Kayla Tunstall

• Maintain high volume provider calls.
• Routed calls to relevant medical and administrative departments.
• Ensured prior authorization and referral requirements are met.
• Organized prior authorizations for medical and radiological procedures adhering to appropriate coding standards (ICD-10 and CPT codes).
• Efficiently navigated complex scenarios to ensure customer satisfaction.
• Assessed sensitive medical documents and managed processing.
• Adhere to department goals, standards of performance and objectives
• Provides assistance to physician office staff and patients to access web portal and submit necessary documentation.
• Facilitate patient admission processes efficiently.
• Ensured patient confidentiality by adhering to HIPAA requirements.

• Delivered clear information to members about company services and products.
• Demonstrating in-depth understanding of diverse products and materials.
• Provides information on claims, benefits, pharmacy services, enrollment, and referrals/authorizations.
• Handled customer disputes and complex situations by maintaining composure.
• Assisted members in resolving account issues and navigating internal systems.
• Maintained comprehensive records of inquiries in a structured manner.
• Executed outreach initiatives to providers and pharmacies about medications.

• Adhered to HIPAA requirements to safeguard patient confidentiality.
• Communicated with patients with compassion while keeping medical information private.
• Demonstrated ability to handle difficult situations by using effective problem solving skills.
• Ensures a positive and productive work space by working independently or as a team in a fact paced environment.
• Met patients, evaluated intention of visit and referred to appropriate team members.
• Arranged hospital admissions for patients as required.
• Managed front office customer service, appointment management, billing and administration tasks to streamline workflow.
• Scheduled and confirmed patient appointments and consultations.

⦁ Accommodates work coverage requests by rotating between the ED, Admitting, Ophthalmology, and ENT departments.

⦁ Handles the integrity of the data in the hospital’s information system with discretion and respect to patient insurance and demographic information.

• Managed dressing rooms.
• Operating cash registers and handling financial transactions.
• Maintained the appearance of the sales floor and overall cleanliness of the store
• Provided exceptional customer service by engaging customers in friendly, professional dialogue to determine needs.
• Assisted in stocking and inventory.
• Completed daily recovery tasks to keep areas clean and neat for maximum productivity.
• Worked with fellow sales team members to achieve group targets.
• Arranged new merchandise with signage and appealing displays to encourage customer sales and move overstock items.
• Assisted teammates with sales-processing tasks to meet daily sales goals.

• Responded appropriately to customer complaints, bringing major issues to attention of manager on duty.
• Built positive relationships with other front-of-house and kitchen staff.
• Took beverage orders and served drinks during peak meal times.
• Cleaned and restocked counter areas, replenished cash drawer and checked server supplies to facilitate operations.
• Performed regular restroom checks to restock supplies and handle minor cleaning.
• Delivered outstanding service and support from initial interaction to final departure, maintaining loyal clientele.
• Checked dining and serving areas to verify proper cleanliness and readiness for guests.
• Maintained an inviting entrance area and greeted all customers in a cheerful manner.

• Answered phone inquiries to schedule and confirm reservations, record takeout orders and respond to service questions.
• Greeted incoming guests to escort to assigned dining area and present menus.
• Responded appropriately to customer complaints, bringing major issues to attention of manager on duty.
• Built positive relationships with other front-of-house and kitchen staff.
• Stayed attentive to server availability and table turnover to quickly seat guests.
• Supported serving staff, food runners and bussers to keep dining room presentable and ready for guests.
• Monitored dining area to assess server capacity and estimate wait times.
• Scheduled reservations and notified servers and managers of large groups to prepare seating in advance.
• Accommodated guests with children and special needs to promote comfortable dining experience.
• Escorted guests to seating area, furnished menus and highlighted daily specials.