Years of experience: 10

MarketingBusiness OwnerSales & BizDevHRConsultingEducation

Trust Score

Exceptionally trusted; proven professional excellence.

80%
Ashton's Career Path
Senior Provider Engagement Account ManagerFeb. 2022 -
Present
PA Health & WellnessSenior Provider Engagement Account Manager
Mechanicsburg, Pennsylvania, United States• Facilitates all contact between healthcare provider groups, practitioners, employees, and health plan staff in assigned territory. • Supervises and leads educational training, including but not limited to, new provider group orientations and secure provider portal education, as well as internal new hire education and trainings. • Effectively and appropriately respond to external provider an...
PROVIDER ENGAGMENT ADMINISTRATORAug. 2019 -
Feb. 2022
PA Health & WellnessPROVIDER ENGAGMENT ADMINISTRATOR
Camp Hill, Pennsylvania, United States• Facilitated all contact between healthcare provider groups, practitioners, employees, and health plan staff. Oversaw the relationships between the health plan and employees of over 300 providers in the Lehigh Capital and Northeast Region zones in Pennsylvania. Supervised and lead educational training, including but not limited to, new provider group orientations and secure provider portal e...
INSURANCE REFERRAL & AUTHORIZATION SPECIALIST/TRAINERMay. 2015 -
Aug. 2019
UPMCINSURANCE REFERRAL & AUTHORIZATION SPECIALIST/TRAINER
Lemoyne, Pennsylvania, United States• Responsible for the coordination of the referral process within UPMC Pinnacle Health Medical Group. • Responsible for coordinating specialty referrals and diagnostic authorizations and testing for the UPMC Pinnacle Health sites and outside facilities. • Pre-certifies diagnostic testing, as required by patient's insurance. Educates the patients on various policies, procedures, and benefits, ...