Caitlin Eddy
Spectrum Health
Apache Junction,AZ
12
years of professional experience
Utilization Management Specialist with experience processing prior authorization requests, reviewing medical records, and coordinating patient intake. Maintains HIPAA-compliant handling of patient information across calls, forms, and electronic records. Communicates authorization updates clearly to patients and care teams throughout the review process.
Work History
Utilization Management Specialist
1 Year 9 Months- Process 500 prior authorization requests weekly while coordinating documentation and payer follow-up.
- Review medical records for completeness before submitting utilization requests and supporting documentation.
- Verify insurance information and coverage details before sending cases for authorization review.
- Document clinical interactions accurately in electronic health records to support continuity of care.
- Maintain HIPAA-compliant handling of patient information across calls, forms, and electronic records.
- Communicate authorization updates clearly to care teams throughout the review process.
- Organize referrals, chart notes, and supporting forms to streamline provider review workflows.
- Assist with data entry for authorization records and follow-up tasks.
Medical Assistant-Remote
1 Year 1 Month- Process 60 referral cases monthly, coordinating lab orders, medication sends, and member follow-up.
- Track 150 patient intakes weekly, gathering histories, medications, and symptoms for physician review.
- Collect patient histories and prepare clear intake notes for remote physician examinations.
- Organize medical records by filing, scanning, and maintaining accurate documentation in electronic health records.
- Handle patient questions and discharge calls with professionalism, supporting smooth transitions of care.
Medical Assistant
5 Years 9 Months- Maintained 6000 clinical records monthly through filing, scanning, organizing, and updating patient documentation.
- Supported 250 patient intakes weekly by gathering histories, medications, symptoms, and allergies before visits.
- Prepared exam rooms, sanitized equipment, and restocked supplies to keep the clinic ready for patient care.
- Documented vital signs, health histories, and medication details with accuracy to support physician exams and follow-up care.
- Assisted physicians with minor procedures, sterilized instruments, and maintained infection control standards throughout the clinic.
Medical Assistant
1 Year 7 Months- Managed 800 appointments weekly to reduce conflicts and keep physician schedules organized.
- Documented 200 patient intakes weekly by collecting medical histories, medications, symptoms, and allergies.
- Sanitized, restocked, and organized exam rooms and medical equipment to support safe daily patient care.
- Recorded patient histories, vital signs, medications, and allergies accurately in medical records and electronic health records.
- Prepared patients for physician examinations, answered questions, and maintained comfort throughout visits.
- Assisted physicians with minor surgeries, procedure setup, instrument sterilization, and routine diagnostic tests.
Medical Assistant
1 Year 10 Months- Processed 200 medical records weekly by filing, organizing, scanning, and maintaining orderly patient documentation.
- Documented 30 patient intakes daily, capturing medical history, medications, symptoms, and allergies for accurate charting.
- Sanitized and restocked exam rooms and medical equipment to maintain a clean, safe clinical environment.
- Monitored patient vital signs and recorded health histories for clinic and hospital visits with accuracy and consistency.
- Assisted physicians with minor procedures by preparing the operating room, sterilizing instruments, and supporting patient comfort.
Education
Certificate - Medical Assisting
Skills
Patient scheduling
Clinical documentation
Data entry
Patient intake coordination
Medical records management
Direct patient care
Customer service
Referral coordination
Telephone triage
HIPAA compliance
Electronic health records
Prior authorization processing
Insurance verification
Prior authorization processing
Vital sign monitoring
CPR
Medication reconciliation
Sterilization techniques
Timeline
Utilization Management Specialist
Spectrum Health
01.2025 - CurrentRead More
Medical Assistant-Remote
Redirect Health
12.2023 - 01.2025Read More
Medical Assistant
Mesa Family Physicians
03.2018 - 12.2023Read More
Medical Assistant
Advanced Pain Management
05.2016 - 03.2018Read More
Medical Assistant
Desert Grove Family Medical
10.2014 - 05.2016Read More
Carrington College - Phoenix
Certificate from Medical Assisting
Read More