charge entry audit policy
- Filed documentation consistent with office protocols, including tests and lab results.
- Utilized standard applications for data compilation and information preparation.
- Validated patients' insurance coverage prior to scheduling medical treatments.
- Reviewed and validated medical records requests, ensuring release to authorized recipients.
Education
Certificate -
Ross Medical Education Center
Lansing, MI07-2007
High School Diploma -
Bellevue High School
Bellevue, MI06-2005
Skills
- Customer communication
- Inventory management
- Data entry
- Billing processes
- Client relationship management
- Procedure documentation
- Electronic health records
- Medical billing
- Patient scheduling
- Surgical assistance
- Insurance verification
- Vital sign documentation
- Time management
- Attention to detail
- Medical terminology
- Document verification
- Client communication
- Problem solving
References
References available upon request.
Timeline
Eligibility Specialist
Ameriben
11.2022 - 06.2024
Professional Horse Trainer
Royston Performance Horses, LLC
07.2019 - Current
Supervisor of Operations/Certified Medical Assistant
Oaklawn Medical Group Plastic Surgery
08.2014 - 08.2019
Certified Medical Assistant
Sparrow Thoracic And Cardiovascular Institute
01.2012 - 08.2014
Certified Medical Assistant/Prior Authorization Specialist
Sparrow Medical Group North
11.2007 - 01.2013
Registration Specialist
Hayes Green Beach Memorial Hospital
01.2006 - 11.2009
Certificate -
Ross Medical Education Center
High School Diploma -
Bellevue High School
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