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
9
9
years of professional experience
1
1
Certification
Work History
Patient Access Specialist/Customer Support Specialist
Randstad Staffing/Biologics by McKesson Completed Contract
Cary, North Carolina
11.2025 - 04.2026
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.
EntersCustomer orders received via phoneandemail.
Receivescalls via assigned call queues.
Monitors assigned email to caseSalesforcequeues.
Ensures that the assigned queues are worked on a regular basis.
Answers Phones and Assists Customers with concerns as needed.
Completes ongoing training as assigned.
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, NC
07.2018 - 03.2021
Enhanced customer satisfaction and sales by prioritizing empathy and clear communication.
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.
Cashier
Five Guys
Knightdale, NC
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.
Resolved customer issues, boosting satisfaction and repeat visits.
Education
Diploma - Medical Assisting
Wake Technical Community College
Raleigh, NC
Skills
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
Certification
Certified Medical Assistant (CMA) AAMA Jul 2021
Basic Life Support AHA Feb 2021
Timeline
Patient Access Specialist/Customer Support Specialist
Randstad Staffing/Biologics by McKesson Completed Contract
Outpatient Administrative Specalist at SUNY Upstate Medical University HospitalOutpatient Administrative Specalist at SUNY Upstate Medical University Hospital