Summary
Overview
Work History
Education
Skills
Key Qualifications
Timeline
Generic

Tilani Pua'auli

Las Vegas,NV

Summary

Dynamic healthcare professional skilled in facilitating patient access through effective management of high-volume calls and insurance verification. Committed to maintaining HIPAA compliance and enhancing patient experiences by coordinating timely appointments and resolving issues with providers and insurance representatives. Proven ability to meet productivity and quality expectations consistently.

Overview

10
10
years of professional experience

Work History

Patient Access Representative

NYU Langone Health
07.2024 - 07.2026
  • Managed 55–80+ inbound patient calls daily while providing exceptional customer service in a fast-paced remote call center.
  • Verified insurance eligibility and benefits to facilitate patient access to essential medical services.
  • Registered new and returning patients and updated demographics in Epic.
  • Coordinated appointment scheduling across multiple specialties, ensuring timely access to care for patients.
  • Obtained required referrals and authorizations.
  • Advised patients of copayment responsibilities according to clinic protocols.
  • Maintained HIPAA compliance and protected confidential patient information.
  • Collaborated with providers, clinic staff, and insurance representatives to efficiently resolve scheduling issues and enhance patient experience.
  • Consistently met productivity, quality, and attendance expectations.

Lead Fulfillment Associate / Shipping Clerk

Amazon Warehouse
Las Vegas, USA
09.2021 - 07.2024
  • Assisted in managing Fluid Load Department operations to optimize fulfillment processes.
  • Conducted training classes for new hires and associates, managing team of 30-40 members to ensure effective onboarding.
  • Received documents and performed data entry in Microsoft Word and Excel to maintain accurate records.
  • Described Amazon's diverse operations in e-commerce, cloud computing, and artificial intelligence.

Homemaker

Las Vegas, USA
11.2019 - 08.2021
  • Coordinated medical care, meals, and educational and social activities to ensure well-being and holistic development.
  • Provided encouragement and support to foster skill development through access to engaging activities.
  • Developed, managed, and maintained a budget effectively.

Home Health Aide

Wilson Senior Living
Kaneohe, USA
10.2017 - 10.2019
  • Supported daily living activities including personal hygiene, mobility, and feeding to promote patient independence and comfort.
  • Provided companionship to patients to improve their emotional well-being. and contributed to a positive environment to enhance quality of life.
  • Maintained daily logs of patient conditions and care plan adjustments to ensure accurate communication among healthcare providers.

Nurse Aide

Ho’okele
Honolulu, USA
05.2017 - 09.2017
  • Addressed needs of all assigned patients, prioritizing safety and well-being of residents.
  • Delivered nursing care following resident care policies and procedures to support patient health.
  • Documented patient condition and activities in daily logs to ensure accurate communication and continuity of care. documenting patient condition and activities.

Third Key Supervisor

Icing by Claire’s
Kailua, USA
05.2016 - 06.2017
  • Inspired store team to drive sales and deliver the finest level of customer service.
  • Achieved retail store targets through strategic planning and team collaboration.
  • Trained and coached the store team to enhance skills and promote career development.
  • Resolved staff and customer service issues promptly to maintain a positive store environment.
  • Delegated tasks effectively during busy periods to maintain operational efficiency.

Retail Sales Associate / Customer Service

Charlotte Russe
Kailua, USA
03.2016 - 06.2017
  • Coordinated with team to foster positive, friendly, and efficient customer experiences.
  • Promoted sales and goals by informing customers on current discounts and store promotions.
  • Provided style and outfit suggestions to help customers make confident purchasing decisions.
  • Arranged merchandise on shelves to enhance visual appeal and encourage customer engagement. in an efficient manner that was easy and understanding for customers.

Supervisor / Customer Service

Jamba Juice
Kailua, USA
08.2016 - 04.2017
  • Oversaw day-to-day operations, trained staff, and ensured timely and accurate bank deposits.
  • Managed opening and closing duties while acknowledging and rewarding outstanding performance of shift team members.
  • Ensured guest satisfaction and upheld compliance with all regulatory requirements and brand standards.
  • Cultivated positive relationships with employees to enhance teamwork.
  • Ensured compliance with local and state regulations along with company policies and procedures.

Education

Associate of Science Degree - Health Sciences – Medical Administrative Assistant

Ultimate Medical Academy
3101 W Dr Martin Luther King Jr Blvd, #200, Tampa,
01-2024

Skills

  • Patient Registration
  • Patient Processing
  • Patient check-in
  • Patient check-out
  • Medical Records Management
  • HIPAA Compliance
  • Healthcare regulations
  • Medical Terminology
  • Claims Processing
  • Billing expertise
  • Insurance Coordination
  • Medicare
  • Medicaid
  • HMO
  • PPO
  • Data management
  • Information release
  • Medical Administrative Assistant

Key Qualifications

  • Medical Administrative Assistant
  • Medical Terminology
  • Medical Transcription
  • Patient Processing
  • Patient Registration
  • Medical Records Management
  • Check In
  • Check Out
  • Data Entry
  • Release of Information
  • HIPAA Compliance
  • Medical Laws & Ethics
  • CMS 1500 Claim Form
  • Billing Cycle
  • Claims Appeal Process
  • Medical Billing Knowledge
  • Third Party Billing
  • Medicare
  • Medicaid
  • HMO
  • PPO
  • Basic Coding Skills for ICD-10 & CPT
  • Insurance Verification
  • Anatomy & Physiology

Timeline

Patient Access Representative

NYU Langone Health
07.2024 - 07.2026

Lead Fulfillment Associate / Shipping Clerk

Amazon Warehouse
09.2021 - 07.2024

Homemaker

11.2019 - 08.2021

Home Health Aide

Wilson Senior Living
10.2017 - 10.2019

Nurse Aide

Ho’okele
05.2017 - 09.2017

Supervisor / Customer Service

Jamba Juice
08.2016 - 04.2017

Third Key Supervisor

Icing by Claire’s
05.2016 - 06.2017

Retail Sales Associate / Customer Service

Charlotte Russe
03.2016 - 06.2017

Associate of Science Degree - Health Sciences – Medical Administrative Assistant

Ultimate Medical Academy
Tilani Pua'auli