SHYNNA TYSON
RALEIGH
Summary
Cordial Patient Access Representative with extensive track record of successfully handling busy medical office tasks to serve diverse populations. Career-minded and organized professional skillful in maintaining patient accounts, arranging immediate medical care and verifying insurance claims. Familiar with medical and clinical terminology coupled with proficiency in MS Office.
Overview
8
8
years of professional experience
Work History
Patient Access Specialist
Biologics by McKesson
Cary
11.2025 - Current
- Locate and enter accurate prescription insurance information on patient’s profile by processing eligibility checks and adjudicating pharmacy claims.
- Adjudicate claims and troubleshoot rejections so that the correct information is communicated to the patient.
- Communicate the need for medication prior authorization (PA) to providers and serve as a resource to the provider during the PA process.
- Manage inbound calls from patients, clients, physicians, practitioners and clinics regarding inquiries about order status, services provided, financial support options
- Serve as a technical resource pertaining to adjudication while identifying areas for improvement.
- Entering detailed, accurate, and grammatically correct progress notes to ensure proper documentation on patient profiles.
- Identify and report adverse events (AEs) and product complaints (PCs) to clinicians to ensure patient’s safety.
CLINICAL COORDINATOR
Remedy Intelligent Staffing
06.2022 - 07.2024
- Coordinate patient file management, ensuring accuracy and timely updates for provider review.
- Facilitate clear communication of patient issues to providers, enhancing diagnostic efficiency.
- Verify and update patient records, maintaining data integrity and supporting clinical operations.
- Maintained accurate patient records and compliance documentation, ensuring adherence to regulatory standards while minimizing errors.
- Orchestrated patient file management, ensuring precision in updates, which led to improved provider review efficiency and enhanced patient care.
- Implemented streamlined communication protocols with providers, significantly enhancing diagnostic accuracy and reducing response times.
- Analyzed patient record discrepancies, leading to substantial improvements in data integrity and bolstering clinical operational efficiency.
- Maintained rigorous compliance documentation, ensuring regulatory standards were met while minimizing errors and protecting patient data.
- Led a team of 6, improving workflow and employee satisfaction through effective task delegation.
SALES ASSOCIATE-TEAM LEAD
Old Navy
Raleigh
07.2018 - 03.2021
- Enhanced customer satisfaction and sales by prioritizing empathy and clear communication.
- Accurately managed 200 inventory items daily, ensuring product availability and supply.
- Maintained quality control by following strict cleaning and sanitation guidelines.
- Coordinated training sessions for new hires, fostering a supportive environment that led to improved team performance.
- Analyzed customer feedback to identify service gaps, implementing changes that significantly enhanced the shopping experience.
- Executed daily sales reports with precision, enabling informed decision-making and strategic planning for promotions.
- Cultivated a positive team culture, encouraging open communication that elevated morale and collaboration.
- Resolved customer issues, boosting satisfaction and repeat visits.
CASHIER | CUSTOMER SERVICE REPRESENTATIVE
Five Guys
Knightdale
09.2017 - 01.2018
- Processed over 100 transactions, ensuring accuracy and speed.
- Maintained cleanliness, adhering to safety and sanitation standards.
- Streamlined cash handling processes, ensuring accurate transactions and minimizing discrepancies, contributing to a more efficient checkout experience.
- Trained new hires on operational standards, promoting teamwork and ensuring consistent service quality across shifts.
Education
DIPLOMA - MEDICAL ASSISTING
Wake Technical Community College
Raleigh, NCSkills
- Phlebotomy
- Electrocardiogram
- EPIC Training
- Urine Analysis
- Medication Administration
- Team Leadership
- Customer Engagement
- Patient Advocacy
- Workflow Optimization
- Staff Training
- Patient Education
- Process Improvement
- Time Management
- Critical Thinking
- Scheduling Coordination
- Patient Care
- Data Entry
- Customer Retention
- Sales Strategy
- Inventory Management
- Customer Relationship
- Team Collaboration
- Healthcare Compliance
- Patient Safety
- Patient Scheduling
- Claims adjudication
- Prescription verification
- Patient access
- Eligibility determination
- Data management
- Workflow optimization
- Problem solving
Additional Information - Certifications And Training
- Certified Medical Assistant (CMA), AAMA, 07/01/21
- Basic Life Support, AHA, 02/01/21
Timeline
Patient Access Specialist
Biologics by McKesson
11.2025 - Current
CLINICAL COORDINATOR
Remedy Intelligent Staffing
06.2022 - 07.2024
SALES ASSOCIATE-TEAM LEAD
Old Navy
07.2018 - 03.2021
CASHIER | CUSTOMER SERVICE REPRESENTATIVE
Five Guys
09.2017 - 01.2018
DIPLOMA - MEDICAL ASSISTING
Wake Technical Community College