Open to opportunities

Carly Romano

@carlyromano

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Healthcare operations leader improving patient access, eligibility, and revenue cycle performance.

United States

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What I'm looking for

I’m looking for a fast-paced healthcare team where I can lead patient access and eligibility workflows, improve operational efficiency, and ensure compliant revenue cycle and documentation while coaching staff to deliver outstanding patient service.

I’m a results-driven Healthcare Operations Professional with 14+ years of Houston, Texas experience supporting healthcare organizations through leadership, patient access, eligibility determination, and revenue cycle support. I’m bilingual in English and Spanish, and I focus on delivering exceptional patient service in fast-paced environments.

In my roles, I’ve managed eligibility assessments, insurance verification, and program qualification in accordance with organizational and regulatory requirements. I maintain accurate client records in electronic healthcare systems, support scheduling and onboarding workflows, and coordinate complex administrative functions to keep care moving smoothly.

I also bring hands-on laboratory and billing expertise, including medical billing and coding, claim submission, payment tracking, and resolving billing discrepancies and rejected claims. As a supervisor/manager, I’ve led recruiting, onboarding, training, coaching, and performance management, implemented workflow improvements to enhance efficiency, and upheld regulatory and safety standards.

Experience

Work history, roles, and key accomplishments

Current

Patient Access Elig. Coordinator

Current

Legacy Community Health

Jan 2025 - Present (1 year 6 months)

Conduct eligibility assessments and determine program qualification in accordance with organizational and regulatory requirements. Verify insurance coverage and alternative pay sources, maintain accurate client records, and coordinate appointment scheduling, eligibility renewals, and onboarding.

Eligibility Patient Access Insurance Verification Medicaid Medicare Patient Registration Appointment Scheduling Onboarding Regulatory Compliance Performance Management Workforce Coordination Quality Improvement Staff Coordination Client Records Inventory Management Operational Efficiency Patient Satisfaction

Medical Eligibility Specialist I

Texas Health And Human Services Commission

Jan 2023 - Jan 2025 (2 years)

Interview applicants and evaluate financial and personal information to determine eligibility for state assistance programs. Apply state and federal regulations to authorize benefits, maintain case documentation, and process high-volume data entry in eligibility systems.

Eligibility Interviewing Program Compliance Case Documentation High Volume Data Entry Customer Service Conflict Resolution Microsoft Office Suite

Phlebotomy Supervisor

Trident Care

Jan 2022 - Jan 2023 (1 year)

Supervise phlebotomy personnel and manage daily operations across multiple service locations. Lead recruiting, onboarding, training, coaching, and performance management, and manage payroll, scheduling, inventory control, and operational reporting while ensuring regulatory compliance.

Recruiting Onboarding Training Coaching Performance Management Payroll Administration Scheduling Inventory Control Operational Reporting Regulatory Requirements

Lead Phlebotomist & Billing Coder

Lowell General Hospital

Jan 2019 - Jan 2022 (3 years)

Coordinate patient flow and support laboratory operations while maintaining compliance standards. Manage medical billing activities including coding, claim submission, payment tracking, insurance follow-up, and resolution of billing discrepancies and rejected claims.

laboratory operations Medical Billing Medical Coding Payment Tracking Insurance Follow Up Claim Rejections Patient Experience Improvement & Compliance

Phlebotomy Assistant Manager

Apex Healthcare

Jan 2015 - Jan 2018 (3 years)

Assist with daily management of clinical staff and laboratory operations, including employee evaluations and payroll administration. Maintain OSHA compliance and quality assurance standards while coordinating scheduling, staffing, and inventory management.

Clinical Staff Management laboratory operations Payroll Administration OSHA Compliance Quality Assurance Scheduling Staffing Coordination Inventory Management

Phlebotomist & Lab Assistant

Acton Medical

Jan 2013 - Jan 2015 (2 years)

Manage laboratory support functions, including specimen processing, inventory control, and office administration. Address patient concerns and support daily clinical and administrative operations, including employee performance management support.

Laboratory Support Specimen Processing Inventory Control Office Administration Patient Services Performance Management Clinical Operations Administrative Operations

Lead Phlebotomist

Essex County Correctional Facility

Jan 2012 - Jan 2013 (1 year)

Oversee specimen collection and ensure compliance with safety and quality standards. Support conflict resolution and patient service initiatives, and maintain documentation accuracy and laboratory compliance.

Specimen Collection Phlebotomy Safety Compliance Quality Standards Conflict Resolution

Lead Phlebotomist

Eaton Medical

Jan 2009 - Jan 2012 (3 years)

Perform venipuncture and specimen collection for pediatric, adult, and geriatric patients. Conduct insurance verification, appointment coordination, EKGs, and patient follow-up while maintaining accurate medical documentation and patient confidentiality.

Venipuncture Specimen Collection Insurance Verification Appointment Coordination Medical Documentation Confidentiality