Carolyn Flores
Oakwood,GA
Summary
Healthcare professional with extensive experience in patient access roles, ensuring smooth patient admissions and accurate data management. Proven ability to collaborate effectively with teams and adapt to dynamic healthcare environments. Known for excellent communication skills and strong attention to detail.
Overview
9
9
years of professional experience
Work History
Patient Access Representative
Northeast Georgia Health Systems
06.2023 - Current
- Processed authorizations for medical tests and procedures.
- Counseled and assisted patients with application processes for available financial assistance programs.
- Communicated with third party payors to obtain insurance benefits and authorizations.
- Maintained positive relationships with external vendors such as insurance companies or third party payers.
- Monitored incoming calls from patients, physicians, or other healthcare providers while providing timely responses.
- Prepared daily reports outlining additional documentation needed before being approved for surgery.
- Performed administrative tasks such as scheduling appointments, answering phones, and responding to emails.
- Verified insurance coverage prior to registering patients for treatment.
- Contributed to a positive work environment by fostering strong relationships among colleagues, promoting teamwork, and sharing best practices.
- Facilitated smooth billing processes by verifying insurance eligibility, obtaining authorizations, and accurately entering claim details into the system.
- Trained new hires on department procedures, policies, and software systems, ensuring consistent quality service delivery from all team members.
Nursing Assistant
Home Health
05.2021 - 04.2022
- Developed collaborative relationships with patients and families.
- Applied external catheters and maintained patency or drainage.
- Collected blood samples and body fluids to prepare for diagnostic testing.
- Kept patient information confidential to protect organization's value.
- Helped with fiancées and drive said patient to appointments.
- Observed and examined patients to detect symptoms that required medical attention, such as bruises, open wounds and blood in urine.
Certified Nursing Assistant
CNA | Northeast Georgia Health System Inc
08.2019 - 11.2020
- Evaluated patients to identify and address wounds, behavioral concerns and medically relevant symptoms.
- Assisted patients with mobility needs, including moving to and from beds, organizing wheelchairs and preparing assistive devices.
- Gathered dietary information, assisted with feeding and monitored intake to help patients achieve nutritional objectives and support wellness goals.
- Conferred with a multidisciplinary healthcare team to help effectively manage patient conditions with regular testing and vitals assessments.
- Measured patient vital signs, recording body temperature, blood pressure and heart rate.
- Communicated with patients to determine need for assistance or social and emotional support.
Receptionist
Chuey's Landscaping
03.2016 - 05.2018
- Received, sorted and forwarded incoming mail and coordinated pick-ups and deliveries of express mail.
- Maintained office and faculty supplies to keep optimum stock on hand.
- Provided typing, word processing and clerical support and assisted with special projects.
- Operated multi-line telephone system to answer incoming calls and accurately direct callers to appropriate employees.
- Performed routine bookkeeping tasks to record and store financial transactions.
Education
Certified in Clinical Medical Assisting -
North Georgia Nursing Academy
Flowery Branch, GA01.2021
High School Diploma - undefined
Lanier College & Career Academy
Gainesville, GA05.2018
Certified Nursing Assistant - undefined
North Georgia Nursing Academy
Flowery Branch, GA01.2017
Skills
- Customer service
- Insurance verification
- HIPAA compliance
- Patient registration
- Multitasking and organization
- Registration and admissions
- Phone and email etiquette
- Medical terminology
- Insurance billing
- Payment processing
- Health insurance knowledge
- Insurance authorizations
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
Patient Access Representative
Northeast Georgia Health Systems
06.2023 - Current
Nursing Assistant
Home Health
05.2021 - 04.2022
Certified Nursing Assistant
CNA | Northeast Georgia Health System Inc
08.2019 - 11.2020
Receptionist
Chuey's Landscaping
03.2016 - 05.2018
High School Diploma - undefined
Lanier College & Career Academy
Certified Nursing Assistant - undefined
North Georgia Nursing Academy
Certified in Clinical Medical Assisting -
North Georgia Nursing Academy
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