Open to opportunities

Carl Ackley

@carlackley

Healthcare operations professional specializing in prior authorization, insurance verification, and patient financial counseling.

United States

Message

What I'm looking for

I’m looking for a role where I can support patient access and timely care through accurate authorizations, payer portal research, HIPAA-aware documentation, and patient cost education—while continuously improving workflows in a high-volume healthcare environment.

I’m a healthcare administration and operations professional focused on prior authorization and patient access. I complete insurance authorizations for surgeries, imaging, durable medical equipment, and injections, while verifying eligibility and educating patients on expected costs and financial responsibility.

Across authorization and financial counseling roles, I use payer portals, third-party systems, and authorization guidelines to support accurate approvals. I resolve authorization issues through clear communication with patients, clinical teams, and insurance companies, and I improve turnaround time with better organization and authorization tracking.

I also bring hands-on clinical workflow experience, including phlebotomy and lab processing. I perform peripheral venipuncture, operate Sysmex blood count equipment, support specimen handling and inventory control, and train others on HIPAA-aware documentation and process expectations.

Experience

Work history, roles, and key accomplishments

Current

Bagger Operator

Current

Bimbo Bakeries USA

Mar 2023 - Present (3 years 3 months)

Operated bread-bagging line equipment, performed minor machine maintenance, and adjusted settings for product and line requirements. Inspected finished bags for quality and trained associates on machinery operation and workflow expectations.

Production Operations Bagging Equipment Operation Minor Machine Maintenance Time Management Attention To Detail

Authorization Specialist

EmergeOrtho

Nov 2021 - Mar 2023 (1 year 4 months)

Completed insurance authorizations for surgeries, imaging, DME, and injections by verifying coverage and educating patients on expected costs. Researched payer portals and guidelines to resolve authorization issues, improved authorization tracking/turnaround time, and trained new specialists.

Insurance Verification Patient Financial Counseling Patient Care Coordination Third Party Systems Research Staff Training

Financial Counselor

Messino Cancer Center / American Oncology Network

Apr 2021 - Nov 2021 (7 months)

Verified patient insurance and updated demographics to support accurate records and billing. Located copay assistance and financial aid options, obtained authorizations for imaging and chemotherapy, and researched claims to address patient billing concerns.

Patient Financial Counseling Insurance Verification Patient Education

Phlebotomist and Lab Processing

Messino Cancer Center / American Oncology Network

Feb 2020 - Apr 2021 (1 year 2 months)

Performed peripheral venipuncture, supported patient comfort, and operated Sysmex blood count equipment to report results to providers. Prepared specimens for external labs, assisted with bone marrow biopsy procedures, and maintained accurate specimen handling, labeling, processing, and lab inventory control.

Phlebotomy Venipuncture Sysmex Blood Count Testing Specimen Processing Laboratory Processing Bone Marrow Biopsy Assistance Laboratory Quality Control Inventory Control

Adult/Pediatric Phlebotomist

One Medical Group

Apr 2018 - Jan 2020 (1 year 9 months)

Drew blood for adult and pediatric patients while creating a calm, educational experience. Streamlined medical records request workflows, supported HIPAA compliance training, and managed lab inventory through supply counts and ordering.

Phlebotomy HIPAA compliance Patient Communication Documentation

Administrative Assistant (Healthcare)

One Medical Group

Sep 2017 - Apr 2018 (7 months)

Coordinated appointments, referrals, prescriptions, and care communications between patients and clinical teams in a fast-paced setting. Assisted with billing issues and insurance authorizations, maintained an internal specialist contacts database, and supported proactive patient follow-through.

Healthcare Scheduling Insurance Authorization Billing Support Patient Communication Database Management Data Entry Workflow Management