Summary
Overview
Work History
Education
Skills
Timeline
Generic

MERCEDES CARRILLO

Hurdle Mills

Summary

Detail-oriented and compassionate Healthcare Administration & Customer Service Professional with 5+ years of experience supporting patient services, front-end operations, and team leadership in fast-paced clinical settings. Proven ability to streamline workflows, lead staff, manage schedules, and deliver exceptional patient-centered service. Seeking a remote position where I can bring my strong communication, problem-solving, and organizational skills to a healthcare or service-oriented team.

Overview

8
8
years of professional experience

Work History

Service Access Team Lead – Clinics 2H / 2J / 2P

Duke Health
10.2023 - Current
  • Lead day-to-day clinic front desk operations, ensuring alignment with Duke Health’s patient service standards.
  • Facilitate weekly team huddles; present KPIs related to registration accuracy and collections.
  • Train, coach, and supervise staff to optimize efficiency and service delivery.
  • Identify workflow gaps and implement improvements to enhance patient access and scheduling.
  • Resolve insurance claim rejections/denials and remedy issues expediently to minimize delays and ensure patient satisfaction.
  • Communicate with insurance carriers regarding clinical information requests and resolve issues related to coverage.

Financial Care Counselor – Clinic 2A

Duke Health
02.2022 - 10.2023
  • Verified insurance coverage, obtained prior authorizations, and minimized claim denials.
  • Obtained all prior authorization certifications and/or authorizations as appropriate.
  • Obtained authorizations based on payment terms, insurance plan contracts, and carrier guidelines.
  • Collaborated with payers to reduce financial burdens for patients; provided empathetic counseling.
  • Assisted with front-end collections and managed patient accounts using EPIC.

Patient Service Associate – Clinics 1L / 2M / 2A

Duke Health
11.2020 - 02.2022
  • Delivered high-volume front-desk support: check-ins, appointment scheduling, referrals, and patient communications.
  • Assisted neurology providers with lab coordination, documentation, and follow-ups.
  • Collaborated with healthcare providers to optimize appointment scheduling for improved resource management.
  • Assisted in managing patient records using electronic health record systems to ensure compliance and accuracy.

Self-Image Consultant

Duke Cancer Patient Support Program
08.2019 - 11.2020
  • Supported oncology patients with wig/prosthesis selection and appearance-related needs.
  • Managed inventory and sales; participated in outreach for wellness program events.
  • Assisted in fundraising and public outreach initiatives for patient wellness programs.
  • Led strategic initiatives to enhance patient support services, improving overall program effectiveness.

First/Second Assistant Manager

Cato Fashions
03.2017 - 10.2019
  • Managed daily operations, trained staff, and led customer service initiatives.
  • Resolved escalated customer issues and maintained store performance standards.
  • Oversaw merchandising, inventory, and sales tracking.
  • Supervised daily store operations to ensure optimal customer service and sales performance.
  • Trained and mentored new staff on company policies, product knowledge, and customer engagement techniques.

Education

High School Diploma -

Orange High School
Hillsborough, NC
06.2017

Business Management - Focus in Leadership

ECPI University

Skills

  • Patient access management
  • Virtual project management
  • Insurance verification expertise
  • Denial resolution and financial guidance
  • Electronic medical records management
  • Team leadership and staff development
  • Client relations management
  • KPI analysis and reporting
  • Email management
  • Microsoft Teams
  • Zoom
  • Proficient in MS Office Suite

Timeline

Service Access Team Lead – Clinics 2H / 2J / 2P

Duke Health
10.2023 - Current

Financial Care Counselor – Clinic 2A

Duke Health
02.2022 - 10.2023

Patient Service Associate – Clinics 1L / 2M / 2A

Duke Health
11.2020 - 02.2022

Self-Image Consultant

Duke Cancer Patient Support Program
08.2019 - 11.2020

First/Second Assistant Manager

Cato Fashions
03.2017 - 10.2019

Business Management - Focus in Leadership

ECPI University

High School Diploma -

Orange High School
MERCEDES CARRILLO