Quartnee Hayes
Beltsville,MD
Summary
Compassionate Medical Assistant renowned for efficiently completing tasks while prioritizing patient care. Specializes in medical record management and clinical procedures, demonstrating strong communication and adaptability skills. Proven ability to support healthcare teams effectively and deliver exceptional service to patients. Aiming to leverage expertise to enhance patient experiences in a dynamic healthcare environment.
Overview
14
14
years of professional experience
Work History
Tier I Agent
VECRA Inc.
04.2024 - 09.2024
- Processed 60+ inbound calls daily, efficiently addressing issues related to health insurance benefits, coverage options, and claims, resulting in a 20% reduction in call wait times.
- Utilized CRM systems to track and analyze customer interactions, leading to an 80% increase in first-call resolution.
- Educated beneficiaries on Medicaid eligibility requirements and documentation, leading to a 30% reduction in application rejections due to incomplete information.
- Facilitated over 300 consumer Medicaid and Marketplace applications, resulting in a 25% increase in successful Medicaid enrollments.
- Leveraged expertise in navigating complex systems (e.g., Medicaid eligibility databases, insurance portals) to expedite application processing, achieving a faster turnaround time for approvals.
Coverage Determination Specialist
Adecco Health
09.2023 - 02.2024
- Analyzed and adjudicated complex pharmaceutical claims, identifying discrepancies and applying appropriate adjustments, which led to a 15% decrease in claim denials and rejections for special projects
- Collaborated with pharmacy and healthcare providers to resolve claim issues, maximizing productivity and provider satisfaction
- Abstracted relevant clinical data from medical records, ensuring alignment with formulary guidelines and clinical criteria, which resulted in a reduction in claim rejections due to non-compliance
- Facilitated 30+ outbound calls daily, to gather clinical data and support for PBM claims specific to Ozempic prescription orders
- Generated detailed reports on clinical data findings and claim review outcomes for management, providing insights that supported data-driven decision-making and process improvements
Benefit Specialist
Activus Connect
03.2023 - 09.2023
- Administered and managed employee benefit programs, including health insurance, retirement plans, and wellness initiatives, improving employee satisfaction and engagement by 40%
- Processed and reviewed benefits enrollments and changes for over 200 employees, ensuring accuracy and compliance with company policies and regulatory requirements, resulting in a 15% reduction in processing errors
- Collaborated with senior leadership to ensure compliance with quality metrics and standards by regularly auditing processes and performance, resulting in a 98% adherence rate and improved overall service quality
Medical Assistant
Johns Hopkins Hospital
Baltimore, USA
01.2018 - 03.2020
- Maintained and updated electronic medical records (EMR) with accurate patient information, facilitating efficient communication between healthcare providers, and ensuring compliance with HIPAA regulations.
- Performed phlebotomy and EKG procedures with precision, adhering to hospital protocols, and maintaining patient safety and comfort.
- Provided patient education and support on treatment plans, medication administration, and follow-up care, contributing to improved patient outcomes and satisfaction.
- Coordinated scheduling for multiple healthcare providers, optimizing appointment slots, and improving provider utilization by 20%.
- Facilitated seamless patient admissions by coordinating with multiple departments, including insurance verification, medical records, and clinical staff, resulting in a 15% increase in operational efficiency.
Medical Assistant- Lead
Family Health Centers of Baltimore
Baltimore , MD
10.2010 - 12.2017
- Managed front office operations, including scheduling patient appointments and managing patient records.
- Reviewed patients' medical histories prior to their visits to ensure accuracy of information provided by the physician.
- Coordinated with other departments within the hospital setting to facilitate a smooth workflow throughout the facility.
- Monitored inventory levels of medical supplies and equipment in order to maintain adequate stock at all times.
- Assisted physicians in performing minor surgeries or procedures when needed.
Education
Medical Billing And Coding
Coursera
08-2024
Medical Assistant Certification - Medical Assisting
Fortis Institute
Towson, MDSkills
- Interpersonal Skills
- Data Management
- SaaS
- Time Management
- Medical Scheduling
- Verbal & Written Communication
- Process Improvement
- Customer service
- Conflict resolution
- Critical thinking
- Retention
- Salesforce
- Microsoft Office Suite
- Google Suite
- EPIC
- Athenanet
- Slack
- AWS
- Workday
Timeline
Tier I Agent
VECRA Inc.
04.2024 - 09.2024
Coverage Determination Specialist
Adecco Health
09.2023 - 02.2024
Benefit Specialist
Activus Connect
03.2023 - 09.2023
Medical Assistant
Johns Hopkins Hospital
01.2018 - 03.2020
Medical Assistant- Lead
Family Health Centers of Baltimore
10.2010 - 12.2017
Medical Billing And Coding
Coursera
Medical Assistant Certification - Medical Assisting
Fortis Institute
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