Tracy Corwin
Lebanon,Oregon
Summary
Patient Access Manager: Highly trained Manager with strong Leadership skills and a successful career in the medical field and hospital setting. I am goal-oriented, dedicated to high levels of patient satisfaction and experience, I am proactive and organized with a passionate commitment to first-rate patient care while providing a cohesive work environment where all team members put patients first while accurately completing all processes. I enjoy a challenge and strive to create an environment where staff feel supported yet empowered to succeed.
Overview
19
19
years of professional experience
Work History
Payer Customer Analyst III/ Pre-Registration
SAMARITAN HEALTH SYSTEM
CORVALLIS, OREGON
01.2020 - Current
- Notify insurance companies of scheduled, urgent, and emergent admissions.
- Process Good Faith Estimates for all uninsured patients for 5 Hospitals and all clinics
- Obtain benefit and eligibility information from insurance companies for scheduled services, utilizing a variety of systems and tools
- Assures pre-authorization, medical necessity and referral requirements are met 100% of the time
- Work with physicians, office staff, and insurance companies on complex and difficult accounts
- Calculate estimated out of pocket costs, including copayments, deductibles and coinsurances
- Communicate with patients regarding prepayment requirements.
- Notify physicians, service areas, and departments regarding the rescheduling needs for patients unable to meet financial requirements.
- Assist patients needing financial assistance and provide information on SHS financial assistance policies. Also, provide information on various programs within SHS and the surrounding communities.
- Assisted patients with OHP applications through Presumptive Eligibility.
- Educate patients on insurance benefits and requirements.
- Research and resolve potential denial losses with the insurance company, physicians, departments, and service areas.
- Utilize appropriate systems, ICD-10, and CPT codes to determine medical necessity requirements.
- Responsible for the initial and ongoing training of new and seasoned staff to ensure collection and productivity standards are being met for the success of the department.
- Top collector in up-front collections.
Patient Access Manager
SAMARITAN HEALTH SYSTEM
CORVALLIS, OREGON
01.2010 - 01.2020
- Manager of 115 employees on multiple hospital campuses.
- Standardized Registration functions at 5 facilities (85 FTE)
- Leading Revenue Cycle enhancement improvement projects for both hospitals and clinic lines of business, including increasing Point of Service collections to over 8 million per year.
- Facilitated numerous Regional Process Improvement Projects, involving multiple departments and disciplines across a 5 Hospital system.
- Including implementing processes to increase cash collections, decrease denials, ER fast track check-in, and bedside registration.
- Developed and implemented regional policies and procedures covering all aspects of Access Services across five facilities.
- Key business partner with Regional Business Office, Health Information Management, Clinic Directors, and Hospital Department Directors.
- Effectively developing solutions to meet the needs of stakeholders and the Regional Business Office.
- Facilitate Regional Business Office and Access Manager's workgroup, HIPAA Guarantor Compliance team, Performance Improvement workgroup for improving services to hearing-impaired and non-English speaking patients.
- Assisted in developing and implementing key performance indicators and scorecards.
- Management team for Epic Project system installation.
- Assistant Project Manager - Payer/Customer Team: Developed and implemented a program to centralize pre-registration, preauthorization, and Point of Service cash collections for three hospitals. The program was later expanded to include all five hospitals and key departments, including Surgery, Imaging, Sleep Labs, etc.
- Stabilized staff implemented a revised schedule to meet budgets.
- Prepared probationary and annual performance evaluations, assisted staff in setting professional goals.
- Satisfaction Team member, responsible for improving Press Ganey Scores, directed Core teams responsible for Service Recovery, Employee Standards & Satisfaction, Reward and Recognition, and Meeting Patients' needs.
- Managed large, multi-facility technology projects for Access Services, including computer conversions and new system implementations.
- Assisted in Training & Quality Improvement Monitors for key Access functions, providing significant decreases in insurance errors resulting in reduction of rework by RBO and fewer denials.
- Part of management team creating Access Services Compliance Training programs (Medicare, JCAHO, HIPAA, etc) and developed periodic audit processes.
- Served as a liaison between clinical teams and administrative teams within the organization.
- Identified opportunities to increase operational efficiencies through process changes or technological solutions.
- Created reports on patient access metrics, such as wait times, no-shows.
- Reviewed financial reports for accuracy and identified areas where cost savings could be achieved.
Patient Access Supervisor
SAMARITAN HEALTH SYSTEM
CORVALLIS, OREGON
01.2006 - 01.2010
- Evaluated and resolved service concerns
- Identified opportunity for process improvement and initiates appropriate changes with assistance from Operations Manager
- Identified need for employee work plans/corrective actions
- Assists Manager with work plan development and monitoring; assist with employee terminations
- Interviewed, screened and effectively recommended hire of new staff
- Prepared and coordinates work/PTO schedules to provide appropriate coverage for all Registration duties at multiple service locations including the Emergency Room, seven days per week, 24 hours per day
- Maintain current knowledge on regulatory and compliance issues
- Facilitated Coordination of orientation and training needs with the Training analyst to assure staff receives education consistent with group needs and individual career development
- Prepared probationary and annual performance evaluations and assist staff in setting professional goals
- Responsible to authenticate payroll activity using current software
- Collect, utilize and report on departmental metrics to ensure the meeting of departmental and SHS goals and objectives
- Audit reports, utilizing software to ensure accuracy and highest quality of employee work.
Skills
- Effective leadership
- Revenue Cycle Enhancement
- Financial Management
- Relationship building
- Compliance experience
- Human Resource management
- Project Management
- Denial Management
- Performance Improvement
- Technology project implementation
- Epic
- Insurance verification
- Good Faith Estimates
- Benefit and eligibility verification
- Complex account management
- Financial assistance
- OHP application assistance
- Insurance education
- Denial resolution
- ICD-10 and CPT coding
- Training and development
- Team management
- Standardization of processes
Additionalworkexperience
Available upon request
Activities
- Greater NW Healthcare Access Managers Association (GNHAMA), (2009-2017)
- GNHAMA President Elect (2016-2017)
- National Association of Healthcare Managers Association (NAHAM), (2014-2020)
Timeline
Payer Customer Analyst III/ Pre-Registration
SAMARITAN HEALTH SYSTEM
01.2020 - Current
Patient Access Manager
SAMARITAN HEALTH SYSTEM
01.2010 - 01.2020
Patient Access Supervisor
SAMARITAN HEALTH SYSTEM
01.2006 - 01.2010