Ashley Semper
Hinesville,GA
Summary
Perceptive professional with 6 years of experience reviewing and optimizing systems and processes. Observes and collaborates with main workforce to understand and streamline standard operating procedures. Innovative in increasing productivity.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Quality Assurance Coordinator
Florida Cancer Specialists
10.2022 - Current
- Evaluated accuracy of existing quality assurance measurement techniques, implementing improvements to increase efficacy and reduce errors.
- Provided regular updates to team leadership on quality metrics by communicating consistency problems or production deficiencies.
- Collaborated with management to provide training on improved processes and assisted with creation and maintenance of quality training.
- Reviewed processes, identifying areas requiring improvement.
- Conducted root cause analysis to identify, prioritize and eliminate process losses.
Utilization Management Team Lead
Florida Cancer Specialists
03.2020 - 10.2022
- Collaborated with providers to obtain required clinical information, supporting prior authorization determinations and individual inquiries.
- Determined medical necessity and cost-effectiveness of services through utilization review processes.
- Contacted insurance carriers to obtain authorizations for services delivered to patients.
- Led and motivated 9 employees through supervision, training and coaching on duties and daily operational activities.
- Resolved conflicts between physicians, nurses and administrative staff to maintain optimal workflows.
- Collaborated with other team members to perform internal QA audits.
Insurance Verification Lead
21st Century Oncology
10.2018 - 03.2020
- Manage staff schedules to maximize efficiency and effectiveness in office coverage and work flow
- Monitored team progress and enforced deadlines.
- Reviewed completed work to verify consistency, quality and performance.
- Collaborated with management team to implement new work procedures or policies.
- Utilized coaching and leadership principles to enhance internal and external team dynamics.
- Assigned projects and distributed tasks to team members as per area of expertise.
- Conferred with other supervisors to coordinate operations and activities within or between departments.
Billing Specialist/Lead
Pike Electric Corporation
06.2018 - 10.2018
- Executed account updates and noted account information in company data systems
- Managed all payments processing, invoicing and collections tasks
- Developed strong professional rapport with vendors and clients
- Processed invoice payments and recorded information in account database
- Handled past due accounts, including collections and status reports
- Created a highly organized filing system for account documents resulting in increased efficiency.
Correctional Officer
Smith State Prison
04.2015 - 05.2018
- Maintained communications with all other areas of the facility at all times
- Wrote daily reports that included recommendations for further treatment strategies and diagnostic efforts
- Signed in all visitors and completed appropriate visitation log forms
- Maintained records and logs of man hours, materials and equipment used.
- Inspected cells and conducted random searches of common areas.
- Observed inmate behavior to prevent crime, escape attempts and other dangerous activities.
Logistics Specialist
U.S. ARMY
08.2011 - 05.2014
- Planned and prioritized day-to-day shipments and billing in collaboration with warehouse and sales team
- Monitored trends, tariffs, customs regulations and competitors' pricing structures on an ongoing basis
- Drafted budgets, monitored costs and reduced expenses by 15%
- Evaluated and reconfigured systems to support customer service and operational goals
- Coordinated training schedules and filed crucial administrative paperwork.
- Monitored and organized logistics documents, bills of lading, delivery receipts, packing lists and load tags.
Education
Bachelor of Science - Psychology
Georgia Southern University
Statesboro, GA06.2024
Associate of Applied Science - Interdisciplinary Studies
Savannah Technical College
Savannah, GA06.2023
High School Diploma -
East Lee County High School
Lehigh Acres, FL05.2011
Skills
- Team Collaboration
- Employee Training
- Performance Monitoring
- Leadership Proficiency
- Interpersonal Communication
- Time Management
- Attention to Detail
- Strong Work Ethic
- Quality Control Analysis
- SOP Creation
- Critical Thinking Skills
Certification
- Licensed Practical Nurse- Graduated 2017
Timeline
Quality Assurance Coordinator
Florida Cancer Specialists
10.2022 - Current
Utilization Management Team Lead
Florida Cancer Specialists
03.2020 - 10.2022
Insurance Verification Lead
21st Century Oncology
10.2018 - 03.2020
Billing Specialist/Lead
Pike Electric Corporation
06.2018 - 10.2018
Correctional Officer
Smith State Prison
04.2015 - 05.2018
Logistics Specialist
U.S. ARMY
08.2011 - 05.2014
Bachelor of Science - Psychology
Georgia Southern University
Associate of Applied Science - Interdisciplinary Studies
Savannah Technical College
High School Diploma -
East Lee County High School
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