Ashley Mata, MBA

Experience

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  HCA

  Jun 2005 - Mar 2007

  Document Control Clerk

  Managed clinic EMR and clinic medical records requests. Engaged in patient intake through appointment management and new referral onboarding.

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  KCHS Mediquip

  Mar 2007 - Feb 2008

  Customer Service Representative

  Customer service and inside sales. Qualified patients for DME based on insurance guidelines. Completed insurance verification and prior authorization. Collected upfront payments of estimated patient responsibility prior to delivery. Scheduled delivery and pick-up of durable medical equipment. Completed new patient PAP setups and mask fittings. Sold retail healthcare products and devices in a showroom setting. Completed inventory. Assisted with DME billing, invoicing, and records management.

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  Apria Healthcare

  Feb 2008 - Nov 2008

  Customer Quality Specialist

  Qualified patients for DME based on insurance guidelines. Completed insurance verification and prior authorization. Collected upfront payments of estimated patient responsibility prior to delivery. Scheduled delivery and pick-up of durable medical equipment. Completed new patient PAP setups and mask fittings. Assisted with quarterly inventory management.

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  Lincare Holdings, Inc

  Mar 2009 - Oct 2011

  Analyzed regional and national contracts to identify billing specifications (e.g., documentation, authorization, and capping/purchase requirements). Worked with Regional Reimbursement Manager on discovery projects for M&A. Collaborated with the Medicare audits to retrieve documentation. Maintained relationships with Provider Relations Representatives. Worked within the regional billing office to assist collectors and supervisors in addressing insurance carrier issues. Updated system requirements for three regional billing offices (e.g., payer coding and price table updates). Show less DME billing for Private insurance. Responsible for A/R on over 1000 accounts. Contacted payers for claims status, follow-up denials, or partial payments. Obtained payer requirements for timely adjudication of claims. Completed claims filing. Pursued, maintained, and communicated payor coverage/guideline changes/updates. Processed all incoming and outgoing correspondence as assigned. Verified, adjusted, and updated Accounts Receivable (A/R) according to correspondence received from the insurance company. Helped facilitate interoffice communication on error and denial trends. Initiated the review/appeals process on disputed claims. Researched credit balances and initiate refunds as required. Fulfilled accounts receivable phone inquiries by connecting with patients and payers. Acted as liaison between staff and management. Show less

  • Analyst

    Sept 2010 - Oct 2011

  • Patient Accounts Clerk

    Mar 2009 - Sept 2010
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  Consultants In Gastroenterology Inc.

  Oct 2011 - Jun 2012

  Patient Accounts Representative

  Payment entry management. Assisted patients by discussing financial policy and resolving patient debt. Managed communication from insurance carriers and third-party payers in reference to non-payment of claims.

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  Lincare Holdings, Inc

  Jun 2012 - May 2014

  Center Manager/CCSR Supervisor

  Center manager of 28 employees in a medical office setting. Duties included recruiting, onboarding, training, and payroll. Managed A/R, A/P, & expense reporting. Directed center objectives of documentation review, eligibility, and prior authorization for the purpose of billing DME equipment for 54 Lincare service centers. Managed relationships with multiple Lincare centers, regional billing offices, and upper management to meet corporate goals.

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  Research Medical Center

  Jul 2014 - May 2015

  Medical Office Specialist-Cancer Support Services

  Sarah Cannon Cancer Network at Research Medical CenterManaged clinical EMR and clinic records request. Engaged in patient intake through appointment management and new referral onboarding.

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  Brightree

  May 2015 - now

  • Direct day-to-day activities of BPO providers located in India and the Philippines, fostering relationships and resolving escalations to maintain high productivity and quality standards• Lead performance evaluations of vendors, identifying key metrics, monitoring trends, and recommending improvements to drive operational efficiencies and enhance service delivery.• Collaborated with internal teams, including legal, privacy, and security, to ensure adherence to HIPAA compliance and SOC standards.• Delivered monthly operational reports and performance scorecards for governance meetings, providing insights and analysis to senior leadership for informed decision-making.• Managed a team of analysts, offering mentorship, career development, and guidance to enhance team performance and collaborative efforts. Show less • Managed relationships with over 25 high-value customers, providing strategic planning and training to achieve business objectives and optimize SaaS solutions.• Developed and oversaw the Brightree Patient Collections Live Agent service, and inbound and outbound patient pay call center, monitoring performance and customer satisfaction.• Presented at national industry conferences as a subject matter expert in patient collections, sharing best practices and strategies for improved revenue cycle management. Show less

  • Global Operations Lead, Brightree- RCM, SaaS

    Jun 2018 - now

  • Senior Account Manager, Brightree Patient Collections- SaaS

    Oct 2017 - Jun 2018

  • Account Manager, Brightree Patient Collections- SaaS

    May 2015 - Oct 2017