Ashley Arroyo

Serve as primary contact for incoming referrals and family communications, ensuring clear and timely information exchange. Manage referral intake while ensuring services met medical necessity criteria. Perform biweekly follow-ups with families on waitlist, providing guidance on out-of-pocket costs and maintaining engagement. Direct families to external resources when immediate services were unavailable. Process internal client transfer requests due to clinician or insurance changes. Verify insurance benefits daily and communicated updates to staff and families. Facilitate prior authorizations, single case agreements, and network exceptions, streamlining processes for timely access to care. Maintain organized records, ensuring accuracy and timeliness in documentation and data submissions.

• Collaborate with multidisciplinary teams to create individualized service plans.
• Develop and maintain supportive relationships with clients and their families.
• Facilitate training sessions for new staff on organizational policies and procedures.

Compiled weekly reports for management Basic clerical duties such as filing, scanning, mail distribution, and biweekly office replenishment Provided translation services Coordinated scheduling of appointments and meetings to optimize time management. Served as first point of contact Payroll Assistance Collected weekly timecards. Onboarded new hires. Reception Processed all terminations. Developed job opportunities and posted job opportunities Conducted candidate interviewss Conducted orientations for new hires to facilitate a smooth onboarding process.

• Coordinated schedules and appointments for staff and clients effectively.
• Managed office supplies and inventory for efficient daily operations.
• Prepared and maintained accurate records and documentation for compliance.

Answer phones and respond to client requests Assist patients with application forms for medication oop costs Outreached to patients to monitor therapy adherence and identify barriers. Assess priority of reporting client incidents and escalating to appropriate team Provide regular status updates on client inquiries not immediately resolved Collaborated with health service areas to improve overall client experience and service delivery. Complete a daily task sheet consisting of 80-100 patients/day Maintained accurate patient records in database. Delivered comprehensive oral and written reports on client status to inform care decisions. Outreach insurance agencies for benefit investigations

• Collaborated with cross-functional teams to enhance patient support services and education.
• Drafted legal documents for patient access programs and compliance initiatives.
• Reviewed contracts to ensure adherence to regulatory requirements and company policies.

Supported job seekers in achieving employment goals through development of career plans, delivery of career workshops, and facilitation of job searches and placements. Built relationships with business community to identify job matches, conducting networking and outreach to understand hiring needs of local employers for participant referrals. Conducted client intake sessions to assess individual needs Updated and organized client records to ensure accuracy. issue childcare vouchers to clients. Assessed client progress regularly to identify areas for improvement Maintain active communication with property Prepared and delivered oral and written reports detailing client status. Processed termination of clients who no longer met eligibility criteria.

• Coordinated client intake and assessment processes for diverse cases.
• Facilitated communication between clients and service providers efficiently.
• Supported job seekers in achieving employment goals through development of career plans, delivery of career workshops, and facilitation of job searches and placements.Built relationships with business community to identify job matches, conducting networking and outreach to understand hiring needs of local employers for participant referrals.Conducted client intake sessions to assess individual needsUpdated and organized client records to ensure accuracy.issue childcare vouchers to clients.Assessed client progress regularly to identify areas for improvementMaintain active communication with propertyPrepared and delivered oral and written reports detailing client status.Processed termination of clients who no longer met eligibility criteria.

Responded to telephone and written inquiries from members and providers within established timeframes, ensuring accurate information delivery using current reference materials and resources Provide assistance to members and/or providers regarding website registration and navigation Documented activities for quality and metrics reporting in Customer Relationship Management (CRM) application, contributing to data accuracy and reporting efficiency Process written customer correspondence and provide the appropriate level of timely follow up Coordinated transportation for members to ensure timely access to services. and make referrals to other departments as appropriate Maintained performance and quality standards aligned with call center metrics, consistently meeting turnaround time expectations

• Coordinated with healthcare providers to resolve billing discrepancies promptly.
• Processed patient information using electronic health record systems efficiently.
• Responded to telephone and written inquiries from members and providers within established timeframes, ensuring accurate information delivery using current reference materials and resourcesProvide assistance to members and/or providers regarding website registration and navigationDocumented activities for quality and metrics reporting in Customer Relationship Management (CRM) application, contributing to data accuracy and reporting efficiencyProcess written customer correspondence and provide the appropriate level of timely follow upCoordinated transportation for members to ensure timely access to services. and make referrals to other departments as appropriateMaintained performance and quality standards aligned with call center metrics, consistently meeting turnaround time expectations

Accurately prepared and dispensed prescription medications under the supervision of licensed pharmacists. Processed prescriptions using pharmacy management software while ensuring accuracy and compliance with state and federal regulations. Verified patient demographics, insurance information, and prescription details prior to processing. Processed and resolved Medicare, Medicaid, and commercial insurance claims, addressing third-party rejections and prior authorization issues to ensure timely patient access to medications. Assisted patients with prescription questions, medication pick-up, copay inquiries, and insurance concerns while providing exceptional customer service. Ensured accuracy of patient records and compliance with HIPAA regulations, safeguarding patient confidentiality and data integrity. Performed medication inventory management, including ordering, stocking, expiration date monitoring, and controlled substance documentation. Calculated medication dosages and measured medications accurately. Processed cash, credit card, and insurance transactions while balancing daily registers. Collaborated with pharmacists and healthcare providers to efficiently resolve prescription discrepancies and manage refill requests, enhancing patient care continuity. Maintained a clean, organized, and compliant pharmacy workspace. Prepared documentation and coordinated patient intake for the immunization workflow.

• Ensured accurate processing of prescriptions for various patient requirements.
• Managed medication inventory levels to maintain consistent availability.
• Facilitated pharmacist-patient interactions by assisting with medication-related questions.