Operational leader specializing in access management, regulatory compliance, and quality assurance audits. Directs team workflows and optimizes processes to enhance service delivery and staff development. Experienced in prior authorization oversight and continuous process improvement to drive organizational growth and achieve impactful operational outcomes.
Overview
11
11
years of professional experience
Work History
Senior Financial Quality Rep
AU Medical Center
Augusta, Georgia
02.2022 - 09.2025
Prior Authorization & Insurance Verification: Secured prior authorization and verified coverage for chemotherapy and specialty infusion regimens.
Financial Calculations: Calculated patient copays, drug pricing, and insurance estimates, ensuring accuracy and transparency in billing processes.
Clinical Order Processing: Processed clinical orders efficiently, prioritizing urgent treatments based on medical necessity.
Provided support for team training initiatives: Acted as department point of contact for insurance inquiries, payer portals, and policy updates, enhancing team access to critical information.
Coordinated daily administrative workflows and managed ad hoc tasks from management.
Patient Access Team Lead
Doctors Hospital
Augusta, Georgia
09.2015 - 05.2022
Managed patient registration and scheduling processes for optimal efficiency.
Coordinated communication between departments to enhance patient experience.
Led team training sessions on software systems and patient access protocols.
Resolved patient inquiries and issues to maintain high satisfaction levels.
Mentored staff in best practices for customer service and patient care standards.
Oversaw daily operations and ensured compliance with healthcare regulations.
Recruited, trained and supervised new staff members in accordance with established guidelines.
Identified opportunities for process improvement within the department.
Facilitated communication between patients, physicians and other stakeholders regarding patient access needs.
Performed quality assurance audits on various processes within the department.
Managed patient registration activities including verifying insurance eligibility, collecting co-pays and deductibles and scheduling appointments.
Applied HIPAA privacy and security regulations while handling patient information.
Communicated financial obligations to patients and collected fees at time of service.
Contributed to team meetings, sharing insights and strategies for improving patient access services.
Coordinated with clinical staff to manage patient flow, reducing wait times and improving satisfaction.
Guided patients through the completion of consent and other required medical forms.
Conducted financial counseling for patients, explaining payment options and assistance programs.
Collaborated with insurance companies to resolve billing discrepancies and pre-certification issues.
Handled high volume of incoming calls, providing exceptional customer service to patients and families.
Collaborated with clinical and administrative staff to meet patient needs.
Administrative Assistant
Price Is Right Auto Sales
Augusta, Georgia
09.2015 - 09.2015
Scheduled client appointments, executed targeted marketing initiatives to enhance client engagement, trained incoming staff for operational efficiency, and managed daily office correspondence.
Administrative & File Management: Processed vehicle tags, contracts, and critical documentation with high precision, while maintaining organized digital and physical filing systems.
Financial & Bookkeeping Support: Managed basic bookkeeping, calculated customer payments, and accurately collected and processed financial transactions.
Answered high-volume inbound calls, conducted targeted outbound sales efforts, and successfully closed deals for prospective and existing clients to drive revenue.
Volunteer Coordinator
Americorps Vista - Volunteers In Service To America
Augusta, Georgia
01.2015 - 09.2015
Developed and implemented volunteer recruitment plans.
Coordinated volunteer recruitment efforts to enhance community engagement and support initiatives.
Developed training materials for volunteers to ensure effective program execution and understanding.
Managed scheduling and logistics for volunteer activities and events throughout the organization.
Facilitated communication between volunteers and staff to strengthen collaboration and support networks.
Organized community outreach programs to promote awareness of service opportunities and resources.
Conducted onboarding and orientation sessions for new volunteers.
Identified volunteer service opportunities and associated requirements.
Managed volunteer database and volunteer service hours for inclusion in monthly and year-end volunteer reports.
Collaborated with local partners and stakeholders on outreach initiatives.
Maintained accurate records of volunteer hours, activities, and contributions for reporting purposes.
Monitored compliance with organizational policies and procedures.
Assisted in developing strategies to increase community engagement with the organization's mission.
Prepared reports detailing the outcomes of various projects completed by volunteers.
Created job descriptions for all volunteer roles.
Collaborated with department heads to understand volunteer needs and allocate resources effectively. to assess volunteer needs and align resources effectively.
Skills
Prior authorization
Insurance verification
Clinical order processing
Quality assurance audits
Regulatory compliance
Patient scheduling
Process improvement
Financial performance analysis
Team leadership
Training programs
Personnel management
Team collaboration
Relationship management
Customer complaint handling
Conflict resolution
Issue resolution
Problem solving
Analytical thinking
Sound decision-making skills
Time management
Communication proficiency
Communication
Financial performance analysis
Healthcare compliance standards
Communication proficiency
Financial performance analysis
Timeline
Senior Financial Quality Rep
AU Medical Center
02.2022 - 09.2025
Patient Access Team Lead
Doctors Hospital
09.2015 - 05.2022
Administrative Assistant
Price Is Right Auto Sales
09.2015 - 09.2015
Volunteer Coordinator
Americorps Vista - Volunteers In Service To America