KALEY MCLAUGHLIN
Kirtland,OH
Summary
Detail-oriented clinical coordinator and biologics specialist with extensive experience in dermatology, specialty medications, and patient access programs. Proven expertise in navigating complex insurance networks, prior authorization and appeals processes, and manufacturer copay/patient assistance programs with a consistently high success rate of securing coverage for biologic therapies. Skilled at collaborating with healthcare providers, payers, and specialty pharmacies to streamline access to care. Recognized for strong business acumen, operational efficiency, and building lasting professional relationships.
Overview
5
5
years of professional experience
Work History
Clinical Care Coordinator & Biologics Coordinator
Apex Skin
05.2023 - Current
- Oversees & manages daily functions of the clinic and clinic-facing employees
- Responsibilities include analyzing & optimizing workflows, ensuring compliance with SOPs, maximizing KPIs, growing client/patient base
- Maintained accurate records of all biologics samples, guaranteeing traceability throughout the process.
- Collaborated with cross-functional teams to streamline processes and enhance operational efficiency.
- Managed inventory tracking systems to maintain accurate records of biologics supplies and usage.
- Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Assessed clinical policies and procedures for compliance with changing regulations.
- Mentored new clinical staff members for proper onboarding and orientation processes.
- Supervised and managed daily activities of clinical team consisting of 10 physicians, nurses, and support staff.
- Devised and implemented clinical protocols to ensure high-quality patient care.
- Coordinated, monitored, assigned, and documented patient and clinical care activities.
- Upheld quality assurance procedures to maintain patient safety and satisfaction.
- Implemented new policies and educated staff on changes.
Clinical Research Assistant
University Hospitals Center for Clinical Research
01.2022 - 01.2023
- Responsibilities include organizational and logistical tasks as well as serving as a patient liaison
- Coordinated logistics for study visits, ensuring compliance with protocols.
- Maintained accurate records of trial activities and participant interactions.
Medical Assistant
Kaplansky Foot & Ankle Centers
01.2021 - 01.2022
- Prepared examination rooms, maintaining cleanliness and organization to support efficient patient flow.
- Assisted in patient intake processes, ensuring accurate collection of medical histories and insurance information.
- Supported physicians during examinations, documenting findings and following established protocols for care delivery.
- Managed appointment scheduling, optimizing daily operations and enhancing patient access to services.
- Educated patients on post-operative care instructions, improving adherence to treatment plans and outcomes.
- Collaborated with healthcare team members to streamline communication and enhance overall patient experience.
Education
B.S. - Biological Sciences with Spanish Minor, Health Sciences Scholars Program
The Ohio State University Main Campus
Columbus, Ohio01.2021
Certificate - Business Consulting & Operations
McKinsey Forward Certificate Program
09-2025
HMX Fundamentals Program - Pharmacology, Physiology II, Immunology
Harvard Medical School Online Learning Platform
01.2023
Skills
- Organizational skills
- HIPAA compliance
- Claims processing
- Clinical documentation
- Goal setting
- Quality improvement
- Quality assurance
- Process improvements
- Healthcare operations
- Interdepartmental collaboration
- Program oversight
- Clinical leadership
Core Competencies
- Biologics & Specialty Medications Access
- Insurance Reimbursement & Specialty Pharmacy Networks
- Prior Authorization & Appeals Expertise
- Patient Assistance & Copay Card Programs
- Clinical Operations & Workflow Optimization
- Provider, Payer & Patient Liaison
- Dermatology & Skincare Market Insight
Languages
Spanish
Timeline
Clinical Care Coordinator & Biologics Coordinator
Apex Skin
05.2023 - Current
Clinical Research Assistant
University Hospitals Center for Clinical Research
01.2022 - 01.2023
Medical Assistant
Kaplansky Foot & Ankle Centers
01.2021 - 01.2022
B.S. - Biological Sciences with Spanish Minor, Health Sciences Scholars Program
The Ohio State University Main Campus
Certificate - Business Consulting & Operations
McKinsey Forward Certificate Program
HMX Fundamentals Program - Pharmacology, Physiology II, Immunology
Harvard Medical School Online Learning Platform
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