Summary
Overview
Work History
Education
Skills
Training
Timeline
Generic

ASHLEY NIGRO

Boston,MA

Summary

Experienced healthcare professional with extensive background in patient-facing and administrative roles. Proficient in medical office management, providing essential support to healthcare teams. Thrives in high-pressure environments, ensuring operational efficiency and compliance with healthcare protocols. Skilled in medical coding, billing practices, and detailed patient record maintenance, staying current with industry regulations and standards.

Overview

13
13
years of professional experience

Work History

Clinical Operations Associate

Commonwealth Care Alliance
08.2021 - Current
  • Manage care coordination and operational processes to enhance patient outcomes
  • Enter and update patient records with accuracy and efficiency in electronic medical record systems
  • Review medical data for completeness, accuracy, and compliance with healthcare regulations
  • Verify insurance claims and billing codes to ensure proper reimbursement
  • Cross-check patient information with medical documentation to prevent errors
  • Process invoices, payments, and reimbursements according to healthcare billing standards
  • Collaborate with medical staff to clarify discrepancies in patient records or billing details
  • Maintain confidentiality and security of sensitive patient information per HIPAA regulations
  • Generate and review reports for discrepancies, missing information, or potential claims denials and assist in resolving denied claims by identifying errors and submitting corrections

Psychiatric Admissions Counselor

Bayridge Hospital
12.2019 - 08.2021
  • Provided initial assessments and counseling for incoming psychiatric patients
  • Including completing and reviewing all required patient forms including Section 12
  • Coordinated with healthcare providers and insurance companies for patient admissions
  • Educated patients and families about treatment plans, facility policies, and support resources
  • Managed documentation and ensured compliance with mental health protocols

Patient Care Coordinator

Fuller Chiropractic
01.2012 - 01.2015

Scheduled patient appointments and maintained medical records with accuracy

  • Assisted with insurance verifications, claims processing, and billing inquiries
  • Provided administrative support to healthcare professionals to optimize patient care
  • Ensured a welcoming environment for patients and addressed their concerns

Education

Associate of Science -

Bay Path University
Longmeadow, MA
01.2015

High School Diploma -

Wakefield High School
Wakefield, MA
06.2004

Skills

  • Strong organizational skills
  • Strong Communication Skills
  • Proficient in EPIC, Altruista Health, and MMIS
  • HIPAA compliance expertise
  • Insurance eligibility verification
  • Proficient in ICD coding
  • Proficient in Microsoft Office Suite
  • Patient education

Training

A.A Liberal Studies

Timeline

Clinical Operations Associate

Commonwealth Care Alliance
08.2021 - Current

Psychiatric Admissions Counselor

Bayridge Hospital
12.2019 - 08.2021

Patient Care Coordinator

Fuller Chiropractic
01.2012 - 01.2015

High School Diploma -

Wakefield High School

Associate of Science -

Bay Path University
ASHLEY NIGRO