Angela Harvey
Denham Springs
Summary
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Appeals Specialist successful at managing high caseloads in challenging environments. Organized, driven and adaptable with excellent planning and problem-solving abilities and willingness to take on any challenge.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Regional Manager
MEG Business a Provana Company
11.2024 - Current
- Lead a cross-functional billing team including Account Control Officers, Posting Officers, and Admin staff, ensuring accuracy, efficiency, and compliance across multiple clinics.
- Oversee team performance through weekly productivity audits, team meetings, KPI tracking, and individual coaching, manage performance improvement plans and conduct annual reviews.
- Monitor staff workflows using RM Checklists and Hubstaff data to identify opportunities for increased efficiency and accountably.
- Approve and manage payroll daily, ensuring time punches and productivity are accurate and complete.
- Maintain compliance with insurance regulations and deliver client education on updates and billing best practices.
- Collaborate with the implementation Team to onboard new billing clients and oversee smooth transitions during pre-launch phases.
- Generate and analyze weekly production reports, BOD stat grids, and audit results; establish weekly team goals and productivity benchmarks.
- Collaborate with the implementation Team to onboard new billing clients and oversee smooth transitions during pre-launch phases.
- Serve as a liaison to contracted clients, addressing escalations, investigating issues with carriers, and building strong relationships that lead to increased client satisfaction and referrals.
340B DATA ANALYST
Franciscan Missionaries of Our Lady Health Systems
03.2022 - Current
- Reconcile 340B transactions and perform audits to validate data accuracy and ensure 340B program compliance.
- Analyze audit results from entities to identify patterns, trends, vacancies, and opportunities to improve program integrity.
- Ensures 340B compliance with all laws pertaining to purchase and use of drugs purchased through the 340B program.
- Assists the pharmacy in developing projects that improve upon the quality and operating efficiency to promote the provision of high-quality health care services while maximizing the cost to benefit ratio.
- Designs and maintains auditing system, clinical audits, and performance audits to ensure regulatory compliance and revenue maximization.
REVENUE CYCLE ANALYST/APPEALS SPECIALIST
Mary Bird Perkins Cancer Center
05.2019 - 03.2022
- Analyzed complex EOBs (Explanation of Benefits) forms to verify correct billing of insurance carriers.
- Managed appeals process effectively, successfully overturning denied claims to secure payment for services rendered.
- Maintained up-to-date knowledge of payer requirements, ensuring accurate billing practices across all departments.
- Ensured regulatory compliance throughout the revenue cycle by staying abreast of industry changes and updating internal processes accordingly.
- Developed strong working relationships with payers, promoting collaboration in resolving complex reimbursement challenges. This also allowed me to obtain prior authorizations not originally obtained and to submit for changes on authorizations that would allow me to facilitate successful outcomes in the appeals process.
- Conducted root cause analysis on denied claims, implementing corrective measures to prevent future denials and protect revenues.
- Streamlined data and expedited resolution times for appeals cases by time management, maintaining organized records of all cases, tracking progress, and updating relevant parties as needed.
- Our Lady of the Lake Regional Medical Center
COMPOUNDING PHARMACY TECH 2/BACKUP PAP TECH
Our Lady of the Lake Regional Medical Center
04.2013 - 04.2019
- Prepared Oncology IV medication under the direction of the pharmacist.
- Included but not limited to compounding chemotherapy, iron, hydration, antibiotics, and controlled medications.
- Maintained pharmacy inventory by checking pharmaceutical stock to determine inventory level, anticipated needed medications and supplies, placing, and expediting orders, verifying receipt, and removing outdated medications.
- Adhered to infection control policies and procedures, maintaining a safe clean pharmacy complying with procedures, rules, and regulations.
- Audited and assembled supplies to restock the drug emergency carts located on the Oncology infusion floor.
- Created a supply manual for all the pharmacies at Franciscan Missionaries of Our Lady Health System that helped create system wide standardized ordering.
- Backup Technician for Patient Assistance Program. Managed medication reordering for all patients participating in the program, ensuring the patients received their free chemotherapy medication.
Education
High School Diploma -
Booker T Washington High School
Pharmacy Technician Diploma Program - undefined
REMINGTON COLLEGE
Skills
- Microsoft Excel
- Prompt, TheraBill
- Tableau
- Power BI
- Report Preparation
- Medical Terminology
- Medical & Oncology Coding; Physical Therapy Coding & Billing
- Medical & Oncology Billing and Collections
- Detailed report writing
- Workflow Organization
- Strong work ethic
- Attention to detail
Certification
Certified Pharmacy Technician, 06/30/24
Timeline
Regional Manager
MEG Business a Provana Company
11.2024 - Current
340B DATA ANALYST
Franciscan Missionaries of Our Lady Health Systems
03.2022 - Current
REVENUE CYCLE ANALYST/APPEALS SPECIALIST
Mary Bird Perkins Cancer Center
05.2019 - 03.2022
COMPOUNDING PHARMACY TECH 2/BACKUP PAP TECH
Our Lady of the Lake Regional Medical Center
04.2013 - 04.2019
Pharmacy Technician Diploma Program - undefined
REMINGTON COLLEGE
High School Diploma -
Booker T Washington High School