Ashley Waseilewski
Prior Authorization Specialist
Yanceyville
Summary
Dedicated Prior Authorization Specialist experienced in healthcare finance. Delivered accurate financial solutions through expertise in patient billing, account reconciliation, and financial counseling. Focused on enhancing patient outcomes and fostering collaboration within teams.
Overview
9
9
years of professional experience
3
3
Certifications
Work History
Financial Care Counselor
Duke Neurology – Morreene Road Clinic
08.2022 - 08.2025
- Currently submitting prior authorization requests for outpatient procedures such as Botox, Trigger Point Injections, and MRI’s, working with providers to handle denials/appeals, communicating with many insurances such as BCBS, Cigna, United Healthcare, Aetna, Medicare, NC Medicaid and many more, experience with online prior authorization requests, documenting outcomes in Epic, checking insurance benefits, completing daily cash deposit for the clinic, reaching out to patients with updates on authorization requests.
- Guided patients through financial assistance options and insurance processes.
- Developed and maintained strong relationships with healthcare providers for seamless billing communication.
- Analyzed patient financial data to identify trends and improve service delivery efficiency.
Certified Medical Assistant
Duke Neurology – Morreene Road Clinic
06.2021 - 08.2022
- Roomed patients, obtained vitals, prepared clinic paperwork, drew blood and injections, handled phone calls and patient messages, processed prescription refills, uploaded patient documents and images, utilized EMR, assisted providers with procedures, and scheduled patient appointments.
- Administered patient care and assisted with medical procedures in a fast-paced clinical environment.
- Coordinated patient appointments, managing schedules to optimize clinic workflow.
- Conducted routine lab tests and documented results accurately, ensuring compliance with protocols.
Certified Medical Assistant
Duke Sports Science Institute
08.2018 - 06.2021
- Rooms patients, obtaining vitals, preparing clinic paperwork, Collected blood samples from patients using sterile techniques., Prepared injections using appropriate medical protocols., performing injections, Managed incoming phone calls to address patient inquiries. and patient messages, uploading patient documents and images, using EMR, assist providers with procedures, Complete prior auth forms, arranged surgery appointments, and scheduling patient appointments.
Medical Receptionist
Virginia Ophthalmology Associates
10.2017 - 08.2018
- Schedule and confirm appointments, handle phone calls, check patients in, transcription, verify insurance, collecting copays, filing, good patient rapport, Collaborated effectively with coworkers to ensure smooth operations., use EMR system, transcribe provider’s notes into letters for primary care providers.
- Managed patient scheduling and appointment confirmations to optimize clinic workflow.
- Coordinated insurance verification processes, ensuring accurate patient billing and reduced claim denials.
- Assisted in electronic health record management, maintaining data accuracy and confidentiality standards.
Optometric Technician
Joyful Eyecare
09.2016 - 10.2017
- I was promoted to lead tech, room patients, perform special testing such as OCT’s, Visual Fields, and Pachymetry, make and confirm appointments, use EMR system, generate referrals, check insurances, acquire authorizations, file insurance, collect copays, handle phone calls, help doctors with procedures, some scribing experience.
- Conducted comprehensive patient pre-examinations, including visual acuity and refraction tests.
- Assisted optometrists in diagnostic procedures using advanced imaging technologies.
- Maintained accurate electronic health records to ensure seamless patient care and follow-up.
Education
Associates in Arts - Medical Assistant
Alamance Community College
Graham, NC05-2015
Associate of Science - Medical Billing And Coding
Pitt Community College
Winterville, NC12-2027
High School Diploma - undefined
Southern Alamance High School
Graham, NC07-2011
Skills
Cash flow management
Insurance policies
Analytical skills
Analytical thinking
Customer service
Attention to detail
Time management
Team collaboration
Third-party collaboration
Excellent communication
Adaptability skills
Certification
Certified Medical Assistant
Timeline
Financial Care Counselor
Duke Neurology – Morreene Road Clinic
08.2022 - 08.2025
Certified Medical Assistant
Duke Neurology – Morreene Road Clinic
06.2021 - 08.2022
Certified Medical Assistant
Duke Sports Science Institute
08.2018 - 06.2021
Medical Receptionist
Virginia Ophthalmology Associates
10.2017 - 08.2018
Optometric Technician
Joyful Eyecare
09.2016 - 10.2017
High School Diploma - undefined
Southern Alamance High School
Associates in Arts - Medical Assistant
Alamance Community College
Associate of Science - Medical Billing And Coding
Pitt Community College