ASHLEY SPANN
Ashland City,TN
Summary
Critical thinking professional with talents in validating workflows, maintaining a knowledge of policy changes to insurance plans and sharing best practices with management. A reliable Revenue Cycle Analyst known for successfully handling various tasks in deadline-driven environments. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
21
21
years of professional experience
Work History
REVENUE CYCLE ANALYST
COVENANT PHYSICIAN PARTNERS
06.2023 - Current
- Served as liaison between third party vendor, fostering strong relationships between internal teams and external partners.
- Negotiated single case agreements and settlement proposals for non contracted payers.
- Supported timely claim submission by reviewing and validating all relevant billing information.
- Coordinated multiple projects simultaneously, ensuring timely completion and alignment with organizational objectives.
- Collaborated with cross-functional teams to develop strategies for optimizing the revenue cycle process.
- Enhanced revenue cycle efficiency by streamlining processes and identifying areas for improvement.
- Implemented process improvements that reduced denial rates and increased overall reimbursement levels.
- Provided exceptional customer service when addressing patient inquiries or concerns, fostering trust and satisfaction in the billing process.
- Provided valuable insights to leadership by analyzing key performance indicators related to the revenue cycle process.
- Monitored daily reports, identifying trends or discrepancies that warranted further investigation or action from the revenue cycle team.
- Conducted root cause analysis on denied claims, implementing corrective measures to prevent future denials and protect revenues.
COLLECTIONS AND INSURANCE VERIFICATION TEAM LEAD
COVENANT PHYSICIAN PARTNERS
02.2017 - 06.2023
- Collections and Insurance Verification Team Lead for outpatient Ambulatory Surgical Centers throughout the United States
- Trained new team members by relaying information on company procedures and safety requirements.
- Promoted a positive work environment by fostering teamwork, open communication, and employee recognition initiatives.
- Collaborated with other department leads to streamline workflows, improve interdepartmental coordination, and achieve business goals collectively.
- Held weekly team meetings to inform team members on company news and updates.
PATIENT ACCESS REPRESENTATIVE
AEGIS SCIENCES CORPORATION
03.2016 - 02.2017
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Verified patient insurance eligibility and entered patient information into system.
COLLECTIONS SPECIALIST III
ANESTHESIA SERVICES ASSOCIATES/COMPREHENSIVE PAIN SPECIALISTS
07.2014 - 02.2016
- Streamlined billing processes for improved efficiency and reduced errors.
- Ensured timely follow-up on outstanding accounts, minimizing potential losses due to non-payment or delayed payments.
- Managed a high volume of accounts, prioritizing tasks to maximize productivity and results.
- Researched billing errors and discrepancies to initiate corrective action.
- Worked specifically with Blue Cross Blue Shield Insurance Company to follow up and collect on outstanding claims across all lines of business.
PATIENT ACCOUNT REPRESENTATIVE
FRESENIUS MEDICAL CARE (FORMERLY RENAL ADVANTAGE INC.)
02.2011 - 06.2014
- Commercial collections for large dialysis company
- Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
- Worked with outside entities to resolve issues with billing, claims, and payments.
- Promoted a positive work environment by actively participating in team meetings and contributing ideas for process improvements.
- Electronically submitted bills according to compliance guidelines.
- Identified trends in unpaid accounts, developing targeted solutions for improved revenue recovery.
- Researched billing errors and discrepancies to initiate corrective action.
- Collaborated with cross-functional teams to gather necessary documentation and evidence to support the appeals process.
OFFICE SUPERVISOR
INSURANCE AUTO AUCTION OF NASHVILLE (FORMERLY VERASTAR OF NASHVILLE)
05.2003 - 02.2011
- Maintained a clean, organized, and professional office environment to support maximum productivity.
- Provided exceptional customer service by addressing client inquiries promptly and professionally.
- Monitored and evaluated personnel performance to complete annual reviews, recommend advancement, or address productivity concerns.
- Created, prepared, and delivered reports to various departments.
- Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
- Organized company events such as holiday parties or team-building activities to promote camaraderie within the workplace environment.
- Supported a positive work culture that prioritized teamwork, professionalism, continuous learning opportunities.
- Evaluated employee records and productivity and submitted evaluation reports.
Education
COMPLETED COURSEWORK TOWARDS MEDICAL CODING AND BILLING -
NASHVILLE STATE COMMUNITY COLLEGE
08.2007
HIGH SCHOOL DIPLOMA -
SYCAMORE HIGH SCHOOL
05.2002
Skills
- HIPAA Compliance
- Verbal and written communication
- Healthcare Reimbursement
- Revenue cycle analysis
- Revenue cycle solutions
- Analytical Problem Solving
- Client Relationship Development
- Trends Analysis
- Microsoft Excel
- Skilled in Gmed, EClinical Works, Practice Insight, Nextgen, Trizetto and Zirmed billing systems
- Collections Management
- Electronic Data Interchange
- HCPCS Coding
Awards
Graduated with honors
Timeline
REVENUE CYCLE ANALYST
COVENANT PHYSICIAN PARTNERS
06.2023 - Current
COLLECTIONS AND INSURANCE VERIFICATION TEAM LEAD
COVENANT PHYSICIAN PARTNERS
02.2017 - 06.2023
PATIENT ACCESS REPRESENTATIVE
AEGIS SCIENCES CORPORATION
03.2016 - 02.2017
COLLECTIONS SPECIALIST III
ANESTHESIA SERVICES ASSOCIATES/COMPREHENSIVE PAIN SPECIALISTS
07.2014 - 02.2016
PATIENT ACCOUNT REPRESENTATIVE
FRESENIUS MEDICAL CARE (FORMERLY RENAL ADVANTAGE INC.)
02.2011 - 06.2014
OFFICE SUPERVISOR
INSURANCE AUTO AUCTION OF NASHVILLE (FORMERLY VERASTAR OF NASHVILLE)
05.2003 - 02.2011
COMPLETED COURSEWORK TOWARDS MEDICAL CODING AND BILLING -
NASHVILLE STATE COMMUNITY COLLEGE
HIGH SCHOOL DIPLOMA -
SYCAMORE HIGH SCHOOL
Similar Profiles
Selena HerasSelena Heras
Front Desk Receptionist at Covenant Physician PartnersFront Desk Receptionist at Covenant Physician Partners
Deborah LarsenDeborah Larsen
Clinical Systems Trainer at Covenant Physician PartnersClinical Systems Trainer at Covenant Physician Partners
TAHISHA NEWBILLTAHISHA NEWBILL
Revenue Analyst at Covenant Physician PartnersRevenue Analyst at Covenant Physician Partners