Open to opportunities

Carolyn Swan

@carolynswan

Healthcare patient registration and insurance verification professional focused on accurate EMR data and smooth patient experiences.

United States

Message

What I'm looking for

I’m looking for a healthcare role where I can deliver accurate patient registration and EMR data entry, handle insurance verification and prior authorizations, and support providers and patients with clear communication—always maintaining HIPAA and CMS standards.

I’m a Patient Registration Associate II who keeps patient information accurate in hospital electronic health record systems, supports smooth front-desk operations, and coordinates appointments. In my current role, I process prescription refills through MyChart, manage patient flow to minimize wait times, and assist with charge capture and reconciliation while checking eligibility for discount fee schedules.

Previously, I worked as a Front Office Verification Specialist at Sager Eye Care Center, where I handled insurance verification, confirmed coverage eligibility, and initiated prior authorizations & referrals via Availity. Earlier experience includes remote grievance and appeals work at Cigna, where I investigated cases, documented root causes and resolutions, and upheld HIPAA and CMS guidance with technical accuracy.

Experience

Work history, roles, and key accomplishments

Current

Patient Registration Associate II

Current

Highland Hospital Women's Health

Aug 2025 - Present (11 months)

Entered and maintained patient information in the hospital electronic health record, ensuring accuracy and accessibility. Scheduled appointments, managed patient flow, supported charge capture/billing tasks, and handled correspondence including prescription refill messaging.

Electronic Health Records (EHR)Patient Registration Appointment Scheduling Patient Flow Management Prescription Refills MyChart Charge Capture Charge Reconciliation Billing Support Eligibility Verification HIPAA Data Entry Staff Coordination Insurance Verification Epic Practice Fusion

Front Office Verification Specialist

Sager Eye Care Center

Nov 2021 - Jul 2025 (3 years 8 months)

Coordinated front-desk operations by scheduling patient appointments, responding to inbound inquiries, and managing patient flow. Verified coverage eligibility and supported prior authorizations/referrals through Availity, while also assisting with administrative and documentation tasks.

Patient Flow Management Front Desk Support Inbound Outbound Calls Data Entry Insurance Verification Prior Authorizations Referrals Availability Administrative Support Inventory Management Lab Ticket And Invoice Entry Administrative Coordination

Administrative Assistant (Temporary)

Foundation of Sickle Cell Disease Research

Aug 2021 - Oct 2021 (2 months)

Provided temporary administrative support by organizing appointments and events and handling front-desk and telephone duties. Completed routine data entry for electronic health records and grant-related tasks while maintaining filing and drafting communications.

Appointment Coordination Event Coordination Front Desk Support Data Entry Administrative Support

Grievance and Appeals Analyst

Cigna

Apr 2019 - Feb 2021 (1 year 10 months)

Investigated assigned grievance cases to identify root causes and determine appropriate resolutions. Communicated outcomes to members/representatives, reported complaint trends to management, and ensured HIPAA and CMS guidance compliance.

Root Cause Analysis HIPAA compliance Customer Correspondence Documentation

Document Processing Analyst

Cigna

Oct 2018 - Apr 2019 (6 months)

Processed incoming mail and communicated findings to stakeholders to support timely resolution in accordance with NH/CMS and NH/ARGUS standards. Ensured compliance with CMS guidance and HIPAA requirements, including mailing applicable exhibits and validating information via outbound calls.

NH ARGUS Compliance HIPAA compliance Mailing Exhibits Outbound Calling

Mentor

Envision Healthcare

May 2018 - Sep 2018 (4 months)

Supported daily operations while ensuring CMS and HIPAA compliance in incoming mail processing and member record documentation. Provided beneficiary guidance on plan functionality and served as a communication link between customer service teams and supervisors.

HIPAA compliance Incoming Mail Member Record Documentation Beneficiary Education Plan Functionality Support Coaching & Mentoring CMS Skill Report Monitoring

Member Service Advocate (CSR)

Envision Healthcare

Oct 2016 - May 2018 (1 year 7 months)

Handled inbound calls for Part D and commercial insurance members, updating account information and explaining plan benefits and coverage levels. Managed requests related to ID cards/formularies and supported prior authorization workflows and prescription denial/error resolution.