ROBERT J. CARLSON

Lead daily patient access operations and provide workflow support for a team of 9 staff in a Level I Trauma Center environment. Serve as a lead resource for complex patient access, authorization, registration, and financial clearance issues, coordinating resolutions with clinical and operational teams. Support patient intake and emergency department workflows, prioritizing issues and collaborating with clinical staff based on patient needs and acuity. Manage prior authorizations through Real-Time Authorization systems, payer portals, and TPA forms. Coordinate with physicians, clinical staff, and payers to obtain timely authorizations and resolve documentation or coverage issues. Review documentation for accuracy and alignment between authorized services and services rendered. Obtain and verify demographic, insurance, and financial information while completing registration, pre-admission, insurance verification, and financial clearance. Develop action plans to reduce authorization denials and financial risk and support department performance goals. Train and mentor staff, provide departmental education, and assist with complex workflow questions and process issues.

Coordinated daily scheduling and workflow for fertility patients, physicians, nurses, and pharmacists in a high-volume specialty pharmacy. Managed patient onboarding, appointment scheduling, prescription coordination, and insurance documentation while maintaining HIPAA and pharmacy compliance. Collaborated with clinical staff, providers, and insurers to resolve scheduling issues, obtain documentation, and support prior authorization and medication-access workflows. Monitored scheduling accuracy, patient records, and workflow metrics to identify delays and support quality-assurance initiatives. Served as a senior team resource by training new staff, resolving complex scheduling cases, addressing patient concerns, and supporting cross-functional communication.

Supported preschool-aged children with developmental disabilities by implementing ABA strategies, reinforcing behavior goals, and documenting progress. Assisted with daily living skills, individualized schedules, classroom routines, and activities designed to promote independence and social development. Supervised classroom activities and community outings while maintaining client safety and implementing behavior support plans. Maintained HIPAA compliance and documented student progress while collaborating with teachers, therapists, and families to support IEP goals.