Open to opportunities

Kelli Wright

@kelliwright

Message

Patient access and healthcare administration leader optimizing access.

United States

Message

What I'm looking for

I seek roles improving patient access and provider relations in hybrid environments, where I can lead process improvements, train stakeholders, and reduce access barriers while ensuring compliance and measurable operational outcomes.

I am a patient access and healthcare administration professional with over 15 years supporting hospitals, physician groups, behavioral health networks, and government benefit programs. I excel at high-volume call triage, multi-specialty scheduling, insurance verification, referral processing, and clear, empathetic patient communication, consistently delivering polished, patient-centered experiences.

My background includes provider relations, claims and billing research, credentialing, and program coordination across public and private sectors, with experience leading audits, training providers, and facilitating operational committees. I bring proven analytical, project management, and training skills, SCRUM and CRCR certifications, and proficiency in EMR and billing systems to improve access, compliance, and provider satisfaction.

Experience

Work history, roles, and key accomplishments

Current

Provider Relations Manager

Current

Athena Consulting LLC

Oct 2024 - Present (1 year 2 months)

Respond to high-volume provider and member inquiries to resolve eligibility, authorization, and scheduling barriers for behavioral health services while improving provider satisfaction and retention through outreach and escalation support.

Provider Relations Behavioral Health Authorization Member Provider Outreach MS Office

Lead Legal Administrative Specialist

Social Security Administration

Jan 2022 - Oct 2024 (2 years 9 months)

Managed high-volume federal call queues to adjudicate benefits, process documentation, and provide clear eligibility explanations while maintaining accurate records and supporting downstream clinical and federal reviews.

Call Center Operations ERM Financial Management Advanced Excel Scrum HIPAA Documentation

Supervising Clinical Administrative Program Coordinator

Optum Behavioral Health

Jun 2017 - Jan 2022 (4 years 7 months)

Triaged member and provider calls, managed scheduling and authorizations across multi-specialty networks, resolved credentialing and claims issues, and led team operations to ensure compliance with state and national guidelines.

Care Coordination Authorization Credentialing Vendor Management Onboarding EMR

Credentialing Data Entry Specialist

Maryland State Department of Education

Jan 2014 - Jun 2017 (3 years 5 months)

Entered and maintained provider credentialing records, managed high-volume inquiries on eligibility and compliance, and ensured accurate documentation and claims processing for childcare providers.

Data Entry Credentialing Excel Claims Processing ICUE Customer Service

Patient Service Coordinator

Johns Hopkins Health System

Jan 2011 - Jan 2014 (3 years)

Managed patient registration, scheduling, billing and front-end support using Epic and Centricity, processed claims and refunds, and maintained AR buckets to improve revenue cycle efficiency.

Epic Centric Patient Registration Medical Billing ICD 10 Customer Service