Ashley Nelson
@ashleynelson
Master's candidate with expertise in healthcare administration and claims processing.
What I'm looking for
I am a dedicated Master prepared candidate with a strong foundation in healthcare administration and business management. With two years of clerical and administrative experience in hospital settings, I have honed my skills in medical claims processing and examination, ensuring efficiency and accuracy in all tasks. My recent role as a Medical Claims Processor at BlueCross BlueShield of Tennessee allowed me to process over 100 medical claims daily while maintaining a 100% quality rate for two consecutive quarters. I take pride in my ability to investigate claims for medical necessity and fraud, contributing to reduced outstanding claims inventory and faster reimbursement times.
In my previous position as an Administrative Resident at Saint Francis Hospital - Bartlett, I collaborated with C-suite executives on various projects, enhancing operational efficiency and patient care. I coordinated significant renovations and managed vendor contracts, ensuring compliance with Joint Commission standards. My leadership roles in organizations such as the National Association of Health Service Executives and the American College of Healthcare Executives have further developed my skills in communication and project management, allowing me to serve effectively as a liaison and program assistant.
Experience
Work history, roles, and key accomplishments
Medical Claims Processor
BlueCross BlueShield of Tennessee
Jun 2024 - Apr 2025 (10 months)
Processed over 100 medical claims daily, consistently achieving 100% quality for two consecutive quarters. Investigated incoming claims for medical necessity and fraud, contributing to a 5% reduction in outstanding claims inventory.
Administrative Resident
Saint Francis Hospital - Bartlett
Aug 2022 - May 2024 (1 year 9 months)
Provided comprehensive administrative support, including managing patient complaints, scheduling meetings, and coordinating the renovation of the Emergency Department's lobby. Partnered with C-suite executives on various projects and managed vendor and physician contracts.
Education
Degrees, certifications, and relevant coursework
University of Memphis
Master of Healthcare Administration, Healthcare Administration
Pursued a Master of Healthcare Administration degree, focusing on the complexities of healthcare systems and management. Gained expertise in administrative practices within hospital settings.
University of Memphis
Master of Business Administration, Business Administration
Completed a Master of Business Administration, enhancing skills in business management and operations. This degree complements healthcare administration knowledge with a strong business acumen.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Interested in hiring Ashley?
You can contact Ashley and 90k+ other talented remote workers on Himalayas.
Message AshleyFind your dream job
Sign up now and join over 85,000 remote workers who receive personalized job alerts, curated job matches, and more for free!
