Summary
Overview
Work History
Skills
Work Preference
Timeline
Tracy Corwin

Tracy Corwin

Lebanon,Oregon
Every problem is a gift—without problems we would not grow.
Tony Robbins

Summary

Seasoned Patient Access Manager with experience managing patient admissions, registration processes and healthcare access services. Demonstrates strong leadership skills in navigating complex healthcare systems, resulting in smooth operations and improved patient satisfaction. Skilled in fostering relationships across departments to enhance workflow efficiency and improve overall hospital performance. Previous roles involved strategic planning and implementation of initiatives that significantly enhanced patient access to care while ensuring compliance with healthcare regulations.

Overview

19
19
years of professional experience

Work History

Payer Customer Analyst III/ Pre-Registration

Samaritan Health Services
Corvallis, Oregon
07.2020 - Current
  • Notify insurance companies of scheduled, urgent, and emergent admissions.
  • Processed Good Faith Estimates for uninsured patients at 5 hospitals and multiple 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. Works 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.
  • Strong functional knowledge of health insurance and benefits (i.e. Medicare Part D, commercial and Medicaid) with a solid understanding of insurance eligibility, benefit verification, prior authorization processes, reimbursement coverage.

Patient Access Manager

Samaritan Health Services
Corvallis, Oregon
11.2010 - 07.2020
  • 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 Services
Corvallis, OR
02.2006 - 11.2010
  • Responsible for supervising and leading staff in the patient access department to ensure excellent customer service and accurate registration.
  • Prepared monthly summary reports highlighting key metrics within the department.
  • Collaborated with other departments such as billing, coding, and clinical staff to ensure smooth operations throughout the facility.
  • Monitored employee performance and provided feedback on areas of improvement.
  • Addressed customer complaints promptly and professionally.
  • Identified opportunity for process improvement and initiates appropriate changes with assistance from the Operations Manager.
  • Identified need for employee work plans, corrective actions.
  • Assists Manager with work plan development and monitoring; assists with employee terminations.
  • Interviewed, screened, and effectively recommended the 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 assisted staff in setting professional goals.
  • Responsible for authenticating 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 the highest quality of employee work.
  • Provided guidance to team members when needed to help them complete their duties efficiently.
  • Managed workflow within the department to ensure timely completion of tasks.

Skills

  • Effective leadership
  • Power BI
  • Revenue Cycle Enhancement
  • Financial Management
  • Relationship building
  • Compliance experience
  • Human Resource management
  • Project Management
  • Denial Management
  • Performance and process Improvement
  • Technology project implementation
  • Trained in Epic ( certification expired)
  • Good Faith Estimates
  • Benefit and eligibility verification
  • Complex account management
  • Patient Financial assistance
  • Medicaid application assistance
  • Insurance education
  • Denial resolution
  • ICD-10 and CPT coding
  • Training and development
  • Team management
  • Standardization of processes
  • Complaint resolution
  • Excellent Communication
  • Problem-solving abilities
  • Team building
  • Copay/ OOP collections
  • Risk Management
  • HIPAA Compliance
  • Budget Development
  • Employee Performance Evaluations
  • Employee Recruitment and Hiring
  • Employee Work Scheduling
  • Medicare Compliance

Work Preference

Work Type

Full Time

Location Preference

Remote

Important To Me

Work-life balanceHealthcare benefitsWork from home optionPaid sick leaveCareer advancementPersonal development programsPaid time off

Timeline

Payer Customer Analyst III/ Pre-Registration - Samaritan Health Services
07.2020 - Current
Patient Access Manager - Samaritan Health Services
11.2010 - 07.2020
Patient Access Supervisor - Samaritan Health Services
02.2006 - 11.2010

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Tracy Corwin