
Healthcare operations leader with over 13 years of progressive experience across Patient Access, Authorizations, Registration, Revenue Cycle, and Financial Counseling. Proven ability to lead enterprise-wide process improvements, reduce authorization and registration-related denials, and ensure payer compliance. Recognized for building high-performing teams, strengthening front-end accuracy, and partnering cross-functionally to improve operational efficiency and financial outcomes in complex healthcare environments
• Directed enterprise-wide authorization and registration operations, ensuring compliance with payer requirements and improving front-end accuracy.
• Led authorization and registration KPI performance by monitoring workflows, coaching staff, and implementing data quality controls to reduce downstream denials.
• Spearheaded initiatives to reduce authorization- and registration-related denials through standardized workflows, payer-specific protocols, staff training, and system optimization.
• Partnered with Epic, IT, Managed Care, and Revenue Integrity teams to automate edits and resolve systemic payer issues.
• Built and led a high-performing process improvement team focused on authorizations, eligibility validation, and demographic accuracy.
• Contributed to payer plan integration efforts, ensuring authorization rules were embedded into operational workflows.
• Championed continuous improvement, governance, and accountability across Patient Access operations.
Provided operational leadership over authorization, eligibility, and reimbursement workflows, overseeing a team of 12 representatives.
• Ensured timely and accurate pre-authorization of services, reducing delays in care and authorization-related denials.
• Oversaw clinic billing, deposits, reconciliation, and reporting functions.
• Served as a subject matter expert for payer authorization requirements and insurance benefits.
• Conducted financial counseling prior to scheduled services to ensure coverage clarity and compliance.
• Implemented workflow improvements to adapt to evolving payer and regulatory requirements.
• Led training and onboarding for new staff in authorizations, insurance verification, audits, and system workflows.
• Performed insurance verification, eligibility review, and financial counseling for scheduled and walk-in patients.
• Obtained pre-authorizations and maintained accurate patient demographics to support compliant billing.
• Served as a resource for resolving complex account issues, balances, and payer inquiries.
• Supported business office functions including reporting, audits, and special projects.
• Coordinated with insurance providers to verify benefits and ensure regulatory compliance and credentialing
• Reviewed and maintained medical records for completeness, accuracy, and compliance.
• Audited documentation, processed admissions and discharges, and responded to records requests.
• Maintained logs and filing systems in accordance with regulatory guidelines.
Provided front-desk and administrative support to ensure efficient clinic operations and patient flow.
• Managed provider schedules, appointments, and patient check-in/check-out processes.
• Maintained accurate records and ensured timely communication across departments.
• Supported reporting, presentations, and daily office operations.
Handled patient inquiries and concerns, ensuring high levels of satisfaction and support.