Loretta Broome, MHA, CPhT, PACS
Loretta Broome, MHA, CPhT, PACS, is a seasoned healthcare professional with over 25 years of experience in access and reimbursement, specializing in medical buy & bill, specialty pharmacies, and prescription benefits. Her expertise spans both medical and pharmacy benefits across all payer types, including Medicare, Medicaid, Commercial, Self-Funded, HealthCare Exchange, and VA/DoD, as well as multiple sites of care such as physician offices, ambulatory infusion centers, hospital outpatient departments, and home treatment. Loretta is recognized for her ability to identify barriers to treatment access and implement effective resolution strategies, ensuring patients receive timely and appropriate care.
Throughout her career, Loretta has demonstrated exceptional leadership and collaboration skills, working closely with providers, patients, vendors, and sales partners. She has a proven record of managing complex projects, developing key performance indicators, and ensuring compliance with healthcare regulations and billing procedures. Her roles have ranged from Biologics Coordinator and Field Reimbursement Manager to Access & Reimbursement Manager, giving her a comprehensive perspective on the healthcare landscape and a deep understanding of the revenue cycle, clinical workflows, and regulatory requirements.
Loretta holds a Master of Health Administration from the University of Phoenix and is a Prior Authorization Certified Specialist through the Accreditation Council for Medical Affairs (ACMA). She is highly skilled in medical terminology, coding, billing procedures, healthcare information systems, and data analytics. Known for her integrity, work ethic, and commitment to excellence, Loretta continues to drive meaningful impact in healthcare access and reimbursement, leveraging her expertise to improve patient outcomes and support the efficient delivery of care.
• University of Phoenix (Online) - M.H.A.
Areas of Specialization/Expertise
- Medical buy & bill processes
- Specialty pharmacies and prescription benefits
- Medical and pharmacy benefits across all payer types
What do you enjoy most about practicing medicine?
What I enjoy most about practicing medicine is educating my patients and making a meaningful impact in the lives of the geriatric population.