Keeara Clardy
Columbus,OH
Summary
Healthcare operations professional with experience in care coordination, patient navigation, and provider credentialing. Skilled in insurance verification, prior authorizations, provider enrollment, and HIPAA-compliant EMR documentation. Proven collaborator supporting high-acuity patients, multidisciplinary teams, and quality improvement initiatives. Strong analytical, organizational, and quality improvement skills in fast-paced healthcare settings.
Overview
8
8
years of professional experience
Work History
Patient Coordinator Ⅱ
Quantum Health
Columbus, OH
10.2023 - Current
- Led and streamlined complex patient care workflows by verifying insurance eligibility, securing prior authorizations, and managing multi-disciplinary provider communications to ensure timely access to services and continuity of care.
- Served as the primary liaison for patients with high-acuity or chronic conditions, guiding them through the healthcare system and ensuring smooth transitions between inpatient, outpatient, and community care settings.
- Collaborated closely with physicians, social workers, and case managers to develop individualized care plans, contributing to a measurable 10% reduction in patient readmission rates through proactive follow-up and support.
- Maintained accurate, HIPAA-compliant documentation in electronic medical record (EMR) systems, ensuring data integrity and timely communication among care teams.
- Monitored and analyzed care coordination metrics, producing reports that informed quality improvement initiatives and supported organizational goals in patient experience and outcomes.
Credentialing Specialist
Avesis
Remote
08.2022 - 09.2023
- Maintained detailed credentialing files and documentation in accordance with internal and regulatory audit standards.
- Acted as a liaison between providers, payers, and internal departments to facilitate credentialing processes.
- Submitted applications for provider enrollment with commercial insurance carriers, Medicare, and Medicaid.
- Resolved discrepancies and followed up with payers to expedite approvals and prevent billing disruptions.
- Processed and tracked provider applications from submission to approval, ensuring accuracy and timely completion.
Administrative Assistant
CPA Solutions
Columbus, OH
09.2017 - 08.2022
- Delivered high-level administrative support in a fast-paced environment, managed schedules, client communication, and document workflows.
- Maintained confidential files and records, demonstrating discretion and accuracy in data handling.
- Handled intake of tax and financial documents with meticulous attention to deadlines and compliance.
- Ensured smooth day-to-day operations by ordering supplies, managing inventory, and responding to client inquiries.
Education
Associate of Science (A.S.) - Healthcare Administration
University of Cincinnati
Cincinnati, OHSkills
- HIPAA
- Prior authorization
- Medical billing and coding
- Insurance verification
- Medical terminology
- Clinical support
- Data entry
- Team coordination
- Records
- Problem-solving
- Task management
- Time management
- ICD-10
- CPT
- HCPCS
- Insurance portals (UHC, Aetna, Medicaid/Medicare)
- EHR
- 10-key typing
- Remote
- Patient navigation
- Credentialing processes
- Attention to detail
Accomplishments
Top Performer Award—Exceeded productivity and accuracy benchmarks while managing high-volume care coordination and credentialing workloads.
Timeline
Patient Coordinator Ⅱ
Quantum Health
10.2023 - Current
Credentialing Specialist
Avesis
08.2022 - 09.2023
Administrative Assistant
CPA Solutions
09.2017 - 08.2022
Associate of Science (A.S.) - Healthcare Administration
University of Cincinnati