Ashley Zimmermann
Dearborn
Summary
Detail-oriented Healthcare Administrative Professional with 5+ years of experience in insurance verification, prior authorizations, provider credentialing, medical documentation, and revenue cycle support. Proven ability to manage high-volume workflows, reduce claim denials, coordinate patient care, and maintain compliance with insurance and regulatory standards. Strong background in cardiology and physical therapy settings with expertise in payer communication and appeals management.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Testing Authorization Specialist / Provider Credentialing Specialist
Dearborn Cardiology
Dearborn, MI
03.2025 - Current
- Oversaw management of prior authorizations for both in-house and hospital cardiac diagnostic testing, ensuring compliance with regulatory standards.
- Monitored pending authorizations and coordinated patient rescheduling to ensure timely care delivery.
- Analyzed insurance benefits meticulously to ensure correct identification of coverage details.
- Analyzed denial cases and prepared comprehensive appeals to optimize authorization approval success.
- Managed the entire process of submitting and tracking provider credentialing applications, ensuring timely approvals from commercial and government payers.
- Analyzed and addressed credentialing denials and enrollment discrepancies.
Medical Assistant
Dearborn Cardiology
Dearborn, MI
12.2024 - 03.2025
- Recorded patient visits in real-time with cardiologists to ensure comprehensive and precise medical documentation.
- Entered orders for cardiac diagnostic testing under physician direction.
- Facilitated communication of test results, follow-up instructions, and external testing details to patients.
- Facilitated medication documentation and order processing in accordance with established clinical protocols.
Patient Account Representative
Plymouth Physical Therapy Specialists
Plymouth, MI
11.2022 - 12.2024
- Processed patient and insurance payments, refunds, and account adjustments across multiple clinic locations.
- Maintained detailed financial documentation while accurately posting payments to support overall financial operations.
- Reviewed claim denials and analyzed payer reason codes to support accurate resubmission of corrected claims.
- Clarified insurance coverage limitations and financial responsibilities to enhance patient understanding and decision-making.
- Collaborated with front-desk teams to resolve billing discrepancies and improve claim accuracy.
Medical Receptionist
Plymouth Physical Therapy Specialists
Garden City, MI
07.2020 - 11.2022
- Facilitated effective communication through high-volume inbound calls to streamline patient appointment scheduling.
- Confirmed insurance eligibility and communicated coverage details to patients with clarity.
- Processed copay collections and recorded payments in adherence to clinic policies.
- Managed patient record accuracy and upheld standards for documentation completeness to support quality care.
- Facilitated multi-provider scheduling and secured essential treatment authorizations.
Kitchen Manager
McDonald's
Dearborn Heights, MI
06.2014 - 07.2020
- Oversaw team members to ensure adherence to food safety and sanitation standards.
- Oversaw inventory control, ordering reconciliation, and cost monitoring processes.
- Managed staff scheduling and ensured optimal shift coverage.
- Oversaw cash handling accuracy and implemented loss prevention procedures.
- Addressed customer concerns to enhance service satisfaction.
Education
Associate of Science -
Henry Ford College
Dearborn, MI05.2021
Skills
- Microsoft Office Suite Google Workspace Outlook
- Adobe Reader & Acrobat
- Raintree eClinical
- Insurance Portals & Payer Systems
- Prior Authorizations Credentialing Revenue Cycle Management CRM
Certification
- Medical Receptionist Certification from Henry Ford College
- Credentialing Specialist Course from AAPC
Timeline
Testing Authorization Specialist / Provider Credentialing Specialist
Dearborn Cardiology
03.2025 - Current
Medical Assistant
Dearborn Cardiology
12.2024 - 03.2025
Patient Account Representative
Plymouth Physical Therapy Specialists
11.2022 - 12.2024
Medical Receptionist
Plymouth Physical Therapy Specialists
07.2020 - 11.2022
Kitchen Manager
McDonald's
06.2014 - 07.2020
Associate of Science -
Henry Ford College