Sharon Alayoku
Plano
Summary
Dynamic healthcare professional with extensive experience at Baylor Scott and White Health, excelling in patient access and insurance verification. Proven track record in enhancing workflow efficiency and ensuring HIPAA compliance. Strong interpersonal skills and meticulous attention to detail led to reduced billing errors and improved patient satisfaction. Proficient in electronic health records and appointment scheduling.
Professional with solid background in healthcare access services, prepared to drive impactful results. Skilled in patient registration, insurance verification, and appointment scheduling. Strong focus on team collaboration and adaptability to changing needs. Reliable, goal-oriented, and proficient in maintaining confidentiality and delivering outstanding customer service.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Access Service Representative Emergency Department
Baylor Scott and White Health
Plano, TX
08.2025 - Current
- Managed patient access processes to ensure timely registration and appointment scheduling.
- Coordinated insurance verification and authorization procedures to enhance patient service quality.
- Streamlined workflow by implementing new electronic health record systems for improved data accuracy.
- Mentored junior staff on customer service protocols, fostering a collaborative team environment.
- Maintained strict adherence to HIPAA regulations while handling sensitive patient information, ensuring confidentiality and security at all times.
- Facilitated patient flow by effectively managing appointment schedules and coordinating with clinical staff as needed.
- Worked diligently to address and resolve any patient concerns regarding their experience with the organization, demonstrating a commitment to exceptional customer service.
- Streamlined patient registration process by implementing efficient data entry techniques and prioritizing accuracy.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Engaged with patients to provide critical information.
- Offered simple, clear explanations to help clients and families understand hospital policies and procedures.
- Processed payments using cash and credit cards, maintaining accurate records of transactions.
- Greeted and assisted patients with check-in procedures.
- Followed document protocols to safeguard confidentiality of patient records.
- Facilitated communication between patients and various departments and staff.
- Provided excellent customer service to patients and medical staff.
- Compiled and maintained patient medical records to keep information complete and up-to-date.
- Organized patient records and database to facilitate information storage and retrieval.
- Helped address client complaints through timely corrective actions and appropriate referrals.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Verified patient insurance eligibility and entered patient information into system.
- Improved interdepartmental collaboration by maintaining open lines of communication with other Access Service Representatives within the organization.
- Reduced billing errors, resulting in increased revenue, through meticulous record keeping and attention to detail.
- Enhanced patient satisfaction with timely and accurate scheduling of appointments, ensuring minimal wait times.
- Contributed to a welcoming environment by providing friendly, empathetic customer service during each interaction with patients and family members.
- Assisted in training new hires on department processes and procedures, contributing to a knowledgeable workforce ready to provide exceptional service to patients.
- Cross trained in speciality clinics ( pain management, palliative care , and women’s imaging ) gaining diverse patient populations and clinical workflows )
- Supported accurate data collection and coordination across departments .
Patient Service Specialist
Baylor Scott & White Health
McKinney, TX
02.2025 - 08.2025
- Managed patient scheduling and appointment confirmations to enhance workflow efficiency.
- Coordinated communication between patients and healthcare providers to ensure seamless service delivery.
- Processed insurance verification and pre-authorization requests for timely patient access to care.
- Assisted with electronic health record updates, maintaining accuracy and compliance with regulations.
- Ensured HIPAA compliance by maintaining strict confidentiality of patient information while handling sensitive documents.
- Managed high call volumes by efficiently triaging incoming requests to appropriate departments or personnel.
- Enhanced clinic workflow by managing patient records and ensuring accurate documentation of medical histories.
- Reduced wait times for patients by optimizing appointment schedules and coordinating with clinical staff.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Answered incoming calls, scheduled appointments and filed medical records.
- Verified patient insurance eligibility and entered patient information into system.
- Processed payments using cash and credit cards, maintaining accurate records of transactions.
- Greeted and assisted patients with check-in procedures.
- Followed document protocols to safeguard confidentiality of patient records.
- Facilitated communication between patients and various departments and staff.
- Provided excellent customer service to patients and medical staff.
- Responded to inquiries by directing calls to appropriate personnel.
- Compiled and maintained patient medical records to keep information complete and up-to-date.
- Organized patient records and database to facilitate information storage and retrieval.
- Resolved customer complaints using established follow-up procedures.
- Proficient in Epic EMR for patient registration, documentation and work queue management .
- Delivered support to medical staff in completion of patient paperwork.
- Helped address client complaints through timely corrective actions and appropriate referrals.
- Streamlined insurance verification processes for faster resolution of billing issues, resulting in increased revenue collection.
Insurance Verification Specialist
MDJ Healthcare
Plano
07.2019 - 02.2025
- Validated insurance eligibility and benefits for patients, ensuring precise data entry in healthcare systems.
- Communicated with insurance providers to resolve discrepancies and obtain necessary authorizations.
- Assisted patients in understanding their coverage options and financial responsibilities for services rendered.
- Reviewed patient files for completeness, ensuring all required documentation was submitted for verification.
- Collaborated with clinical staff to facilitate timely approvals of procedures and treatments based on insurance policies.
- Maintained up-to-date knowledge of insurance regulations and changes impacting patient coverage and claims processing.
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Trained new staff on current, correct insurance verification procedures.
- Minimized delays in treatment scheduling by promptly identifying potential coverage issues and working proactively towards their resolution.
- Supported timely claims processing by submitting accurate and complete documentation to insurance companies.
- Posted payments to accounts and maintained records.
- Maintained detailed records of claims activity in internal systems, ensuring data integrity and compliance.
- Evaluated claim documentation for accuracy, identifying discrepancies and requesting additional information as needed.
- Processed claims efficiently, ensuring adherence to company policies and industry regulations.
- Knowledgeable of EHR software ( Hha exchange )
Education
Bachelor of Science - Health Information Management
Westerns Governors University
Salt Lake City, UTSkills
- Patient confidentiality
- Documentation accuracy
- Professionalism and courtesy
- Insurance verification
- Healthcare industry
- Appointment scheduling
- Strong interpersonal skills
- Customer service
- Problem-solving
- Multitasking and organization
- Team collaboration
- HIPAA compliance
- Verbal and written communication
- Registration and admissions
- Electronic health records
- Phone and email etiquette
- Data entry
- Medical terminology
- Insurance billing
- Payment processing
- Intake assessment
- Records maintenance
- EMR
- Process improvement
- Regulatory compliance
Certification
CPR
Languages
English
Full Professional
Timeline
Access Service Representative Emergency Department
Baylor Scott and White Health
08.2025 - Current
Patient Service Specialist
Baylor Scott & White Health
02.2025 - 08.2025
Insurance Verification Specialist
MDJ Healthcare
07.2019 - 02.2025
Bachelor of Science - Health Information Management
Westerns Governors University