Karlyn Shamley
Memphis,TN
Summary
Well qualified professional with 10+ years of experience and the proven ability to provide key operational support. Possessing a comprehensive background along with a multitude of skills that transfer into any setting to create and maintain high levels of efficiency and productivity. Confident and poised in interactions with individuals at all levels, having the ability to build productive relationships and work towards achieving the goals of the business.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Patient Access Representative
Ensemble Health Partners
04.2025 - Current
- Facilitated patient registration processes, ensuring accuracy and efficiency in data collection.
- Managed insurance verification processes, minimizing delays in patient access to services.
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
- Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
- Streamlined patient registration processes by implementing efficient data collection methods and reducing wait times.
- Improved patient satisfaction scores by actively addressing concerns and providing prompt assistance during the check-in process.
- Increased patient trust and satisfaction, delivering empathetic support and guidance throughout their visit.
- Maintained high standards of confidentiality and privacy, strictly adhering to HIPAA regulations.
- Improved patient satisfaction by efficiently managing registration and intake processes.
- Enhanced patient experience, ensuring welcoming environment from first point of contact.
Health Information Specialist II
Datavant
08.2023 - Current
- Developed and implemented health information management protocols to enhance data integrity.
- Analyzed healthcare data sets to ensure compliance with regulatory standards and best practices.
- Led cross-functional teams to streamline health information workflows and improve operational efficiency.
- Trained staff on electronic health record systems, enhancing user proficiency and system utilization.
- Designed training materials for new hires, promoting best practices in health information management.
- Conducted audits of health information records, identifying discrepancies and ensuring accuracy in documentation.
- Assisted with the preparation for and successful completion of audits by external agencies, demonstrating compliance with all industry regulations.
- Supported clinical research projects with accurate data collection, analysis, and reporting, contributing to advancements in healthcare practices.
- Trained and backed reception area, on-call and distribution runs to facilitate quality customer care.
- Sorted, scanned and indexed documents, developed workflows and processed workflow reports to keep clinical records maintained in accordance with guidelines.
- Generated and maintained statistical data related to medical records.
- Managed electronic health record systems to ensure data accuracy and compliance with regulations.
Admissions Supervisor
Baptist Memorial Hospital-East
05.2022 - 05.2023
- Supervised the admissions of patients into the hospital.
- Oriented patients, families, and relatives to the hospital admissions process.
- Organized workflow for timely and reliable team performance.
- Supervised work schedules to ensure proper and adequate shift coverage at all times.
- Selected and assigned orientation of new staff and training.
- Counseled employees on problem areas related to performance and registration.
- Worked with team members to generate personal development plans, identify areas for growth, and enhance performance.
- Performs performance appraisals and interviews, and provides feedback and coaching to staff regarding the policies and procedures of admissions.
- Lead departmental meetings and contributed to methods to improve quality of hospital operations.
- Enhanced patient care by implementing admissions functions that interface with the professional and nursing staff.
- Reviewed operational reports to identify opportunities and problems.
- Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, and general liability.
Correspondence Specialist/Patient Access Rep II
Regional One Health
10.2018 - 05.2022
- Responsible for the mailing of claims and secondary explanation of benefits to payers, mailing of implant invoices, medical records, PCP referrals, sterile forms and reconsideration forms to payer to recoup balances owed process itemized billing request for law firms and processed itemized bills for legal purposes.
- Applied refunds and adjustments to patients billing accounts.
- Processed charity applications based on income requirements.
- Organized and maintained critical communications.
- Developed documents in Word and maintained Excel databases.
- Edited and reviewed communications for tone and quality.
- Managed and maintained an efficient, well-organized digital filing system.
- Analyzed data and work orders before sending or completing tasks.
Patient Access Advocate
St. Francis Hospital
06.2017 - 06.2018
- Registered patients upon their arrival, this included getting demographic information and updating information as needed.
- Verified insurance, benefits, coverage and eligibility.
- Called insurance companies and doctor’s offices to obtain authorizations for scheduled and unscheduled outpatient hospital services. Started new authorizations as needed.
