Ashley Shelton
Forney
Summary
Dynamic professional with a proven track record at CVS Specialty, excelling in benefits verification and complex issue resolution. Skilled in data entry and communication, I enhance team efficiency and foster strong relationships, driving process improvements that minimize patient care delays. Committed to delivering exceptional service with empathy and adaptability.
Overview
12
12
years of professional experience
Work History
Single Point of Contact (SPOC)
CVS Specialty
Dallas
12.2025 - Current
- Serve as primary liaison between internal teams, providers, and payers, centralizing communication to expedite resolution of complex benefit and prior authorization issues.
- Monitor order workflows using CVS Specialty platforms (EHR connectivity, Specialty Central, Expedite) to ensure accurate status tracking and resolve escalations promptly.
- Conduct training and oversight for junior staff on payer requirements, system processes, and authorization submission best practices, improving team efficiency and reducing rework.
- Analyze benefit denials and coverage gaps, proactively proposing process improvements to minimize delays in patient care delivery and improve payer alignment.
Benefits Verification Specialist
CVS Specialty
Dallas
11.2024 - 12.2025
- Verified specialty therapy benefits and eligibility by liaising with insurance companies, ensuring accurate coverage determination and authorization requests.
- Managed documentation and data entry in ACIS and internal systems, maintaining compliance with HIPAA and company standards.
- Coordinated with Patient Intake Coordinators, medical professionals, and insurance staff to streamline new and existing patient enrollments, enhancing onboarding efficiency.
- Assisted peers by sharing knowledge of specialty medication workflows, contributing to improved departmental accuracy and performance metrics.
Realtor
Fathom Realty
01.2019 - 01.2024
- Organize property showing, open houses and client-showing contributing to a seamless customer experience.
- Engage in continuous professional development, attending workshops and training to stay updated on the industries' best practices.
- Collaborate with senior realtors and brokerages to streamline administrative processes, improving overall team efficiency.
- Develop and execute targeted advertising campaigns.
- Foster strong client relationships through effective communication, transparency, and personalized service.
Customer Service Representative
AAA Texas
01.2014 - 01.2018
- Proactively process member requests for roadside assistance.
- Receive and review member service requests in a timely manner.
- Enhance member relationships by demonstrating concern for member safety.
- Keep members informed of the status and progress of their service requests.
- Use logic and reasoning skills to address and resolve issues that may impede delivery of quality service.
- Act and interact effectively and productively to provide timely and quality delivery of member roadside assistance needs.
- Build appropriate rapport with the member and service provider network.
- Possess ability to effectively diffuse high tension situations.
Skills
- Empathy
- Compassion
- Patience
- Adaptability
- Data Entry, Speed, and Accuracy
- Telephony skills
- Communication
- Ability to learn
- Detail-oriented
- Analytical
- Building relationships
- Maintaining relationships
- Clerical skills
- Invoice management
- Inventory control
- Diffusing high tension situations
Timeline
Single Point of Contact (SPOC)
CVS Specialty
12.2025 - Current
Benefits Verification Specialist
CVS Specialty
11.2024 - 12.2025
Realtor
Fathom Realty
01.2019 - 01.2024
Customer Service Representative
AAA Texas
01.2014 - 01.2018