Rachel Tyler
Cordova
Summary
Dynamic and detail-oriented healthcare professional with extensive experience in patient care, critical thinking, and effective communication. Committed to fostering team collaboration to achieve optimal patient outcomes while delivering reliable and adaptable support in fast-paced environments. Proven experience in medical procedures, patient assessments, and care coordination ensures the provision of efficient and compassionate care. Passionate about enhancing the patient experience through a holistic approach to healthcare delivery.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Registered Nurse; Heart Failure Med Surg
Baptist Memorial Hospital
06.2022 - Current
- Charge Nurse
- Assess and observe patients
- Listen to patients and analyze their physical and emotional needs
- Provide counseling and health education to patients
- Prepare patients for exams/tests and treatment
- Administer medication and provide medication treatment
- Attend monthly residency classes for Resident Program (Nov – Aug)
- Attend annual Nursing Skills Lab
Nurse Intern I
Baptist Memorial Hospital
03.2022 - 06.2022
- Observe nursing staff and assist RN with required duties
Quality Review and Audit Lead Analyst
Aceredo Health Group, Inc.
11.2020 - 06.2022
- Monitor Rare Disease Contact Center calls monthly
- Conduct EQM meetings with Contact Center supervisors
- Monitor quality and create educational slides for top opportunities
Patient Access Eligibility Supervisor, Rare Disease
Aceredo Health Group, Inc.
01.2017 - 11.2020
- Manage team members daily and monitoring calls
- Coach and mentor team members; monitor daily work in progress
- Conduct team meetings and monthly 1:1’s; Ensure key performance metrics are met for team
- Attend meetings and Kaizen events; Write/Revise SOPs and Job Aids
- Hiring/Interviewing potential personnel
- Launch new therapies for the department
Patient Access Lead / Clearance
Aceredo Health Group, Inc.
10.2014 - 01.2017
- Manage escalations; Communicate daily with team; improve workflow and processes; Manage workload for team members
- New Drug Launch team – launch new therapies
- Write/Revise SOPs and Job Aids (Process and Payer specific)
- Attend Kaizen events for process improvement
- Boston Workstation project (April 2015 – present) – Assisted with ESD Script, Co-Wrote Prior Authorization Script, Wrote Medicare and Medicaid Scripts
Resolution Team Leader (RTL)
Aceredo Health Group, Inc.
12.2013 - 10.2014
- Handle escalated calls from patients and physicians
Patient Access Clearance Specialist
Aceredo Health Group, Inc.
05.2009 - 12.2013
- Resolve issues with claims and orders to allow shipments to process
- Coordinate and verify benefit authorizations
- Start new patients on service to obtain specialty medications
Reimbursement Specialist
Aceredo Health Group, Inc.
09.2007 - 05.2009
- Money Move Team / Cash Dept
- Payer Refund Team – Find and resolve overpayments and process recoupments for payers / Medicaid Refunds, Letter M – Z
- Credit Resolution Team - Reconcile credit balances on patient accounts
Oral Surgeon’s Assistant/Office Manager
Williams Surgery Center
03.2005 - 02.2007
- Scheduled patient appointments/surgeries; Assisted in surgery
- Verified insurance benefits (dental/medical); Accounting
Education
Nursing, Adult-Gerontology Acute Care Nurse Practitioner -
Arkansas State University
Memphis, TN10-2026
Skills
- Microsoft Office
- Windows
- Typing speed of 45-55 WPM
- Experience with EPIC and AirStrip One
Certification
Registered Nurse – License # 262863, State of TN, Multistate
Awards
Daisy Nomination, 1st Quarter, 2024
Timeline
Registered Nurse; Heart Failure Med Surg
Baptist Memorial Hospital
06.2022 - Current
Nurse Intern I
Baptist Memorial Hospital
03.2022 - 06.2022
Quality Review and Audit Lead Analyst
Aceredo Health Group, Inc.
11.2020 - 06.2022
Patient Access Eligibility Supervisor, Rare Disease
Aceredo Health Group, Inc.
01.2017 - 11.2020
Patient Access Lead / Clearance
Aceredo Health Group, Inc.
10.2014 - 01.2017
Resolution Team Leader (RTL)
Aceredo Health Group, Inc.
12.2013 - 10.2014
Patient Access Clearance Specialist
Aceredo Health Group, Inc.
05.2009 - 12.2013
Reimbursement Specialist
Aceredo Health Group, Inc.
09.2007 - 05.2009
Oral Surgeon’s Assistant/Office Manager
Williams Surgery Center
03.2005 - 02.2007
Nursing, Adult-Gerontology Acute Care Nurse Practitioner -
Arkansas State University
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