Gyheesha McKinley

Nationally Certified Medical Assistant

• Contributed to a welcoming atmosphere at the practice by greeting patients warmly upon arrival, checking them in efficiently, and answering any questions they had about their visit or overall healthcare needs.
• Enhanced clinic efficiency by thoroughly documenting patient information and updating electronic health records.
• Actively listened to customers, handled concerns quickly and escalated major issues to supervisor. Handled customer inquiries and suggestions courteously and professionally.
• Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
• Managed high call volume while maintaining professionalism, empathy, and attention to detail in each interaction.
• Provided comprehensive administrative support through efficient management of front desk duties such as greeting visitors, answering phone calls, and directing inquiries appropriately.
• Supported clinic operations by overseeing proper handling of confidential patient information, adhering to HIPAA regulations.

Insurance Claims Analyst

• Expedited patient flow within the clinic by efficiently triaging incoming cases based on urgency levels and retro claims.
• Improved interdepartmental collaboration through effective coordination of patient referrals to specialists or diagnostic services.
• Assisted in revenue growth by verifying insurance eligibility, collecting co-payments, and reconciling daily financial transactions.
• Expedited claims resolutions for improved customer satisfaction through thorough investigations and timely communications.
• Presented findings from claim investigations to senior leadership, informing strategic decisions related to risk management initiatives.
• Enhanced claim processing efficiency by streamlining workflows, pre-registration, medical necessity concerns, and optimizing data analysis techniques.

Pre-Authorization Specialist & Employee Trainer

• Promoted a collaborative environment among multidisciplinary teams to ensure optimal patient outcomes and resource allocation.
• Assisted customers with completing insurance documents to avoid missed information and meet target deadliness.
• Assisted in the development of internal policies and procedures related to pre-authorizations, increasing overall department efficiency.
• Responded to customer requests, call center staff, providers for products, services, and company information.
• Expedited decision-making processes by maintaining strong working relationships with insurance representatives, exercising sound judgement with handling documentation and clinical staff members.
• Monitored trends in denied or delayed authorizations, implementing corrective actions as needed to minimize future occurrences.
• Demonstrated adaptability when navigating complex insurance systems, efficiently processing authorizations across multiple carriers and platforms.
• Reduced denials and appeals by ensuring accurate documentation and timely submission of authorization requests.
• Enhanced workflow efficiency by streamlining the pre-authorization process for both inpatient and outpatient cases.

Project Assistant- Remote Epic Ambulatory Trainer

• Achieved positive feedback from both trainees and supervisors on the effectiveness of delivered training sessions.
• Epic Go-Live consultant collaborated with project teams to successfully execute go-live strategies within designated timeframes to provide user friendly experience.
• Supported organizational goals by actively participating in strategic planning initiatives related to the use of Epic Ambulatory software.
• Enhanced team communication by scheduling regular meetings, telehealth video visits, preparing agendas, and taking detailed minutes.
• Provided exceptional support to project leads through daily communication, follow-up on action items, and proactive problem solving.
• Facilitated change management efforts by acting as a liaison between IT teams, department managers, and end-users during system implementations or upgrades.
• Responded to employee inquiries and provided technical assistance over phone, written steps, Outlook email, Teams, chat support and in person.

Ordering Supplies Coordinator & Electronic Inventory Specialist

• Managed supplier performance by conducting regular reviews of product quality issues, delivery timeliness, and overall vendor relations with PeopleSoft software.
• Assisted in budget planning and inventory tracking by monitoring expenditures related to purchasing activities.
• Performed data entry and completed proper paperwork.
• Recorded information, shortages, and discrepancies to keep records current and accurate.
• Maintained accurate inventory counts and verified accuracy of on-hand quantities in departments, stockroom and overstock locations.

Referral Coordinator

• Demonstrated strong attention to detail and organizational skills in managing a high volume of referrals while maintaining exceptional levels of patient care.
• Demonstrated excellent multitasking abilities by simultaneously handling multiple tasks such as navigating systems, taking notes on calls, and answering inquiries from clients.
• Scheduled appointments with specialists and interpreter services on behalf of clients.
• Processed referral requests from patients, doctors and other health care professionals.
• Called insurance companies to get precertification and other benefits information on behalf of patients.
• Managed electronic health records efficiently, safeguarding sensitive patient information while expediting the referral process.
• Weighed patient need, provider availability, and insurance coverage to determine optimal scheduling.

Medical Billing

• Continually sought opportunities for professional development by attending industry conferences and participating in relevant workshops to improve knowledge of medical billing best practices.
• Supported medical billing processes by providing accurate coding and documentation, charge posting resulting in prompt reimbursement from insurance companies.
• Explaining charges to clients and negotiated payment plan arrangements with medical billing departments on behalf of the patients experiencing financial hardship.
• Streamlined medical billing processes by detecting coding errors, merging records, chart abstractions and ensuring correct coding practices were implemented.