Ashley Edwards
Raleigh
Summary
Dynamic Senior Revenue Cycle Specialist with extensive experience at Taylor Retina Center, excelling in medical billing and accounts receivable management. Proven track record in achieving a 95% clean claim rate and enhancing client relations through effective communication and problem-solving. Proficient in ICD-10 coding and committed to HIPAA compliance.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Senior Revenue Cycle Specialist
Taylor Retina Center
Raleigh
09.2022 - Current
- Oversee and manage the end-to-end billing process, ensuring accuracy and timeliness
- Monitor accounts receivable and work proactively with clients to resolve payment issues
- Serve as a primary point of contact for clients regarding billing inquiries and issues
- Delegate tasks and set deadlines
- Maintain and update client records related to invoicing and bill payment
- Evaluate, report on, and improve results and implementation of new services or payers
Surgery Scheduling Coordinator
Raleigh Eye Center
Raleigh
02.2019 - 09.2022
- Coordinated over 100 surgical procedures per month, primarily cataract surgeries
- Verified insurance coverage and obtained pre-authorizations for all scheduled surgeries
- Collaborated with surgeons, anesthesiologists, and hospital OR staff to align scheduling availability
- Provided detailed pre-operative instructions to patients and ensured all necessary paperwork and labs were completed
- Used Epic EMR to manage patient records, document surgical procedures, and communicate across departments
- Handled urgent schedule changes and cancellations with professionalism and efficiency
Medical Coder II
Dermatology Associates of Virginia
Glen Allen
11.2016 - 09.2018
- Accurately coded dermatology procedures including biopsies, cryotherapy, Mohs surgery, and cosmetic treatments using ICD-10, CPT, and HCPCS codes
- Reviewed provider documentation to ensure coding compliance and proper E/M leveling
- Collaborated with providers to clarify documentation and reduce claim denials
- Managed submission of claims to Medicare, Medicaid, and private payers, achieving a 95% clean claim rate
- Monitored reimbursement trends and resubmitted denied claims with supporting documentation and appeals
- Utilized EMA (Modernizing Medicine) EHR system to review notes and enter codes efficiently
Education
Certification - Medical Assistant
Americare
Silver Spring, MD08-2011
High School Diploma -
Nash Central High School
Rocky Mount, NC06.2009
Skills
- Medical terminology and coding
- Microsoft Office applications
- Ophthalmology expertise
- Medical records management
- Insurance verification and billing
- Accounts receivable and collections
- Data entry and filing
- Training and development programs
- HIPAA compliance
- EMR systems proficiency
- ICD-10 and ICD-9 knowledge
- Workers' compensation processes
- Allscripts experience
Certification
CPR Certification
Personal Information
Willing To Relocate: North Carolina
Timeline
Senior Revenue Cycle Specialist
Taylor Retina Center
09.2022 - Current
Surgery Scheduling Coordinator
Raleigh Eye Center
02.2019 - 09.2022
Medical Coder II
Dermatology Associates of Virginia
11.2016 - 09.2018
Certification - Medical Assistant
Americare
High School Diploma -
Nash Central High School
Similar Profiles
Haylee PetersonHaylee Peterson
Eye Technician at Taylor Retina CenterEye Technician at Taylor Retina Center
Susannah NagleeSusannah Naglee
Medical Billing Specialist at Taylor Retina CenterMedical Billing Specialist at Taylor Retina Center
Robert KazarovRobert Kazarov
Director of Revenue Cycle at Macula Retina Vitreous Center/Elite Surgery Center of South BayDirector of Revenue Cycle at Macula Retina Vitreous Center/Elite Surgery Center of South Bay
Anthony SmithAnthony Smith
Customer Service Representative Video Repair Lead at Charter Communications, SpectrumCustomer Service Representative Video Repair Lead at Charter Communications, Spectrum
Dominic LawrikDominic Lawrik
Shift Leader at Heavenly HoagieShift Leader at Heavenly Hoagie