Colleen Richter
Audubon,USA
Summary
Dynamic Senior Patient Access Manager with extensive experience at Gynesonics, excelling in insurance verification and patient advocacy. Proven track record in optimizing workflows and enhancing patient care coordination. Strong communicator and detail-oriented professional committed to ensuring compliance with HIPAA regulations while achieving exceptional treatment outcomes.
Overview
30
30
years of professional experience
Work History
Senior Patient Access Manager
Gynesonics
Redwood City, CA
04.2022 - Current
- Verification of benefits and authorization of the sonata procedure
- Appeals process if denied
- State fair hearings
- Independent review
- Work closely with physicians offices and sales team to ensure patient treatment outcomes are met
- Collaborated with other healthcare professionals to ensure continuity of care for patients.
- Evaluated existing processes for efficiency and made recommendations for improvements.
- Resolved issues regarding insurance verification, preauthorization requirements.
- Coordinated with other departments to ensure proper communication between providers and patients throughout their care journey.
- Ensured compliance with HIPAA regulations related to protecting the privacy of protected health information.
Surgical Coordinator/OB Scheduler/Insurance Verification
Virtua OBGYN
Cherry Hill, NJ
01.2020 - 01.2022
- Medical Clearance Prep, Pre-Admission testing coordination, Insurance Verification, OR Scheduling.
- Enter schedules for Multiple physicians on our Software Program.
- Responsible for canceling physicians schedules, notifying and rescheduling the patient’s appointment
- Making sure all pre-authorizations have been obtained for all modalities and/or obtaining preauthorization as needed based on insurance and procedure.
- Assisting the nurses and technician when they have a heavy workload by escorting the patient to their room and assisting them for their appt.
- Entered data into electronic medical record system accurately and timely using ICD-10 coding standards when applicable.
- Reviewed incoming referrals from primary care providers before scheduling any procedure or appointment.
- Answered phone calls from patients inquiring about upcoming scheduled surgeries or follow up visits.
- Scheduled pre-operative appointments with patients, obtained consent forms and collected necessary insurance information.
- Verified patient eligibility for particular types of surgeries based on health plan guidelines or coverage limitations.
- Managed scheduling of multiple surgeries on a daily basis, coordinating availability of surgeons and anesthesiologists.
Surgical Coordinator/Scheduling Supervisor
Mid Atlantic urology
Philadelphia, PA
01.2010 - 01.2020
- Medical Clearance Prep, Pre-Admission testing coordination, Insurance Verification, OR Scheduling, Staff Supervisor.
- Enter schedules for Multiple physicians on our Software Program.
- Responsible for canceling physicians schedules, notifying and rescheduling the patients appointment
- Ensured compliance with HIPAA regulations by keeping confidential records secure at all times.
- Verified patient eligibility for particular types of surgeries based on health plan guidelines or coverage limitations.
- Managed scheduling of multiple surgeries on a daily basis, coordinating availability of surgeons and anesthesiologists.
- Organized patient charts for surgical procedures and ensured accuracy of all documents.
- Scheduled pre-operative appointments with patients, obtained consent forms and collected necessary insurance information.
- Acted as liaison between physicians, vendors, insurance companies, patients and their families regarding surgical procedures.
Emergency Room Patient Access/ MRI Patient Access
Temple Northeastern Hospital
Philadelphia, PA
01.1996 - 01.2009
- Patient Registration
- Collected COPAY
- Making sure all pre-authorizations have been obtained for all modalities and/or obtaining preauthorization as needed based on insurance and procedure.
- Prioritized and organized tasks to efficiently accomplish service goals.
- Identified needs of customers promptly and efficiently.
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
Skills
- Patient advocacy
- Team collaboration
- Electronic medical records
- Patient scheduling
- Insurance verification
- Communication skills
- Detail orientation
- Time management
- Workflow optimization
- Patient data privacy
- Healthcare
- HIPAA compliance
- Customer service expertise
- Electronic medical records management
- Scheduling and monitoring applications
- Insurance authorization processes
- General office administration
- Patient care coordination
- Communication and listening skills
Timeline
Senior Patient Access Manager
Gynesonics
04.2022 - Current
Surgical Coordinator/OB Scheduler/Insurance Verification
Virtua OBGYN
01.2020 - 01.2022
Surgical Coordinator/Scheduling Supervisor
Mid Atlantic urology
01.2010 - 01.2020
Emergency Room Patient Access/ MRI Patient Access
Temple Northeastern Hospital
01.1996 - 01.2009
Similar Profiles
Kael SandbergKael Sandberg
Intern at Gynesonics, IncIntern at Gynesonics, Inc
Daphne Jean, RNDaphne Jean, RN
Licensed Practical Nurse at Commonwealth of MALicensed Practical Nurse at Commonwealth of MA
Lauren CaponeLauren Capone
Critical Care Registered Nurse at Hospital of the University of PennsylvaniaCritical Care Registered Nurse at Hospital of the University of Pennsylvania
Jeffrey WhitmanJeffrey Whitman
SLEO II Officer at Camden County Police DepartmentSLEO II Officer at Camden County Police Department
Suzanne De Jesus M.S., PACSSuzanne De Jesus M.S., PACS
Senior Patient Access Manager at Bristol Myers Squibb, Syneos HealthSenior Patient Access Manager at Bristol Myers Squibb, Syneos Health