Open To Work
Angela Floyd, CPC
Douglasville,GA
Summary
Results-driven Unit Manager known for high productivity and efficient task completion. Possess specialized skills in team leadership, operational management, and process optimization. Excel in communication, problem-solving, and adaptability, ensuring seamless operations and positive team dynamics. Committed to fostering an environment that promotes growth and continuous improvement.
Overview
18
18
years of professional experience
Work History
Unit Manager (Remote)
Blue Cross Blue Shield of Illinois
Chicago, IL
10.2018 - Current
- Foster accountability and trust within the team, prioritizing the growth and success of members.
- Developed and executed a training program, boosting team performance and increasing employee satisfaction by 8%.
- Led a cross-functional team of 21 to reduce inventory volumes by 67% by end of Q1 2025.
- Utilize the GROW coaching model for team development, guiding individuals through goal setting and solution exploration.
- Navigate complex issues and escalations, delivering sustainable solutions.
- Assist senior management with budgeting, forecasting, and departmental reporting to enhance strategic execution.
- Collaborate with downstream areas for accurate adjudication, in adherence to correct coding guidelines, policies, and government regulations.
- Prepare and present monthly results to executive leadership during meetings and town halls.
- Increased operational cost savings, with successful vetting and implementation of new edit concepts.
- Oversee vendor (Lyric - CXT) management and collaboration to ensure correct edit logic and system integrity.
- Manage internal team audits to ensure a high level of provider reconsiderations is met.
Sr. Reimbursement Analyst (Remote)
Blue Cross Blue Shield of Illinois
Chicago, IL
04.2015 - 10.2018
- Performed claims adjudication review of professional and facility claims based on CPT/HCPCS coding, CMS, industry standard guidelines, HCSC medical policies, and BCBSIL code audit policies and provisions.
- Validated monthly, weekly, and quarterly updates to ensure the auditing system performs as designed and is consistent with coding concepts, instructions, guidelines, as well as company policies.
- Created test plans with quarterly, code-specific details, or identified defects to perform system maintenance and proficiency.
- Provided support to IT and User Acceptance (UAT) testing teams with defects, issues, and quarterly releases.
- Educated network providers of BCBSIL products, medical policies, correct coding, and reimbursement.
- Attended weekly meetings with the claims audit vendor (Lyric, formerly CXT) to ensure software efficiency, effectiveness, and functionality, and to identify potential items for improvement and/or enhancement to achieve maximum benefit.
- Research identified code auditing concepts, edits, and opportunities for efficiency and optimal savings.
- Review provider and member inquiries, and apply analytical thinking to resolve provider and/or member inquiries or disputes.
- Demonstrate good time management of assigned tasks, emails, and queries, in addition to attending daily, weekly, and monthly department and company meetings.
- Assist in training new team members, onboarding, and providing continuous support..
- Create and maintain training documents and materials for new and current staff.
Medicaid Collector
St. Francis Hospital
Blue Island, IL
10.2013 - 09.2014
- Managed and processed weekly reports to maximize and execute workflow effectively in a timely manner.
- Reviewed and corrected billing errors, and made required edits in an effort to submit clean claims.
- Adhered to corporate and departmental policies and procedures set in place.
- Identified and generated revenue from missed payments, unbilled claims, and outstanding accounts.
- Reconciled adjustments, payments, credits, and refunds per hospital standards and/or contracts.
- Assisted patients, team members, and management with inquiries related to assigned accounts.
- Developed strong working relationships with guarantors and other personnel at all levels.
- Often assigned to special projects as needed by corporate and executive management.
Sr. Negotiation/Reimbursement Analyst
ContainCare, LLC
Mokena, IL
07.2007 - 01.2013
- Managed accounts encompassing negotiations, contracting, re-credentialing, as well as billing, payments, and collections per Workers’ Comp, HMO, BC/BS, Group Health, and other commercial payers.
- Trained and assisted other staff and new employees on processes, procedures, and workflow strategies.
- Provided staff support to other departments with negotiations, rates, provider networks, and scheduling diagnostic procedures.
- Generated over a million dollars in client savings, producing over $300K in company revenue.
- Monitored reimbursement patterns in an effort to maintain a consistent revenue cycle.
- Reported findings and patterns of slow payors to management, and worked closely with insurance contacts in an effort to resolve payment issues.
- Proven ability to work independently, with minimal direction, staying on task while producing results.
- Often assigned to special projects, and awarded Employee of the Month by executive management.
Education
Certified Professional Coder Certification - AAPC
CPC Solutions, Inc.
Tinley Park, IL01.2004
Skills
- Project management
- Data analysis
- Performance evaluation
- Employee training
- Budget management
- Workflow optimization
- Cross-department collaboration
- Strategic planning
- Team building
- Effective communication
- Conflict resolution
- Coaching staff
- Stakeholder engagement
- Teamwork and collaboration
- Operations management
- Inventory management
- Personnel management
- Resource allocation
- Goal setting
- Problem-solving abilities
- Vendor management
- Analytical skills
Certification
- CPC, AAPC - 2014
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Unit Manager (Remote)
Blue Cross Blue Shield of Illinois
10.2018 - Current
Sr. Reimbursement Analyst (Remote)
Blue Cross Blue Shield of Illinois
04.2015 - 10.2018
Medicaid Collector
St. Francis Hospital
10.2013 - 09.2014
Sr. Negotiation/Reimbursement Analyst
ContainCare, LLC
07.2007 - 01.2013
Certified Professional Coder Certification - AAPC
CPC Solutions, Inc.
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