Ashton Rylee J Remington Stewart

- Oversee daily administrative and operational functions of a dialysis clinic, supporting patient access, regulatory compliance, and staff coordination in a high-volume healthcare environment.

- Manage clinic operational processes encompassing supply inventory, invoice management, patient communications, and collaboration with physicians, insurance companies, and scheduling personnel.

- Coordinate patient admissions, transfers, referrals, and transient treatments while maintaining accurate EMR documentation and insurance verification.

- Maintain adherence to HIPAA, CMS, and state regulatory standards while contributing to QAPI quality improvement initiatives and compliance audits.

- Manage financial assistance grant program supporting low-income patients with insurance premiums to ensure uninterrupted healthcare access.

- Develop operational tracking tools and reporting systems utilizing Microsoft Office 365 to enhance clinic workflow monitoring and quality reporting.

- Support employee engagement and enhance team morale through staff initiatives, communication planning, and clinic coordination activities.

- Contribute to project planning and implement operational strategies to enhance clinic efficiency and patient service delivery.

- Coordinated referrals, prior authorizations, and scheduling to streamline patient access operations across multiple departments.

- Analyzed clinical documentation, lab results, and diagnostic reports for referral processing and prior authorization acquisition.

- Managed patient scheduling and communication across multiple platforms including phone, fax, and electronic medical record systems.

- Upheld integrity of patient insurance and demographic data to ensure compliance with authorization and billing procedures.

- Displayed outstanding service skills through effective handling of high call volumes and intricate provider-patient coordination.

- Developed reference materials and workflow resources to improve productivity and operational efficiency for the team.

- Examined and processed medical claims, ensuring compliance with payer guidelines and accuracy requirements.

- Confirmed insurance benefits and optimized coordination of benefits to decrease claim errors and payment delays.

- Reviewed CMS-1500 and UB-04 claim forms to verify accuracy and determine payment eligibility.

- Utilized administrative guidelines and policy documentation to enhance quality and compliance.

- Contributed to process improvement and team collaboration initiatives.

- Led training and management of 25–40 employees in healthcare operations, enhancing team capability.

- Facilitated employee training, coaching, and development sessions.

- Introduced employee recognition strategies improving morale and strengthening retention.

- Streamlined workflow management scheduling and monitored staff performance metrics.

- Presented policy updates and operational changes during team meetings and development sessions.