Richard Finklea

I am a healthcare administrative and customer service professional with extensive experience in patient access, prior authorization, case management support, and HEDIS operations. I consistently streamline workflows, triage high volumes of requests, and improve coordination between clinical and administrative teams.

At Blue Cross Blue Shield roles I triaged and processed 700+ prior authorization requests daily, referred complex cases for clinical review, authorized inpatient requests per benefits guidelines, and recommended process improvements that increased operational efficiency. In outpatient rehab I coordinated multi-specialty scheduling, verified benefits, managed authorizations and claims, and handled patient financial counseling and collections.

I bring strong systems proficiency (FACETS, EPIC, NASCO, Content Manager, CareAdvance, TPX, WebEx, Salesforce), a track record of training and cross-training teammates, and a commitment to accurate documentation and patient-centered administrative support aimed at reducing delays and improving financial transparency.