Kayla McClanahan
Granite Falls,NC
Summary
Results-driven professional with strong analytical, communication, and teamwork skills, adept at quickly adapting to new environments and challenges. Committed to contributing to team success while continuously enhancing professional capabilities. A positive attitude and dedication to lifelong learning foster an environment of collaboration and innovation. Prepared to leverage expertise in a dynamic setting to achieve organizational goals
Overview
5
5
years of professional experience
Work History
Prior Authorization Specialist
Frye Regional Medical Center
Hickory, North Carolina
07.2025 - Current
- Communicated with healthcare providers regarding authorization requirements and updates.
- Coordinated with insurance representatives to resolve authorization issues promptly.
- Performed detailed medical reviews of prior authorization request, following established criteria and protocols.
- Provided accurate information to all parties, including patients, insurance providers, healthcare staff and office personnel by using effective written and verbal communication skills.
Patient Access Representative
Frye Regional Medical Center
Hickory, North Carolina
07.2023 - 07.2025
- Ensured compliance with HIPAA regulations to maintain the 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.
- Enhanced overall patient experience with empathetic communication and thorough explanations of insurance benefits and coverage.
Customer Service Representative
Foundever
03.2021 - 07.2023
- Assisted customers with inquiries through multiple communication channels.
- Maintained product knowledge to offer informed recommendations to customers.
- Escalated complex issues to appropriate departments for timely resolution.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Informed customers about billing procedures, processed payments, and provided payment option setup assistance.
Education
High School Diploma -
Grundy High School
Grundy, VASkills
- Policy enforcement and documentation
- Medical terminology knowledge
- Problem-solving and attention to detail
- Verbal communication skills
- Multitasking abilities
- Computer proficiency
- Safety awareness
Timeline
Prior Authorization Specialist
Frye Regional Medical Center
07.2025 - Current
Patient Access Representative
Frye Regional Medical Center
07.2023 - 07.2025
Customer Service Representative
Foundever
03.2021 - 07.2023
High School Diploma -
Grundy High School