Tasia Richardson
Toms River
Summary
Healthcare operations and patient access professional with experience in insurance eligibility verification, prior authorization processing, provider enrollment, and payer coordination. Skilled in collaborating with insurance carriers, physicians, and internal teams to resolve coverage issues and ensure services meet payer requirements. Experienced supporting the full patient access workflow, including benefits investigation, eligibility verification, prior authorization approval, and revenue cycle readiness for reimbursement.
Overview
24
24
years of professional experience
Work History
RCM Enrollment Coordinator
Allied Digestive Health
10.2024 - Current
- Coordinate provider payer enrollment and credentialing to support revenue cycle operations.
- Verify patient insurance eligibility, benefits, and payer requirements prior to services to reduce claim denials and support reimbursement readiness.
- Communicate with insurance carriers regarding deductibles, copays, authorization requirements, and coverage limitations.
- Collaborate with clinical and billing teams to resolve coverage issues impacting reimbursement and patient care.
Senior Customer Care Coordinator
Toll Brothers
08.2021 - 10.2024
- Served as liaison between homeowners, internal departments, and vendors to resolve service issues.
- Managed high-volume cases requiring documentation, coordination, and escalation management.
- Coordinated cross-functional teams to ensure timely resolution and customer satisfaction.
EDI Enrollment Coordinator / Prior Authorization Coordinator
Medi-Centrix
Neptune City
09.2019 - 08.2021
- Managed provider payer enrollment and EDI connectivity to support electronic claims submission.
- Processed prior authorization requests and coordinated with insurance carriers to obtain coverage approval.
- Communicated with physicians and payers to resolve authorization and coverage issues.
- Maintained enrollment and authorization documentation within healthcare systems including Allscripts EHR.
- Supported special follow-up projects using Allscripts to improve payer workflow efficiency.
Patient Services Coordinator
Susskind & Almallah Eye Associates
09.2018 - 09.2019
- Verified insurance eligibility, benefits, deductibles, and coverage requirements prior to patient appointments.
- Initiated and processed prior authorization requests for procedures and diagnostic services.
- Communicated with insurance carriers to confirm authorization requirements and coverage limitations.
- Coordinated patient scheduling, referrals, and documentation with physicians and clinical staff.
Service Coordinator / Systems Super User
K. Hovnanian Homes
07.2013 - 09.2018
- Coordinated service requests between homeowners, construction teams, and external vendors.
- Maintained CRM records of service cases and communication documentation.
- Provided internal system support and troubleshooting for team members.
Provider Relations & Enrollment Representative
Health Net Federal Services (TRICARE)
01.2002 - 01.2005
- Coordinated provider enrollment and credentialing for the TRICARE healthcare network.
- Served as liaison between healthcare providers and program administrators regarding participation requirements.
- Maintained provider enrollment records and supported network participation updates.
Education
High School Diploma -
Skills
- Benefits Investigation & Eligibility Verification
- Prior Authorization Processing & Submission
- Medical & Pharmacy Benefit Coordination
- Patient Access Operations
- Provider Enrollment, Credentialing & EDI Enrollment
- Revenue Cycle Support
- HIPAA Compliance
- Medicare, Commercial & TRICARE Insurance Plans
- Allscripts, Athena, and EPIC EHR systems
- Payer Communication
- Microsoft Office (Excel, Word, Outlook)
Timeline
RCM Enrollment Coordinator
Allied Digestive Health
10.2024 - Current
Senior Customer Care Coordinator
Toll Brothers
08.2021 - 10.2024
EDI Enrollment Coordinator / Prior Authorization Coordinator
Medi-Centrix
09.2019 - 08.2021
Patient Services Coordinator
Susskind & Almallah Eye Associates
09.2018 - 09.2019
Service Coordinator / Systems Super User
K. Hovnanian Homes
07.2013 - 09.2018
Provider Relations & Enrollment Representative
Health Net Federal Services (TRICARE)
01.2002 - 01.2005