Khye Gary
Houston,United States
Summary
Patient-focused healthcare professional with 8+years of experience in healthcare operations and patient access, specializing in insurance verification, prior authorization, claims processing, and pharmacy coordination. (EHR). Committed to promoting patient independence, safety, and overall well-being.
Overview
10
10
years of professional experience
Work History
Authorization & Insurance Verification Specialist
Phil US
Houston
11.2025 - 03.2026
- Managed 80-120 patient interactions daily while maintaining 98-99% accuracy in insurance verification, prior authorization, and diagnosis code review (ICD-10), reducing claim denials and rework
- Coordinated prior authorizations for specialty medications including Cequa, Winlevi, Addyi, ensuring timely approvals to enhance patient access to necessary treatments
- Resolved complex coverage issues by liaising with patients, providers, and 10+ insurance payers daily, facilitating care coordination and reducing delays in patient services
Pharmacy Tech Support
Populus
10.2022 - 02.2025
- Managed 100+ inbound and outbound patient calls daily while maintaining 98% accuracy, supporting insurance verification, billing, and prescription processing
- Resolved patient billing and prescription issues with high efficiency, reducing repeat call volume and improving patient satisfaction
Healthcare Rep
Apria
09.2021 - 09.2022
- Managed 100+ inbound and outbound calls
- Verified patient insurance, service eligibility, and order details with high accuracy, preventing service delays and errors
- Scheduled 20-40 patient services daily, coordinating with providers and internal teams to ensure timely service delivery
- Educated patients on coverage, services, and next steps, reducing follow-up inquiries and improving patient understanding
- Proactively resolved scheduling and service issues, supporting smooth daily operations and improving team efficiency
Direct Care Worker
California Post Acute Care
Los Angeles
03.2016 - 08.2019
- Delivered personalized care based on individualized care plans
- Monitored and recorded vital signs, reporting changes to healthcare professionals
- Assisted with patient transport and mobility to ensure safety and comfort
- Supported activities of daily living including bathing, grooming, and toileting
- Maintained accurate documentation using electronic health records (EHR) systems
Education
Diploma -
Crenshaw Arts Tech Charter High
Skills
- Patient Scheduling & Appointment Coordination
- Insurance Verification & Prior Authorization Support
- Patient Intake & Registration
- HIPAA Compliance
- Electronic Health Record Documentation
- Care Plan Implementation
- Salesforce
- Epic
- ZenDesk
- BLS Certified
Timeline
Authorization & Insurance Verification Specialist
Phil US
11.2025 - 03.2026
Pharmacy Tech Support
Populus
10.2022 - 02.2025
Healthcare Rep
Apria
09.2021 - 09.2022
Direct Care Worker
California Post Acute Care
03.2016 - 08.2019
Diploma -
Crenshaw Arts Tech Charter High