Troy Lehto
Healthcare Access & Coordination Specialist
Coon Rapids,MN
Summary
Accomplished healthcare professional specializing in patient coordination, payer processes, prior authorizations, and appeals management. Skilled at collaborating with insurers, physicians, clinical teams, and medical device representatives to streamline workflows, secure timely approvals, and improve patient access to cutting-edge treatments. Adept at quickly evolving to changing coverage policies, maintaining meticulous attention to detail, and meeting strict deadlines. Committed to continuous improvement, quality outcomes, and supporting team success.
Overview
17
17
years of professional experience
6039
6039
years of post-secondary education
Work History
Pain Care Referral Coordinator
RAYUS Radiology
08.2018 - Current
- Manage complex payer processes and secure prior authorizations for imaging, interventional radiology, neuromodulation, and radiofrequency ablation procedures
- Interface with payers to verify insurance coverage, submit clinical documentation, and coordinate peer-to-peer reviews and appeals
- Serve as the primary contact for a regenerative medicine program, overseeing surgical candidacy assessments, individualized pricing, and coordination with clinical teams
- Guided team clinicians and staff during the rapid shift from in-clinic operations to remote services during COVID-19, improving workflow efficiency while preserving patient access with zero downtime
- Recognized for excellence in customer service, process improvement, and technical proficiency
Scheduling Training Specialist
RAYUS Radiology
12.2017 - 08.2018
- Provided one-on-one training to scheduling specialists on customer service fundamentals, EMR utilization, and interventional radiology procedures
- Developed and streamlined a comprehensive training program, reducing onboarding time by 50% while improving scheduling accuracy, efficiency, and patient satisfaction
- Managed multiple specialized scheduling programs requiring meticulous attention to detail, multitasking, and adherence to payer and clinical guidelines
Emergency Department Clinical Scribe
Carepoint Health Centers
10.2016 - 10.2017
- Enhanced physician efficiency via meticulous documentation of patient encounters, monitoring of patient status and results, and aiding physician time management
- Facilitated coordination of care between physicians, department staff, and specialists
- Recognized for reliability, adaptability, and strong performance under pressure
Graduate Research Assistant
St. Cloud State University
05.2015 - 12.2016
- Designed, executed, and defended graduate-level research projects yielding publication-worthy findings
- Mentored undergraduate assistants, managed project timelines, and contributed to academic manuscript preparation
- Developed strong communication and presentation skills through forums and conferences
Staff Sergeant, Medical Logistics Journeyman
U.S. Air Force
08.2007 - 06.2012
- Supervised and trained logistics staff, managed acquisitions and warehouse operations, and allocated medical resources for military healthcare missions
- Demonstrated leadership, adaptability, and administrative proficiency, including the use of Microsoft Office tools
- Awarded early promotion to E4 and E5 ranks in recognition of outstanding service record and achievements
Education
M.S. - Biology (Cell & Molecular Biology)
St. Cloud State University
St. Cloud, MNB.S. - Biomedical Science
St. Cloud State University
St. Cloud, MNMedical Logistics Certification (Journeyman) -
U.S. Air Force
Airman Leadership School -
Misawa Air Base
Misawa Air Base, Japan01-2011
Skills
Prior Authorization & Appeals Management
Insurance Verification & Payer Relations
Neuromodulation Case Coordination
Workflow & Process Improvement
EMR & CRM Systems Proficiency
Medical Terminology & Clinical Documentation
Interdisciplinary Team Collaboration
Training, Mentoring & Staff Development
Attention to Detail
Customer Service Excellence
Timeline
Pain Care Referral Coordinator
RAYUS Radiology
08.2018 - Current
Scheduling Training Specialist
RAYUS Radiology
12.2017 - 08.2018
Emergency Department Clinical Scribe
Carepoint Health Centers
10.2016 - 10.2017
Graduate Research Assistant
St. Cloud State University
05.2015 - 12.2016
Staff Sergeant, Medical Logistics Journeyman
U.S. Air Force
08.2007 - 06.2012
M.S. - Biology (Cell & Molecular Biology)
St. Cloud State University
B.S. - Biomedical Science
St. Cloud State University
Medical Logistics Certification (Journeyman) -
U.S. Air Force
Airman Leadership School -
Misawa Air Base
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