Caliyah Horne
Pensacola,FL
Summary
Highly organized and strategic Healthcare Administrative Specialist with over 5 years of experience managing complex administrative functions in medical practices and healthcare facilities. Proven track record in streamlining operations, reducing administrative overhead by 15%, and ensuring compliance with HIPAA and other healthcare regulations. Skilled in coordinating patient scheduling, optimizing resource allocation, and maintaining a 98% accuracy rate in patient record management.
Overview
3
3
years of professional experience
Work History
Certified Medical Assistant
Sacred Heart Hospital Neurology
2024.04 - Current
- Efficiently scheduled and coordinated appointments and follow-up visits for 30 patients daily, utilizing (Athena) for both medical scheduling and EHR management.
- Streamlined workflows reduced patient wait times by 18%, while maintaining up-to-date and accurate patient records, improving data accuracy by 20%. Provided comprehensive support to ensure seamless patient care and office operations.
- Utilized E-FORCSE to monitor and manage controlled substance prescriptions, reducing drug abuse and diversion risks. Ensured compliance with state regulations, promoting safer prescribing practices and patient safety.
- Uploaded imaging discs to the Picture Archiving and Communication System (PACS) for provider review, ensuring quick access to diagnostic images for timely patient care.
Hematology-Oncology Float Medical Assistant/Patient Care Coordinator
Woodlands Medical Specialists
2022.11 - 2024.02
- Navigated patients through the complex healthcare system, providing guidance on insurance approvals, treatment schedules, and referrals using patient navigation software (e.g.,ONCONav, Chartis Oncology Solutions) to coordinate care across multiple departments and facilities, improving patient satisfaction by 25%
- Unified with a multidisciplinary team of oncologists, hematologists, and nursing staff, using care management software (e.g., Allscripts, CareInMotion Navigating Cancer) to streamline communication and ensure real-time updates on patient treatment plans, resulting in a 30% improvement in treatment adherence.
- Updated EHRs in Greenway, Avero, and IKnowMed systems, ensuring accurate documentation of patient information, treatments, lab results, and imaging, while maintaining HIPAA compliance and timely follow-up care.
- Supported telehealth services, utilizing telemedicine platforms (e.g., Doxy.me, Teledoc Health) to assist with virtual consultations, improving access to care for remote patients by 25%.
Certified Medical Assistant
USA Health Providence Gastroenterology
2021.08 - 2022.08
- Managed patient intake and triage remotely, using electronic health record (EHR) systems (e.g., Epic, Cerner) to document medical histories, update patient records, and ensure accurate data entry, improving patient record accuracy by 25%
- Processed patient billing and insurance claims, utilizing practice management software (e.g., athenahealth, eClinicalWorks) to verify coverage and submit claims, achieving a 95% success rate in first-pass claim approvals
- Managed virtual medical supply orders, using cloud-based inventory management tools (e.g.Sortly, SurgiCare Inventory) to track and order necessary medical supplies
- Processed medication prior authorizations through CoverMyMeds and Blue Cross Blue Shield (BCBS), ensuring timely approvals by reviewing clinical documentation and coordinating with healthcare providers, resulting in a 20% reduction in approval time.
- Adept at streamlining operations, reducing administrative overhead by 15%, and ensuring regulatory compliance in accordance with HIPAA and other federal healthcare regulations
- Successfully coordinated patient scheduling, optimized resource allocation, and maintained accurate patient records, achieving a 98% accuracy rate in data management.
Education
Associate of Science - Pre-Dental Hygiene
Pensacola State College
Pensacola, FL05.2027
Skills
- Athenahealth
- Avero
- IKnowMed
- Greenway
- PACS
- Teladoc Health, DoxyMe
- HIPAA Compliance
- E-FORCSE
- Allscripts
- Epic
- Cerner
- EClinicalWorks
- Microsoft ( Word, Suite, Excel, Outlook)
- Prior Authorization Software: ( CoverMyMeds, BCBS)
- Patient documentation
- Patient Assessments
- Patient Scheduling
- Vital Sign Monitoring
Accomplishments
- Clinical Certified Medical Assistant (CCMA)~National Association (NHA) March 2021
- Basic Life Support (BLS)~American Heart Association(AHA) June 2021
Timeline
Certified Medical Assistant
Sacred Heart Hospital Neurology
2024.04 - Current
Hematology-Oncology Float Medical Assistant/Patient Care Coordinator
Woodlands Medical Specialists
2022.11 - 2024.02
Certified Medical Assistant
USA Health Providence Gastroenterology
2021.08 - 2022.08
Associate of Science - Pre-Dental Hygiene
Pensacola State College
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