Ashley Treakle
Pikesville,MD
Summary
A dedicated and accomplished professional with a proven track record in leading and managing complex healthcare operations seeks a challenging role. The focus is on leveraging strategic, leadership, and care management expertise to drive meaningful change and uphold exemplary standards of care. The commitment is to providing compassionate service, fostering a culture of compliance, and delivering continuous improvements in patient care. The background includes leading diverse teams, aligning internal processes with industry standards, and utilizing data-driven approaches to enhance care quality. The goal is to contribute to an organization's vision and strategy, while nurturing talent and promoting engagement in a dynamic healthcare environment. Extensive experience in healthcare and a commitment to customer service ensure the ability to make a significant impact on the success of the organization.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Manger, MDPCP TCM
Privia Health
04.2023 - Current
- Monitored daily activities and mentored team members to boost performance.
- Ensured team completion of essential training and maintained program quality standards.
- Managed caseload assignments and reviewed/approved timesheets and expense reports.
- Championed a culture of diversity, equity, and inclusion within the organization.
- Demonstrated proficiency in EMR systems, enhancing data accuracy and efficiency.
- Screened provider referrals for program eligibility and tracked engagement of 5% attributed MDPCP beneficiaries.
- Facilitated productive Care Team meetings involving Care Coordinators and healthcare providers.
- Contributed to creating and updating workflows and processes for improved efficiency.
- Managed the team to achieve key performance metrics, linking their efforts to improved patient care and cost reduction.
- Collaborated with the Department Director to plan and allocate resources effectively.
- Successfully oversaw the care center's remote patient monitoring program to enhance patient care.
- Ensured the team maintained a 95% rate of timely discharge follow-up.
Lead Care Manager
Privia Health
04.2021 - 04.2023
- Educated and assessed non-clinical staff on care quality management regulations and care standards.
- Led day-to-day service delivery operations, ensuring adherence to industry standards and best practices.
- Provided leadership to team of 10 non-clinical professionals, guiding their performance and supporting professional development.
- Implemented data-driven methods for case load and follow-up tracking, consistently meeting challenging goals.
- Aligned internal processes, procedures, and operations with established industry standards.
- Mentored and coached colleagues to prioritize patient needs in workflows, ensuring consistent fulfillment of patient priorities.
- Maintained exceptional care standards by connecting patients to community resources, managing appointments, conducting home safety assessments, and assisting with application/form completion, including blood pressure checks.
- Utilized data analysis to monitor staff performance, translating metrics into actionable business intelligence for cost-saving initiatives and sustainable care quality improvements.
MDPCP Care Coordinator
Privia Health
06.2019 - 04.2021
- Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
- Determined need for special assessment activities for complex cases, effectively handling care plans.
- Conducted critical reviews for top 5% patient non-compliance reports, facilitating targeted outreach efforts and consulting with patients to gain insights into their conditions, enabling timely disease-specific and wellness visits.
- Maintained impeccable standards in Transitional Care Management within 48 hours after discharge to achieve positive outcomes.
- Acted as point of education and continuous support for patients, assisting them with self-management, goal attainment, and access to external care resources.
- Led collaborative partnerships with a variety of healthcare providers to identify needs of high-risk patients, develop individualized plans, and ensure correct procedural implementation for optimal success.
- Advocated a holistic care approach by identifying and coordinating referrals to community resources, home care services, and disease management programs in the Privia Preferred Network.
- Significantly contributed to cross-functional team meetings focused on patient care.
Program Coordinator I
Maryland Physicians Care/Centene
01.2018 - 06.2019
- Established strong partnerships with community-based organizations, enabling seamless member resource connections.
- Analyzed inpatient census data to proactively reach out to patients during hospital stays, ensuring that all necessary services and medical equipment were in place prior to discharge.
- Implemented best practices in screening members by priority, optimizing case management assessments.
- Expertly managed transition of care duties, ensuring seamless continuity of care and support.
- Effectively handled a full range of administrative responsibilities, including data and records management (assessments and authorizations), development and distribution of correspondence, and creation of educational materials.
