ASHLYNN HOOVER
Hartford
Summary
Skilled in prior authorization, scheduling, and ICD-10 coding, I excel in streamlining processes for efficiency. Strengths include communication, achieving higher accuracy in insurance authorizations. With a knack for enhancing customer satisfaction and operational workflows, my approach significantly improved patient experiences and reduced claim denials. Seasoned Insurance Authorization Specialist with comprehensive background in medical insurance policies, claims processing and patient advocacy. Demonstrated proficiency in verifying insurance benefits, obtaining pre-authorizations and communicating effectively with healthcare providers. Proven skills in maintaining accurate records, ensuring compliance with regulations and providing exceptional customer service. Previous roles have shown significant improvement in streamlining authorization processes, enhancing operational efficiency and reducing claim denials.
Overview
10
10
years of professional experience
Work History
Insurance Authorization Specialist/Scheduling
Joni Flaherty, PT
Owensboro
04.2024 - Current
- Processed insurance authorization requests for physical therapy services efficiently.
- Reviewed patient information to ensure accuracy and completeness.
- Communicated with healthcare providers to obtain necessary documentation.
- Coordinated with insurance companies to verify coverage details effectively.
- Maintained detailed records of authorization approvals and denials.
- Collaborated with clinical staff to optimize authorization workflows.
- Managed patient scheduling and appointment confirmations to enhance office operations.
- Assisted patients in understanding insurance benefits and coverage options clearly.
Insurance Authorization Specialist/Scheduling
Fuller Physical Therapy
Beaver Dam
01.2022 - 04.2024
- Collaborated with healthcare providers to ensure proper documentation for successful authorizations.
- Achieved higher accuracy rates in authorizations, utilizing attention to detail and organizational skills.
- Streamlined workflow processes for faster turnaround times, using data-driven approaches and continuous improvement techniques.
- Increased efficiency of the authorization process with effective communication among multidisciplinary teams.
- Developed strong working relationships with physicians' offices resulting in a smoother flow of required documents when submitting requests.
- Streamlined insurance authorization processes by implementing efficient workflow strategies.
- Coordinated pre-authorization requirements for medical treatments or services, enhancing overall patient experience before appointments.
- Managed high-volume caseloads to meet strict submission deadlines, prioritizing tasks accordingly.
- Reduced claim denials by diligently reviewing and correcting errors in authorization submissions.
Front Office Manager
Ohio County Collision
Beaver Dam
01.2017 - 05.2021
- Updated reports, managed accounts, and generated reports for the company database.
- Managed financial operations for the business, ensuring accurate budgeting and timely invoice processing.
- Maximized cash flow through optimal billing and collection processes.
- Enhanced customer satisfaction by addressing inquiries promptly and resolving issues professionally.
- Entered invoices into accounting system (QuickBooks).
- Monitored financial transactions at the front desk, ensuring accurate billing procedures and minimizing discrepancies.
Entrepreneur
Raindrop Designs
Hartford
01.2016 - 01.2021
- Built strong brand recognition and customer loyalty by delivering high-quality products and services consistently over time.
- Improved customer satisfaction with exceptional project management skills and timely delivery of products and services.
- Launched new product lines successfully through comprehensive planning, strategy and research.
- Established a successful startup by researching market opportunities, creating a business plan, and securing funding.
- Successfully navigated challenging economic conditions by adapting business strategies quickly in response to changing market dynamics.
Education
High School Diploma - Diploma
Ohio County High School
Beaver Dam, Ky05.2021
No Degree - Dual Credit & Business Management
Owensboro Community And Technical College
Owensboro, KYNo Degree - Accounting And Business Management
Eastern Kentucky University
Richmond, KYSkills
- Prior authorization processing
- ICD-10 coding
- Effective communication
- HIPAA compliance
- Insurance verification expertise
- Professional ethics
- Medical billing knowledge
- Physician order verification
- Medicare and Medicaid expertise
- Billing procedures
- Data entry skills
- Work organization and prioritization
- Customer service excellence
- Patient scheduling proficiency
- Claims management strategies
- Attention to detail
- Time management skills
- Problem-solving abilities
- Electronic health records proficiency
- CPT coding knowledge
- Benefit coverage understanding
- Medical office procedures familiarity
Timeline
Insurance Authorization Specialist/Scheduling
Joni Flaherty, PT
04.2024 - Current
Insurance Authorization Specialist/Scheduling
Fuller Physical Therapy
01.2022 - 04.2024
Front Office Manager
Ohio County Collision
01.2017 - 05.2021
Entrepreneur
Raindrop Designs
01.2016 - 01.2021
High School Diploma - Diploma
Ohio County High School
No Degree - Dual Credit & Business Management
Owensboro Community And Technical College
No Degree - Accounting And Business Management
Eastern Kentucky University