Summary
Overview
Work History
Skills
Timeline
Generic

Kendra Byars

Houston,TX

Summary

Experienced healthcare professional with 15+ years in medical office administration, focusing on medical billing/insurance, patient registration, scheduling, and medical records management. Proficient in identifying insurance plans (PPO, POS, HMO) and knowledgeable in medical terminology, CPT codes, and EMR systems. Expertise in healthcare protocols, HIPAA, and EMTALA regulations for ensuring compliance and providing quality patient care.

Overview

13
13
years of professional experience

Work History

Scheduling Coordinator/Patient Access Rep.

Texas Children's Hospital
05.2021 - 02.2025


  • Conducted registration and admission processes for inpatients and outpatients.
  • Secures necessary signatures for release of information and consent to treat.
  • Ensured financial stability of the facility by collecting patient liabilities.
  • Coordinated appointments for Behavioral Health and Specialty Clinics at various locations.
  • Documented calls and maintained accurate patient records in EMR systems
  • Verified and updated patient demographic and insurance data
  • Handled scheduling for 100+ patients daily, optimizing appointment flow and minimizing wait times
  • Collaborated with medical staff to prioritize urgent needs and special scheduling requests
  • Provided high-level customer service with empathy and professionalism
  • Ensured HIPAA compliance and obtained authorizations for procedures
  • Scheduled follow-up visits based on treatment plans
  • Identified alternative resources to secure financial reimbursement.

Customer Service Representative

Blue Cross Blue Shield
02.2015 - 02.2021
  • Explained medical benefits to more than 100 patients daily.
  • Handled provider and member inquiries, verified insurance, processed appeals, and claims
  • De-escalated calls and addressed member complaints with professionalism
  • Reviewed and submitted medical documentation using ICD-10 and CPT codes
  • Followed up on unpaid/denied claims and collaborated with providers for documentation
  • Trained new hires on billing systems and procedures
  • Explained insurance benefits and claim statuses to patients and providers

Medical Records Clerk

MHMRA | The Harris Center for Mental Health and IDD
06.2012 - 01.2015
  • Prepares, updates, and maintains a medical record for each patient, ensuring the accuracy of information.
  • Maintains an appointment system for patients and clinical staff, where applicable.
  • Organized and uploaded lab, radiology, and additional reports to correct sections of electronic medical records promptly.
  • Routes clinical reports to appropriate clinic staff within prescribed timeline.
  • Reviews all documentation for completeness and routes incomplete documents to the appropriate provider for correction prior to placing/scanning in the medical records
  • Organized and filed records by standard protocols and filing systems
  • Reviewed scanned documents for quality, accuracy, and proper identification
  • Handled incoming requests via mail, fax, and walk-ins regarding patient information
  • Validated authorization forms and processed medical records in compliance with HIPAA
  • Managed physician schedules and prepared patient charts
  • Input legal, medical, and financial documents into patient charts
  • Performed general office duties: faxing, emailing, filing, and mailing

Skills

  • Medical Billing & Insurance Verification
  • EMR Systems (Electronic Medical Records)
  • HIPAA Compliance
  • Customer Service & Conflict Resolution
  • Medical Terminology
  • Time Management & Organizational Skills
  • Managed Care Knowledge
  • Medical Records Management

Timeline

Scheduling Coordinator/Patient Access Rep.

Texas Children's Hospital
05.2021 - 02.2025

Customer Service Representative

Blue Cross Blue Shield
02.2015 - 02.2021

Medical Records Clerk

MHMRA | The Harris Center for Mental Health and IDD
06.2012 - 01.2015
Kendra Byars