Referral Specialist II
Maryland Physicians Care/Centne
07.2017 - 01.2018
- Utilized technical acumen to generate daily Check Run and Pend reports, ensuring the accuracy of rejected claims and resolving issues promptly and accurately.
- Collaborated closely with cross-functional colleagues to streamline the delivery of claim projects, contributing to the proper payment or denial of provider claims.
- Maintained the accuracy of critical data by inputting authorizations and conducting audits and corrections on previous authorizations to mitigate errors.
- Initiated authorization requests for both inpatient and outpatient services, and conducted research on claims inquiries to determine appropriate payment outcomes.
Investment Specialist Intern
Bank Of America Merrill Lynch
09.2016 - 04.2017
- Delivered premium account service and tailored investment advice, addressing diverse client needs.
- Demonstrated excellence in executing and confirming trade orders and securities/account transactions, prioritizing accuracy and efficiency.
- Conducted comprehensive research to effectively resolve complex customer inquiries, ensuring high client satisfaction.
- Nurtured consultative relationships with colleagues across all levels, maintaining impeccable internal standards and enhancing the end-to-end client experience.
TPA Client Specialist
Global Payments Inc.
01.2012 - 09.2016
- Acted as the primary point of consultation for ISO accounts, offering expert guidance and assistance to clients.
- Skillfully gathered data and initiated new merchant accounts, ensuring clients were well-informed throughout the process.
- Played a vital role in integrating new ISO representatives into the company culture by providing ongoing training, coaching, and supervision.
- Efficiently coordinated the processing of EFTs and Wires, collaborating with the customer risk department to maintain seamless operations.
- Managed a high volume of inbound inquiries through phone and email, delivering daily updates and follow-ups on requests and escalations to ensure exceptional client satisfaction.
- Developed targeted reports outlining client concerns for productive discussions with leadership.
Senior Analyst II/Customer Service Representative
Global Payments Inc.
01.2008 - 01.2012
- Produced insightful reports to assess call center agent performance, emphasizing key metrics like call handle time, talk time, and adherence to schedules.
- Excelled in analyzing existing metrics and business processes to pinpoint areas for improvement, with a particular focus on auditing calls to deliver constructive feedback for de-escalation and efficiency improvements.
- Effectively identified and resolved significant financial variances while managing daily MIS, promptly escalating issues to the Workforce/Manager for resolution.
- Provided Subject Matter Expert support during project meetings and department functions.
- Conducted over 10 quality monitors/audits per representative on a monthly basis, alongside 5+ sit-bys per month.
- Delivered coaching and mentorship to enhance the technical and quality capabilities of team members.
- Maintained extensive databases to safeguard the integrity of critical information.
- Educated merchants on global payments policies, procedures, and products to ensure compliance.
Education
Mental Health And Human Services
Community College Baltimore County
CatonsvilleHigh School Diploma -
Franklin High School
Reisterstown, MD06.2005
Skills
- Staff Management, Training, and Development
- Policies and procedures
- Verbal and written communication
- Active listening
- Time Management
- Financial Management
- Improvement initiatives
- Microsoft Office Suite (Word, Excel, Powerpoint)
- EMR (Athena)
- Performance Driven
- Adaptability
- Multitasking
Certification
Certified Community Health Worker
Timeline
Manger, MDPCP TCM
Privia Health
04.2023 - Current
Lead Care Manager
Privia Health
04.2021 - 04.2023
MDPCP Care Coordinator
Privia Health
06.2019 - 04.2021
Program Coordinator I
Maryland Physicians Care/Centene
01.2018 - 06.2019
Referral Specialist II
Maryland Physicians Care/Centne
07.2017 - 01.2018
Investment Specialist Intern
Bank Of America Merrill Lynch
09.2016 - 04.2017
TPA Client Specialist
Global Payments Inc.
01.2012 - 09.2016
Senior Analyst II/Customer Service Representative
Global Payments Inc.
01.2008 - 01.2012
Mental Health And Human Services
Community College Baltimore County
High School Diploma -
Franklin High School
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