Kristen Shaw
Roswell
Summary
Healthcare professional with 15+ years of experience across hospital systems, retail pharmacy, and customer service operations. PTCB-certified Pharmacy Technician with extensive expertise in patient access, insurance verification, medication processing, regulatory compliance, and revenue cycle support. Recognized for delivering exceptional patient experiences, maintaining strict HIPAA compliance, and improving workflow efficiency in high-volume healthcare environments. Skilled in cross-functional collaboration with providers, insurance carriers, and interdisciplinary teams.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Patient Access Representative II
WellStar North Fulton Hospital
Roswell, GA
04.2024 - Current
- Review patient admissions to determine medical necessity and ensure payer compliance
- Verify insurance coverage, policy limitations, and benefits using online eligibility platforms
- Register patients accurately in electronic health record systems
- Obtain required HIPAA acknowledgments and consent for treatment documentation
- Provide patient responsibility estimates and explain financial obligations clearly
- Coordinate with insurance companies to resolve coverage discrepancies
- Maintain strict confidentiality and regulatory compliance
- Deliver compassionate service in fast-paced hospital environment
- Impact: Enhanced front-end revenue cycle accuracy and reduced registration discrepancies through detailed verification and documentation processes. Customer Collections rate exceeds goal monthly.
Certified Pharmacy Technician
Walgreens
Randallstown, MD
09.2010 - 01.2023
- Processed high-volume prescriptions with strong attention to accuracy and safety standards
- Managed pharmaceutical inventory, monitored stock levels, and expedited medication orders
- Removed outdated medications in compliance with regulatory requirements
- Assisted patients and healthcare providers with medication-related inquiries
- Maintained infection-control protocols and pharmacy safety procedures
- Supported operational efficiency by anticipating supply and medication needs
- Impact: Contributed to improved patient satisfaction and operational consistency through reliable prescription processing and proactive inventory management.
Education
High School Diploma -
Homewood Flossmoor
Flossmoor, ILSkills
- Electronic Health Records (EHR) Systems
- Pharmacy Management Systems
- Insurance Eligibility Platforms
- CRM Software
- Microsoft Office Suite
Certification
- Certified Pharmacy Technician (CPhT) — Pharmacy Technician Certification Board (PTCB)
- HIPAA Compliance Training
CORE COMPETENCIES
- Patient Registration & Admissions
- Insurance Verification & Eligibility
- Pharmacy Operations & Prescription Processing
- Medication Inventory Management
- HIPAA & Regulatory Compliance
- Revenue Cycle Support
- Electronic Health Records (EHR)
- Customer Experience Excellence
- Conflict Resolution
- Workflow Optimization
- Data Accuracy & Documentation
Timeline
Patient Access Representative II
WellStar North Fulton Hospital
04.2024 - Current
Certified Pharmacy Technician
Walgreens
09.2010 - 01.2023
High School Diploma -
Homewood Flossmoor