Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Angel L. Rodgers

Atlanta,GA

Summary

Angel is a professional with 10+ years of experience with roles in project management, Clinical Operations, Contracting and Process Improvement. Therapeutic areas include Radiation and Hematology Oncology. She has a proven ability to manage multiple projects from start-up to completion. Highly motivated and adaptable team player with excellent interpersonal, leadership, and verbal and written communication skills. Dedicated Healthcare professional with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.

Overview

15
15
years of professional experience
1
1
Certificate
50
50
years of post-secondary education

Work History

Provider Network Manager

Anthem, Inc
Atlanta, GA
08.2018 - Current
  • Resolves provider issues, including claims research, root cause analysis and resolution of system load issues or provider billing errors
  • Re-contracts, as necessary
  • Manage risk mitigation through analyzing and evaluating potential risk and monitoring assigned contracts to ensure minimization/elimination through use Health Economic resources and other tools
  • Developed start-up plans including for project monitoring and communication plan including tracking of milestones and timelines, risk management and action logs
  • Development of the provider network through Commercial and Medicare Advantage contract negotiations (language and rates), relationship development, and servicing
  • Competitive contracting and negotiation of contract terms based on analysis of market trends, peer review and various pricing methodologies
  • Cohesively worked on cross-functional projects and collaboration in other key areas
  • Assisted and lead preparation of financial projections and conducting analysis as required
  • Created deliverables for assigned contracts, identified, tracked and managed issues related to contracts for review with key stakeholders
  • Management of contracts supporting a $200M or greater facility spend across all assigned groups
  • Management of provider demographic information changes (tax identification numbers, new addresses etc.) and resolve identified problems.
  • Identified departmental needs and made suggestions regarding technical direction.
  • Secured and connected private networks at multiple sites across interstate corporate WAN.
  • Held change management meetings to inform impacted staff of forthcoming network downtimes and alterations.
  • Resolved issues and escalated problems with knowledgeable support and quality service.
  • Updated operational methods and oversaw accounting procedures for improved efficiency.
  • Developed and initiated projects, managed costs and monitored performance.
  • Led project teams through design, construction and launch process.
  • Orchestrated projects within strict timeframes and budget constraints by solving complex problems and working closely with senior leaders.
  • Planned, designed and scheduled phases for large projects.
  • Identified plans and resources required to meet project goals and objectives.
  • Provided fiduciary oversight to remain within budget constraints, recommending project adjustments where necessary.

Salvage Claims Service Specialist

Allstate
Atlanta, GA
05.2022 - 10.2022
  • Contact or received contact from customers or other claim related third parties to obtain and/or provide necessary file information to comply with quality and process standards
  • Generate and sends appropriate forms to insured/claimant for completion
  • Complete all necessary forms, logs documents into the system, and routes them to the appropriate parties
  • Interviewed policyholders to verify information and obtain additional details.
  • Examined reports, accounts and evidence to determine integrity and accuracy of information.
  • Oversaw claim recoveries, subrogation and salvage.
  • Evaluated accuracy and quality of data entered into agency management system.
  • Worked productively in fast-moving work environment to process large volumes of claims.
  • Modeled exceptional customer service skills and appropriate diagnostic sales techniques to team members.
  • Followed up with customers on unresolved issues.
  • Determined appropriateness of payers to protect organization and minimize risk.
  • Communicated effectively with staff members of operations, finance and clinical departments.
  • Calculated adjustments, premiums and refunds.
  • Prepared insurance claim forms or related documents and reviewed for completeness.

Operations Manager

Legacy Logistics Global
Atlanta, GA
01.2020 - 10.2022
  • Management of logistics company transporting general freight
  • Coordination of team meetings and scheduling
  • Utilization of multiple load boards to dispatch freight throughout the US
  • Implementation of payroll, hiring process and managing CDL Class A Drivers
  • Bookkeeping to maintain quarterly income for federal and state
  • Monitoring of driver ELDs and safety compliance measures
  • Process improvement with route creation and driver daily work duties
  • Daily maintaining of financials by checking fuel spend, maintenance of trucks and overhead associated with operations
  • Ensure proper filing of employee required documents and RODs
  • Prepared annual budgets with controls to prevent overages.
  • Implemented process improvement to shape organizational culture, optimize procedures for higher efficiency and help company evolve and grow.
  • Worked in matrix management environment with oversight of division level managers, operations, sales, finance, human resources, safety and compliance.
  • Collaborated cross-functionally to refine procedures, devise best practices and enforce quality metrics.
  • Spearheaded department training to enhance employee performance and boost employee productivity.
  • Established positive and effective communication among unit staff and organization leadership, reducing miscommunications and missed deadlines.
  • Planned and resourced personnel and logistics for operations component exercises resulting in highly trained personnel ready to act quickly in critical roles.
  • Identified procedure or process changes required to improve performance and productivity.
  • Developed systems to track and log work issues.
  • Introduced new methods, practices and systems to reduce turnaround time.
  • Built and reviewed master service agreements to simplify and streamline contract negotiation process.
  • Led improvement initiatives to advance operational efficiencies and increase revenue.
  • Reduced process bottlenecks by training and coaching employees on practices, procedures and performance strategies.
  • Partnered with vendors and suppliers to effectively manage and budget.

