Ashley Hill

Certified Medical Assistant and prior authorization specialist with more than 15 years of healthcare experience. Skilled in rheumatology medication authorizations, insurance coverage review, appeals, patient assistance, clinical documentation, and patient care.

(2026-01 – Present)

• Manage prior authorizations for rheumatology medications, including biosimilars, across multiple insurance plans.
• Use CoverMyMeds to submit and track requests, review coverage requirements, and appeal denied authorizations.
• Gather clinical records and work with prescribers and insurance companies to resolve documentation requests and coverage denials.

Certified Medical Assistant/Prior Authorization Specialist at East Tennessee Children’s Hospital Infusion Clinic (2024-01 – 2026-01)

• Obtained patient vital signs every 15-30 minutes during infusion visits.
• Managed prior authorizations for rheumatology medications and intravenous immunoglobulin (IVIG) therapies.

Precertification Specialist at Tennessee Cancer Specialists (2023-05 – 2026-01)

• Initiated medication and procedure authorizations through major medical and pharmacy benefit plans.
• Applied ICD-10 diagnosis and HCPCS J-code knowledge when reviewing prescriptions and supporting documentation; used CoverMyMeds, Availity, eviCore, and UnitedHealthcare portals.
• Followed authorization status and communicated next steps to support timely access to treatment.

Scheduling Coordinator at Community Health Systems (2022-02 – 2023-05)

• Coordinated appointments for clinics across Tennessee, West Virginia, North Carolina, and Texas.
• Verified insurance eligibility, documented patient messages in the electronic medical record, and routed inquiries to the appropriate providers while maintaining patient confidentiality.

Certified Medical Assistant at University of Tennessee Cardiology (2018-10 – 2021-10)

• Coordinated cardiac catheterizations, transesophageal echocardiograms, and cardioversions with the catheterization lab.
• Managed provider schedules, referrals, procedure and medication precertifications, patient intake, vital signs, ECGs, and chart updates.
• Prepared examination rooms and helped patients understand tests, procedures, and medication assistance programs.
• Collected patient histories, documented vital signs, updated charts, and maintained patient privacy.

Operational Team Lead / Prior Authorization Specialist at NYX Health

Medical Assistant at Norwood Family Physicians (2017-11 – 2018-10)

• Completed patient intake, vital signs, charting, and preparation for examinations and in-office procedures.
• Documented results and patient information in Centricity and PowerChart; supported patient education and maintained HIPAA-compliant records.
• Assisted clinicians with in-office procedures, collected specimens, prepared supplies, and routed abnormal or incomplete results to providers.

Medical Assistant at Dermatology Associates of Knoxville (2016-08 – 2017-09)

• Assisted with skin biopsies, incision and drainage, and cyst removal; prepared and sterilized equipment.
• Documented specimens and test results and explained routine treatments and procedures to patients.
• Prepared charts and exam rooms, supported patient intake, and reviewed results for completeness.

Medical Assistant at Valley View Family Physicians (2010-05 – 2017-05)

• Performed ECGs, phlebotomy, spirometry, patient intake, and vital signs.
• Coordinated referrals and medication prior authorizations, assisted with minor procedures, and maintained records in Allscripts.
• Compiled laboratory, imaging, and hospital records; answered patient messages and helped patients access medication assistance programs.

Medical Assistant Program – Tennessee Technology Center of Knoxville (2007 – 2008)