Teresa Wheeler

I’m a Program Coordinator and Health Information Professional with hands-on experience supporting healthcare administration, case management authorization, and documentation workflows. I focus on timely transitions of care, accurate submissions to payers, and consistent compliance with regulatory requirements.

In my current role as a Case Management Authorization Specialist, I facilitate inpatient care management by supporting transitions to post-acute services within authorized hospital days. I verify insurance eligibility, submit Notices of Admission, and prepare admission and continued-stay clinical documentation to support medical necessity and reimbursement, while escalating authorization discrepancies through UR peer-to-peer workflows as needed.

Alongside that, I manage and audit medical records as a Medical Records Specialist, ensuring accuracy and HIPAA compliance while coordinating releases of information and resolving documentation discrepancies. Previously, I served as an Executive Assistant to a Co-Chair / Fellowship Coordinator, coordinating fellowship onboarding, credentialing, scheduling, and ACGME compliance, and I bring strong EHR and documentation expertise in Epic, Cerner, REDCap, and Microsoft Office Suite.