Ashley Lawson
Ruckersville
Summary
Results-driven compliance specialist with expertise in regulatory compliance, risk management, and policy enforcement. Identifies and mitigates risks while ensuring adherence to legal standards. Delivers effective compliance programs and conducts thorough audits, contributing to team success and measurable outcomes.
Overview
14
14
years of professional experience
Work History
Compliance Officer
UVA School of Nursing
02.2025 - Current
- Ensured student compliance with regulatory standards and institutional policies across nursing programs.
- Conducted regular reports to assess adherence to internal controls and procedures.
- Developed training materials to enhance staff and student understanding of compliance requirements.
- Collaborated with multidisciplinary teams (faculty, clinical sites, SIM team, etc.) to address compliance issues and implement solutions.
- Coordinated student criminal background checks, drug screens, CPR certification, in and outside of UVA clinical site compliance.
- Maintained 400+ BSN and CNL student compliance requirements (vaccinations, licensure, UVA policies, etc.).
Transplant Financial Coordinator
University of Virginia Medical Center
01.2024 - 02.2025
- Managed patient financial operations to ensure compliance with healthcare regulations and policies.
- Worked one on one with kidney transplant patients and their families to find financial resources (Financial Assistance, Medicaid, Medicare, etc.) to afford a transplant.
- Developed financial analyses, supporting strategic decision-making for resource allocation.
- Collaborated with cross-functional teams (Kidney Transplant nurse coordinators, social workers, Nephrologists, Kidney Transplant surgeons, etc.) to identify cost-saving opportunities and optimize expenditures.
- Obtained kidney transplant insurance prior authorizations while collaborating with multiple different insurance agencies.
Pre-Certification Authorization Coordinator
University of Virginia Medical Center
11.2022 - 01.2024
- Obtains pre-certification/authorization for a variety of outpatient services, initial visits, and follow up visits
- Maintains professional and effective communication with insurance companies, patients, and medical staff (doctors, nurses, pharmacy, clinic scheduling, etc.)
- Coordinates benefits and facilitates insurance coverage
- Resolved insurance denials and assisted doctors with appeals and peer-to-peer reviews
- Familiarizes myself and stays updated on contracts between UVA and insurance companies
- Securely faxes patients’ medical record information to insurance carriers and/or provides needed clinical information over the phone
- Reads physician notes and searches for accurate medical coding to submit patients’ prior authorization
Revenue Cycle Insurance Resolution
University of Virginia Medical Center
07.2018 - 11.2022
- Managed billing process for outpatient claims/accounts with Aetna and Cigna, ensuring timely and accurate processing of secondary claims
- Copied, faxed, securely e-mailed, and mailed patient’s medical records.
- Accurately and efficiently work 70-100+ accounts in work queues daily
- Resolves insurance billing/payment/collection/credit account issues
- Work with commercial insurance companies and patients one on one over the phone and through e-mail
- Resolve insurance billing/payment/collection/credit account issues
- Fax, mail, e-mail, and electronically send claims to payers
- Send letters to/call patients to update any necessary paperwork
- Assist in/leads training for Aetna/Cigna payers for new team members
- Work hand in hand with UVA’s authorization and coding teams
Call Center Resource Specialist
University of Virginia Medical Center
03.2015 - 07.2018
- Handled incoming calls for medical center and university, ensuring timely assistance for patients and staff
- Functioned as Emergency Operator (4-2012)
- Answered all incoming calls for the medical center and the university
- Transferred/routed incoming calls within UVA when necessary
- Provided patients with appointment information, directions, etc.
- Transferred and routed incoming calls within UVA to appropriate departments, facilitating efficient communication
- Managed the doctor’s personal on-call schedules (pagers unable to be paged, etc.)
4 Central Certified Nurse Assistant
University of Virginia Medical Center
12.2012 - 03.2015
- Monitored patient vitals using heart monitors to assess health status.
- Collected blood samples to measure glucose levels for diabetes management.
- Supported patients with activities of daily living, enhancing comfort and independence
- Performed EKGs
- Provided pre & post-operative surgical care to facilitate recovery and promote patient safety
- Documented all patient care in Epic system
Education
Associates degree - Business Administration
Piedmont Virginia Community College
Charlottesville, VA12-2024
Certificate - Health Information Management, Medical Administrative Support Career Studies
Piedmont Virginia Community College
Charlottesville, VA12-2017
Certification - Nursing Assistant
Charlottesville Albemarle Technical Education Center
Charlottesville08-2012
High school diploma - General studies
United Christian Academy
Stanardsville05-2008
Bachelor of Science - Healthcare Management
UVA School of Continuing And Professional Studies
Charlottesville05-2029
Skills
- High-pressure operations
- Multitasking efficiency
- Individual and team work
- Focus while multitasking
- Regulatory compliance
- Organizational communication
- EPIC and Microsoft Office
- Typing speed and accuracy
Timeline
Compliance Officer
UVA School of Nursing
02.2025 - Current
Transplant Financial Coordinator
University of Virginia Medical Center
01.2024 - 02.2025
Pre-Certification Authorization Coordinator
University of Virginia Medical Center
11.2022 - 01.2024
Revenue Cycle Insurance Resolution
University of Virginia Medical Center
07.2018 - 11.2022
Call Center Resource Specialist
University of Virginia Medical Center
03.2015 - 07.2018
4 Central Certified Nurse Assistant
University of Virginia Medical Center
12.2012 - 03.2015
Certificate - Health Information Management, Medical Administrative Support Career Studies
Piedmont Virginia Community College
Certification - Nursing Assistant
Charlottesville Albemarle Technical Education Center
High school diploma - General studies
United Christian Academy
Associates degree - Business Administration
Piedmont Virginia Community College
Bachelor of Science - Healthcare Management
UVA School of Continuing And Professional Studies