Kyla Foye
McDonough,GA
Summary
Healthcare Revenue Cycle and Insurance professional with 8+ years of experience supporting patients, members, providers, and customers across healthcare, insurance, and medical office environments. Experienced in patient financial services, accounts receivable, insurance eligibility and benefits, claims adjudication, EOB/ERA review, payment posting and reconciliation, patient responsibility, outstanding balances, denial research, billing inquiries, payment resolution, and collections workflows. Proven ability to manage high-volume inbound and outbound interactions, resolve complex billing and insurance concerns, educate patients on benefits and balances, and maintain accurate account activity. Experienced working independently in fully remote environments while meeting productivity, quality, documentation, and service-level expectations.
Overview
10
10
years of professional experience
Work History
Provider Enrollment Specialist
Isaac Health
Remote
02.2026 - Current
- Enter, update, review, and maintain provider and patient information across multiple electronic healthcare and enrollment systems.
- Review provider and patient documentation to identify missing, inaccurate, or incomplete information and ensure timely correction.
- Process enrollment records and maintain complete, accurate electronic documentation according to established workflows.
- Review insurance and claims-related information to identify discrepancies and support accurate processing and reimbursement.
- Maintain confidential patient and provider information in accordance with HIPAA and organizational privacy and security requirements.
- Manage multiple work queues, requests, and priorities independently in a remote environment.
Customer Service Specialist
Delta Dental Insurance
Remote
07.2024 - 02.2026
- Provided high-volume patient/member financial and insurance support, addressing complex questions regarding claims, benefits, coverage, balances, payments, and account activity.
- Reviewed insurance claims and payer information, including EOBs and ERAs, to verify adjudication, payment activity, patient responsibility, and required follow-up.
- Educated members on insurance benefits, claim outcomes, patient responsibility, deductibles, copayments, coinsurance, and remaining balances.
- Provided itemized account information, payment details, statements, and supporting documentation when requested.
- Maintained strict confidentiality when handling protected health information, insurance information, payment information, and other sensitive account data.
Patient Care Coordinator
Headway Emotional Health Services
Remote
09.2020 - 06.2024
- Verified insurance eligibility, benefits, coverage, coordination of benefits, claims information, and patient responsibility against account records.
- Reviewed EOBs and payer correspondence to research claim adjudication, payment activity, denials, adjustments, and patient balances.
- Reconciled patient and insurance account balances to identify incorrect charges, payments, adjustments, or remaining patient responsibility.
- Researched denied and unpaid claims and completed appropriate follow-up to support timely claim and account resolution.
- Followed up on outstanding patient balances and communicated payment options and account expectations professionally.
Medical Assistant
Mack Xpress Medical
Locust Grove, GA
10.2016 - 07.2020
- Managed patient scheduling, appointment confirmations, admissions, and front-office operations in a fast-paced medical environment.
- Verified patient insurance eligibility, benefits, and coverage and entered accurate insurance information to support claims processing.
- Collected and maintained accurate patient, insurance, demographic, and account information.
- Processed confidential patient, insurance, and financial information in accordance with HIPAA and organizational privacy requirements.
Education
Associate of Science - Surgical Technology
South College
Knoxville, TN12.2027
High School Diploma -
Woodland High School
Stockbridge, GA05.2015
Skills
Patient Financial Services
Healthcare Revenue Cycle Management
Patient Accounts Receivable
Insurance Adjudication
EOB & ERA Review
Insurance Eligibility & Benefits
Coordination of Benefits
Claims Processing & Follow-Up
Denial Research & Resolution
Payment Posting & Reconciliation
Patient Payment Processing
Outstanding Balance Follow-Up
Patient Statements & Itemized Bills
Payment Resolution
Billing Inquiry Resolution
Disputed Payment Resolution
Collections Workflow
Payer Correspondence
Account Research & Reconciliation
High-Volume Inbound/Outbound Calls
Patient Advocacy & Education
Conflict Resolution
HIPAA & PHI Compliance
Microsoft Excel, Word & Outlook
Remote Healthcare Operations
Timeline
Provider Enrollment Specialist
Isaac Health
02.2026 - Current
Customer Service Specialist
Delta Dental Insurance
07.2024 - 02.2026
Patient Care Coordinator
Headway Emotional Health Services
09.2020 - 06.2024
Medical Assistant
Mack Xpress Medical
10.2016 - 07.2020
Associate of Science - Surgical Technology
South College
High School Diploma -
Woodland High School