Patient Accounting Representative II

Orlando Health Revenue Management
Orlando, FL
12.2017 - 08.2018
  • Utilize specialized knowledge of contracts, regulatory or contractual billing guidelines to determine an account’s ability to pay after initial rejection from payer
  • Reduced number of claim denials by Identifying trends in payer non-compliance
  • Achieved claim reimbursement by Negotiating within specified guidelines with payers
  • Resolve inappropriate payments with insurance carriers that are not in compliance with payer contracts or governmental agency rates on individual accounts
  • Communicate with insurance carriers to seek resolution on patient’s accounts
  • Reduced number of Appeals requested by having knowledge of Contracts with payers and billing according to CMS guidelines.
  • Generated financial statements and reports detailing accounts receivable status
  • Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
  • Promoted consistent accuracy of billing information by reconciling 150 accounts monthly.
  • Verified accuracy of accounts payable payments, resulting in 65% reduction in payment errors and check reissues.
  • Trained and mentored new team members and managers on accounts payable systems and policies to build cohesive groups and promote operational performance.
  • Utilized talents and expertise to complete on-time and accurate monthly closing processes, journal entries and accruals.

Senior Scheduling Coordinator

Orlando Health UF Health Cancer Center
Orlando, FL
04.2011 - 12.2017
  • File and maintain records of contracts and patient documents in compliance with HIPPA guidelines
  • Collaborate with External Stakeholders and Internal Teams to Insure Stellar Patient Care
  • Successfully created Curriculum and Facilitate Department Training, Implement Policies, and Procedures
  • Maintain Knowledge and Standards of HIPAA, ADA, OSHA, and other Regulations
  • Key contributor for project that increased survey scores for Chemo-Radiation patients by creating and implementing a scheduling process to reduce the delay of treatment and number of calls a patient receives during the scheduling process
  • Collaborated with multiple teams to create a successful multidisciplinary Prostate Cancer clinic for community patients
  • This clinic allowed patients to be seen by three disciplines all at once, which eliminated the patient having to make three separate appointments
  • Planning of team building events and activities to promote morale
  • Developed start-up plans including for project monitoring and communication plan including tracking of milestones and timelines, risk management and action logs
  • Collaboration with multiple departments within Hematology, Radiation and Surgical to coordinate care for patients.
  • Developed strong working relationships with management and executive team through effective scheduling and communication skills.
  • Verified system information for accuracy and integrity and filled in gaps by conducting research and reaching out to customers or internal personnel.
  • Conferred with managers, sales teams and engineering personnel to revise plans and achieve demanding targets.
  • Realigned production schedules to factor in changing conditions such as materials shortages and evolving designs.
  • Completed logs and reports detailing production data such as volume, materials used and quality assurance results, helping management make accurate operational decisions.
  • Developed weekly production status reports for supervisor and manager.
  • Developed and implemented scheduling policies.
  • Led team of 5 scheduling coordinators.
  • Worked with supervisors and team members to understand supply needs and bring levels within desired tolerances.
  • Processed and approved all scheduling changes to executive calendars by using Microsoft.
  • Scheduled procedures, surgeries and doctor appointments for average of 12 patients per daily.
  • Modified and directed project plans to meet organizational needs.
  • Facilitated communication between internal personnel, contractors and vendors for project cohesion.
  • Drove team success through shared vision and recognition of quality performance.
  • Managed projects from procurement to commission.
  • Identified plans and resources required to meet project goals and objectives.

Education

Master of Business Administration - Leadership and Strategic Planning

Florida International University (FIU)

Bachelor of Science - Health Care Management

Florida International University (FIU)

Management and Strategy Institute Lean Six Sigma White Belt Certified (LSSWB) - undefined

Management and Strategy Institute Project Management Essentials Certified (PMEC) - undefined

Skills

undefined

Certification

Insurance Adjuster

Timeline

Salvage Claims Service Specialist

Allstate
05.2022 - 10.2022

Insurance Adjuster

03-2022

Operations Manager

Legacy Logistics Global
01.2020 - 10.2022

Provider Network Manager

Anthem, Inc
08.2018 - Current

Patient Accounting Representative II

Orlando Health Revenue Management
12.2017 - 08.2018

Senior Scheduling Coordinator

Orlando Health UF Health Cancer Center
04.2011 - 12.2017

Master of Business Administration - Leadership and Strategic Planning

Florida International University (FIU)

Bachelor of Science - Health Care Management

Florida International University (FIU)

Management and Strategy Institute Lean Six Sigma White Belt Certified (LSSWB) - undefined

Management and Strategy Institute Project Management Essentials Certified (PMEC) - undefined

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Angel L. Rodgers