McKayla Summers
Louisville,KY
Summary
Dedicated healthcare professional with a strong customer service background seeking a dynamic position to deliver exceptional patient care, collaborate with human services professionals, and leverage strong communication skills within a healthcare team. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Prior Authorization Coordinator
Edwards Health Care Services
02.2023 - Current
- Demonstrated empathy and responsiveness as primary patient contact, enhancing overall satisfaction
- Maintained organized records of calls and correspondence, ensuring accurate documentation and efficient data retrieval
- Initiated patient contact for Prior Authorizations, providing updates and easing concerns
- Liaised with insurance companies for prompt Prior Authorization processing
- Streamlined insurance approval by compiling required documentation from physician offices
- Managed insurance audits to ensure compliance with regulations
- Coordinated and tracked Prior Authorization submissions, navigating complex requirements for success
- Collaborated cross-functionally to inform decision-making and optimize patient care
- Stayed updated on insurance trends and regulations for proficient Prior Authorization management.
Diabetes Care Advisor
Edwards Health Care Services
08.2021 - 02.2023
- Proactively supported team, participated in meetings, and aided tasks for cohesive operations
- Verified insurance details for streamlined billing and patient care
- Processed medical prescriptions with precision and adherence to protocols
- Advocated for patients through successful Prior Authorization requests
- Managed patient financial interactions with accuracy and organization
- Collaborated inter-departmentally for holistic patient care
- Maintained current knowledge of insurance procedures for accurate verification
- Managed electronic record-keeping for efficient data management
- Developed patient rapport through clear explanations of insurance matters
- Engaged in ongoing professional development for continuous improvement.
Switch Board Operator & Scheduling
Baptist Health Louisville Cardiology Group
11.2020 - 08.2021
- Managed high call volume, addressing patient and stakeholder inquiries
- Expertly transferred calls, facilitating accurate routing
- Scheduled follow-up appointments, optimizing patient care
- Organized mail and faxes for multiple Cardiologists, ensuring information distribution
- Maintained meticulous call and appointment records
- Adapted to fast-paced environments while upholding professionalism
- Proficient in appointment and call management software.
Lifeguard /Pool Attendant
Home Of The Innocence
07.2019 - 04.2021
- Provided comprehensive support on multiple phone lines, enhancing satisfaction
- Handled financial transactions accurately, adhering to protocols
- Managed register closure and facility security, ensuring asset safety
- Assisted medically fragile individuals as a lifeguard
- Executed end-of-shift cleaning tasks for a hygienic environment
- Monitored patron safety, promptly addressing concerns
- Utilized lifeguard training for emergency response
- Collaborated within a team for seamless facility operations
- Upheld cleanliness standards for a welcoming environment.
- Monitored access to entry and exit points to avoid congregating.
- Scanned main areas to monitor for any safety risks.
- Completed daily pool maintenance duties by checking chlorine levels, pH levels and other water chemistry.
Lifeguard /Front Desk Receptionist
Louisville Metro Parks and Recreation Mary T. Meagher Aquatic Center
03.2015 - 11.2015
- Answered phones, processed transactions, and monitored entrances for patron satisfaction and security
- Managed schedules for efficient facility operations
- Led a lifeguard team, providing guidance and training
- Conducted engaging swimming lessons for various age groups
- Ensured pool safety through water testing and maintenance
- Adhered to COVID-19 protocols for a safe environment.
- Maintained organized and clean front office area to create professional and welcoming environment for visitors and employees.
- Scheduled, coordinated and confirmed appointments and meetings.
- Trained new team members on company procedures, customer service and issue resolution.
- Back - Up Manager/Supervisor of Desk and Lifeguards when needed
Education
School Graduate of Ballard High School
2019
Skills
- Microsoft Word, Excel, PowerPoint
- Strong customer service
- Medical Information Collection
- Records Maintenance
- Payment Collection
- Retro-Authorizations
- Staff Leadership
- Insurance Authorizations
- Patient Scheduling
- Benefit Coverage
- Eligibility Checks
- Professional Relationships
- Authorizations
Certification
Supervisor training
- Lifeguard certification
- First Aid/CPR/AED certification
- COVID-19 PPE training
Timeline
Prior Authorization Coordinator
Edwards Health Care Services
02.2023 - Current
Diabetes Care Advisor
Edwards Health Care Services
08.2021 - 02.2023
Switch Board Operator & Scheduling
Baptist Health Louisville Cardiology Group
11.2020 - 08.2021
Lifeguard /Pool Attendant
Home Of The Innocence
07.2019 - 04.2021
Lifeguard /Front Desk Receptionist
Louisville Metro Parks and Recreation Mary T. Meagher Aquatic Center
03.2015 - 11.2015
School Graduate of Ballard High School
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