Ashley Mann, Mba-Hm, Bshim, Cpc Email & Phone Number

Austin, Texas, United States

- Manages both Claim Denials Team and Payment Posting Team- Monitors adherence to third-party payor contracts and payor policies- Analyze payor denial trends to identify areas of opportunity in Epic systems, staff workflows, and payor feedback. - Prepares reports and feedback to executive team regarding claims payments and denials

• Responsible for maintaining master payer list, plan policies, internal resources, and communication for any payer or plan changes. • Analyzes denial data for eligibility or registration related denials and applies workflow changes and educational initiatives. • Works directly with EPIC Application Analysts to place controls or changes in EPIC system to prevent denials and create efficient end user workflows. • Chairs ARC Insurance related meetings internally and with external Payer Provider Representatives.• Liaison to Eligibility and registration related vendors

Austin, Texas

· Supervision of 50+ Patient Account Liaisons and Specialists.· Involved in hiring, onboarding, empowering and mentoring the team through implementing productivity and quality measurements.· Worked closely with all departments involved in Revenue Cycle as well as the organization as a whole to work through process improvement in current workflows. Used feedback given and previous experience in every aspect of Revenue Cycle to educate and update staff so that they can properly assist our patients. · Facilitator of Cleveland Clinic’s Customer Service Experience training program, Communicate with H.E.A.R.T.®

· Supervision of over 35 associates including interviewing, hiring, onboarding, coaching, productivity and quality improvements and overall staffing questions. · Handled escalated calls, emails, and projects from both patients and internal customers within 5 different states. · Created, implemented, and improved workflows in regards to all processes both internally and on front end of billing. · Worked claim worklists, follow-ups, and rejections. Provided feedback to local leaders at clinics and facilities to prevent future denials and access notable trends. · Attended daily webinars and virtual conference meetings with each region’s leadership teams to access the level of customer service we are providing to our patients, internal customers and third party contacts.

· Managed day to day operations within the shift assisting associates with questions, escalated patients, and workflow opportunities. · Created tools and new processes to help the department succeed, onboard associates to the best of our abilities, and operate more efficiently as a whole despite the service line differences. · Became the only individual trained in every line of service (ER Admitting, OP Admitting, IP Admitting, Physical and Occupational Therapy, Pre-Registration/Authorizations) as well as Cashiering. · Managed all supply ordering, REDCap Productivity Application, New Hire Training and schedules, creating and maintaining Optilink Unit Schedule for 29 employees and working Unbillable Claims Report. · Out of over 300 patient access associates, I was selected to be a part of the Cerner Reg Subject Matter Expert Team, where I became a trainer for associates within the program.

United States

San Luis Obispo, California Area

California

· Managed all aspects of Medical Billing for multiple Provider Groups (Charge posting, Accounts Receivable, Payment Posting). My two major pediatric groups managed over 10 million dollars of revenue per year. · Specialized in pediatrics but also worked with billing for other specialties including Podiatry, Psychiatry, Gynecology and Obstetrics, Family Medicine, and Dermatology. · Performed data entry, translation of procedures and diagnoses into codes, as well as contacting insurance companies and patients for information updates, clarification, questions, denials, appeals or payment inquiries. · Onboarded 3 new client groups. I was the first to get into their system to find trends, work through EMR System, and provide valuable feedback to increase revenue in the practice. · Oversaw an outsourced team in India. As the first to learn new EMR and billing programs, it was my responsibility to teach our entire office, and set up webinars to teach our Outsourced team as well.

Bachelor Of Science - Bs, Health Information Management

Master Of Business Administration - Mba, Healthcare Management