Kayla Crooms
Campbell,CA
Summary
Healthcare professional with experience processing Medi-Cal EPO eligibility requests, scheduling patients, and ensuring compliance with HIPAA and organizational policies. Skilled in reviewing coverage requests, maintaining accurate data, and supporting patient care in fast-paced environments. Currently pursuing a Master's in Legal Studies with a focus in Corporate Compliance and Ethics, and seeking to transition into regulatory affairs, quality assurance, and healthcare consulting.
Healthcare professional with solid foundation in surgery scheduling and commitment to operational efficiency. Adept at managing complex schedules, coordinating with medical teams, and ensuring patient satisfaction. Known for collaborative teamwork and adaptability in dynamic healthcare settings, with strong organizational and communication skills.
Overview
7
7
years of professional experience
Work History
Patient Service Rep II
Palo Alto Medical Foundation
Los Altos, CA, USA
04.2021 - Current
- Reviewed and processed Medi-Cal EPO eligibility requests, approving or denying coverage based on regulations.
- Entered and verified patient insurance information while ensuring HIPAA compliance.
- Coordinated appointment scheduling across multiple specialties, aligning provider availability with patient needs.
- Communicated coverage decisions and next steps clearly to patients, providers, and staff.
- Recognized for accuracy and attention to detail in handling sensitive medical data.
- Managed patient intake, scheduling, and insurance verification for various specialty departments.
- Educated patients on procedures, coverage options, and care coordination while maintaining policy compliance.
- Enhanced scheduling accuracy and supported process improvements to boost patient satisfaction.
- Obtained prior authorization
- Scheduled in office & hospital procedures
Teleservice Representative
Kaiser Permanente
San Jose, CA, USA
11.2021 - 06.2022
- Greeted and assisted patients, providing front-desk support in a fast-paced medical setting.
- Scheduled appointments and managed provider calendars to ensure efficient patient flow.
- Handled patient documentation and maintained accurate records in compliance with HIPAA standards.
- Supported daily office operations by coordinating communication between patients, providers, and staff.
Medical Receptionist
Montage Medical Group
Monterey, CA, USA
04.2019 - 03.2021
- Managed patient scheduling and appointment confirmations to enhance office efficiency.
- Coordinated communication between medical staff and patients, ensuring clear information flow.
- Maintained accurate patient records and documentation using electronic health record systems.
- Coordinated surgical schedules across multiple departments to optimize resource allocation and patient flow.
- Communicated effectively with patients, ensuring clarity on procedures and pre-operative instructions.
- Managed electronic health records, maintaining accuracy and confidentiality of patient information.
Education
Masters of Legal Studies - Corporate & Health Care Compliace
Arizona State University
Phoenix, AZ12.2025
Bachelor of Science - Healthcare Administration
Purdue Global University
Indianapolis, IN09.2024
Associate of Science - Social Science
Monterey Peninsula College
Monterey, CA12.2019
Skills
- HIPAA Compliance
- Healthcare Administration
- Multitasking & Time Management
- Problem Solving
- Strong Communication
- Data Entry
- Meeting deadlines
- Customer service
- Insurance verification
- Appointment scheduling
- Eligibility determination
Accomplishments
- Magna Cum Laude
- Tri Alpha Honors Society
Timeline
Teleservice Representative
Kaiser Permanente
11.2021 - 06.2022
Patient Service Rep II
Palo Alto Medical Foundation
04.2021 - Current
Medical Receptionist
Montage Medical Group
04.2019 - 03.2021
Masters of Legal Studies - Corporate & Health Care Compliace
Arizona State University
Bachelor of Science - Healthcare Administration
Purdue Global University
Associate of Science - Social Science
Monterey Peninsula College