Anaya Kelley
Locust Grove,GA
Summary
Experienced with managing customer inquiries and concerns efficiently, ensuring seamless customer service experience. Utilizes strong communication and problem-solving skills to address and resolve issues promptly. Track record of fostering positive client relationships and adapting to dynamic customer needs.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Treatment Coordinator & Patient Coordinator
Great Expressions Orthodontics
Atlanta, GA
05.2022 - Current
- Coordinated orthodontic treatment plans, reviewing financial responsibilities, insurance breakdowns, and care expectations with patients.
- Managed high-volume scheduling across multiple orthodontists to maintain efficient patient flow and reduce clinic wait times.
- Handled insurance verification, payment posting, authorizations, and financial consultations.
- Maintained detailed orthodontic charts, scanned documents, and updated digital records while ensuring accuracy and HIPAA compliance.
- Supported providers by preparing charts, documenting treatment notes, and relaying clinical instructions to patients.
- Built strong relationships by explaining procedures, offering reassurance, and providing ongoing support throughout treatment.
Pharmacy Specialist
Summit Healthcare Services
Remote
01.2022 - 03.2024
- Investigated and addressed complex pharmacy and claims-related challenges to ensure compliance with established turnaround times.
- Oversaw high-volume communication with members, prescribers, and pharmacies to address inquiries related to pharmacy benefits and formulary coverage.
- Directed the processing of prior authorizations and appeals, ensuring timely updates on coverage determinations.
- Cultivated in-depth expertise in pharmacy and medical benefits formularies, aligning with CMS regulations to uphold compliance and accuracy.
- Utilized advanced problem-solving abilities to identify creative solutions for atypical client concerns.
- Collaborated with cross-functional teams to enhance service delivery and customer satisfaction.
- Entered pharmacy overrides into systems based on approvals and guidance from clinical pharmacists.
- Provided benefit education and alternative options, including submission pathways for prior authorization requests.
Patient Coordinator
Southside Medical Center
Atlanta, GA
04.2020 - 05.2022
- Processed patient registration, insurance verification, and medical record updates for a diverse patient population.
- Managed provider scheduling, referrals, prior authorizations, and patient follow-up coordination.
- Assisted nursing staff with chart prep, patient navigation, and room readiness.
- Triaged patient calls, escalated urgent concerns, and communicated with clinical staff for immediate support.
- Ensured smooth daily operations, reducing patient backlog and improving clinic efficiency.
Medical Receptionist
Macon Chiropractic & Medical Center
Macon, GA
05.2018 - 01.2019
- Managed patient intake, check-out, and scheduling for both chiropractic and medical services.
- Handled insurance verification, billing assistance, and payment processing.
- Prepared and updated patient charts, ensuring accurate and organized documentation.
- Supported the clinical team by coordinating patient flow and addressing patient questions.
Education
LPN Program - undefined
Central Georgia Technical College
01.2026
CNA - undefined
01.2026
Skills
- EMR/EHR Systems (Dentrix, Epic, eClinicalWorks)
- Patient Registration, Intake & Chart Management
- Insurance Verification, Billing Support & Prior Auths
- Dental & Medical Terminology
- Multiline Phone Systems & High-Volume Front Desk Operations
- Appointment Scheduling & Provider Calendar Coordination
- HIPAA Compliance & Confidential Documentation
- Care Coordination & Patient Communication
- Conflict Resolution & Customer Service
- HIPAA compliance
- Insurance verification
- Customer service
Certification
- BLS Certification (09/2026)
- CNA (Active)
- HIPAA & OSHA Compliance Training
MILITARY SERVICE
U.S. Air Force Reserve, Veteran, 2019-11, 2023-04, Demonstrated high-level discipline, accountability, and teamwork in fast-paced operational settings., Upheld confidentiality, accuracy, and federal standards of performance.
Timeline
Treatment Coordinator & Patient Coordinator
Great Expressions Orthodontics
05.2022 - Current
Pharmacy Specialist
Summit Healthcare Services
01.2022 - 03.2024
Patient Coordinator
Southside Medical Center
04.2020 - 05.2022
Medical Receptionist
Macon Chiropractic & Medical Center
05.2018 - 01.2019
LPN Program - undefined
Central Georgia Technical College