Call Center Representative
Express Scripts- Accredo
06.2015 - 06.2017
- Answered questions related to pharmacy benefits, while maintaining productivity standards and performance guarantees where applicable.
- Worked with other operational departments to research and resolve mail order and claims issues and responded to members within performance agreement guidelines.
- Maintained accurate and complete documentation of all inquiries in order to continuously improve the customer service process and reduce potential legal concerns.
- Identified and escalated in a prudent manner, concerns received from patients and/or clients so that corrective action can be pursued and expedited to take care of their needs.
Call Center Representative
Asurion
01.2015 - 06.2015
- Answered incoming phone calls to articulate product value to prospective customers and support current policyholders.
- Reviewed and adjusted customer coverage levels to address, identify, and resolve customer conflicts.
- Fielded customer complaints, escalating complex issues to management for resolution.
- Completed customer applications and updated records to reflect current information.
- Assisted customers with completing insurance documents to avoid missed information.
- Processed insurance policy cancellations and renewals quickly to meet call time targets.
File Clerk/Receptionist
The Jones Clinic
01.2011 - 01.2014
- Operated multi phone lines: answered, screened and forwarded calls, providing information, taking messages and scheduling appointments.
- Received payment and recorded receipts for services.
- Performed administrative support tasks such as proofreading, transcribing handwritten information, and operating calculators or computers to work with pay records, invoices, balance sheets and other documents.
- Greeted persons entering the establishment, determined the nature and purpose of visit, and directed and escorted them to specific destinations.
- Filed and maintained records.
Education
Bachelor of Science - Health Care Administration
Strayer University
Memphis, TN05-2029
GED - undefined
Messick Adult School
Memphis, TN01-2006
Skills
- Excellent interpersonal skills
- Prioritizes to multitask many responsibilities
- Superb critical thinking & analytical skills
- Excellent customer service skills
- Works well independently or as part of a team
- Demonstrates professional conduct and ethics according to policy and procedure
- Reliable and flexible fast learner
- Effective Leadership Abilities
- Proven to have good planning, organization and prioritization skills
- Ability to build productive relationship
- Highly trained in ability to react under pressure, use of good judgment in ambiguous situations
- HIPAA guideline adherence
- Proficient knowledge of Microsoft Office
- Patient check-in
- Multitasking and organization
- Registration and admissions
- Phone and email etiquette
- Medical terminology
- Healthcare systems navigation
- Strong empathy
- EMR
- Problem-solving
- Team collaboration
- Money handling
- Quality assurance
- Relationship building
- Flexible schedule
- Insurance billing
- Eligibility determination
- Conflict resolution
- Payment processing
- Patient education
- Registration management
- Work quality evaluation
- EMR updating
- Fee collection
- Medical billing
- Training coordination
- Regulatory compliance
- Process improvement
- Statistical data management
- Verbal and written communication
- Electronic health records
- Data entry
- Policy understanding
- Records maintenance
- Patient feedback management
- Health insurance knowledge
- Attention to detail
- Caring and empathetic
- Medical insurance
- Calm and effective under pressure
- Patient intake
- Benefits explanation
- Database search and data entry skills
- Word processing
- Providing information and resources
Accomplishments
- Supervised team of 60 staff members.
- Used Microsoft Excel to develop inventory tracking spreadsheets.
Certification
- Certified CRCR, Ensemble Health - 2025-Present
Timeline
Patient Access Representative
Ensemble Health Partners
04.2025 - Current
Health Information Specialist II
Datavant
08.2023 - Current
Admissions Supervisor
Baptist Memorial Hospital-East
05.2022 - 05.2023
Correspondence Specialist/Patient Access Rep II
Regional One Health
10.2018 - 05.2022
Patient Access Advocate
St. Francis Hospital
06.2017 - 06.2018
Call Center Representative
Express Scripts- Accredo
06.2015 - 06.2017
Call Center Representative
Asurion
01.2015 - 06.2015
File Clerk/Receptionist
The Jones Clinic
01.2011 - 01.2014
GED - undefined
Messick Adult School
Bachelor of Science - Health Care Administration
Strayer University