Ashley Eden
Charlotte
Summary
Dynamic Advance Authorization Specialist with proven expertise in prior authorization and insurance verification at Atrium Health Infusion Center. Skilled in healthcare collaboration and effective communication, successfully managing high-volume requests to ensure timely access to critical treatments. Committed to upholding HIPAA compliance while delivering exceptional service and support to clinical teams.
Overview
5
5
years of professional experience
Work History
Advance Authorization Specialist
Atrium Health Infusion Center
06.2024 - Current
- Support clinical staff by providing timely updates on the status of prior authorizations for various services.
- Collaborate with healthcare providers to obtain necessary documentation for prior authorization requests.
- Manage high volume Stat request mailbox for two facilities for potential life altering, high cost treatment and procedures within a short time frame. Expected treatment within 1-3 days.
- Interpret medical records to determine initial and disease progression to prove medial necessity for ordered services and complete online clinical requests for advances authorization.
Patient Service Specialist
Atrium Health
01.2022 - 06.2024
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Managed patient registration process, confirming data accuracy and completeness.
- Provided exceptional customer service to patients, answering questions and addressing concerns.
- Filed and maintained patient records in accordance with HIPAA regulations.
- Verified insurance eligibility and coverage for patients.
Asst. Chief Clerk/Technical Assistant
City Of Newark
11.2019 - 12.2021
- Reviews over 80% of applications for construction permits to ensure all necessary information and documents are included and requests additional information as instructed or directed by appropriate Sub-Code or Construction Official.
- Issues 95% construction permits after approval and authorization have been granted by appropriate Sub-Code Official.
- Aids general public by providing information of technical nature concerning requirements and standards relating to Uniform Construction Code.
- Calculates routines fees, collects fees and penalties as directed by Sub-Code and/or Construction Official and issues receipts
- Utilizes FTG System to record information by Uniform Construction Code Official Office in the City of Newark
Education
Bachelor of Science - Criminal Justice
Rutgers University-Newark, NJ
Newark, NJ05-2010
Associate of Science - Criminal Justice
Essex County College
Newark, NJ06-2008
Associate of Science - Surgical Technology
Cabarrus College of Health Sciences
ConcordSkills
- Prior authorization
- Insurance verification
- Medical necessity review
- Healthcare collaboration
- HIPAA compliance
- Effective communication
Timeline
Advance Authorization Specialist
Atrium Health Infusion Center
06.2024 - Current
Patient Service Specialist
Atrium Health
01.2022 - 06.2024
Asst. Chief Clerk/Technical Assistant
City Of Newark
11.2019 - 12.2021
Bachelor of Science - Criminal Justice
Rutgers University-Newark, NJ
Associate of Science - Criminal Justice
Essex County College
Associate of Science - Surgical Technology
Cabarrus College of Health Sciences
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