Julie DeAngelo
Compliance Officer
Erie,PA
Summary
Organized and detail oriented with over 20 years of experience with Auditing, compliance and the understanding of HIPAA. Hardworking and driven with quality and compliance focused. Well-organized and systematic with excellent communication skills.
Overview
20
20
years of professional experience
6
6
years of post-secondary education
Work History
Compliance Specialist
A Bridge To Independence
09.2020 - Current
- Maintain all Supports Coordination documents are compliant with PA state regulations and HIPAA compliance
- Maintain and follow up with missing Patient Health Information to ensure all documents are appropriate for each patient
- Oversee all benefit assessments for new patients
- Ensure all New Patient Orientation documents are within the regulatory 5 days of the initial referral
- Oversee staff in the Compliance Department to ensure the organization maintains compliant with PA Health and Wellness at all times
Compliance and Customs Specialist
Logistics Plus
12.2019 - 09.2020
- Proficient in the classification of all Harmonized Tariff Schedules and Schedule B codes for import and exporting Cargo, and maintain all Inbound Shipment Filings with the Canadian Border
- Maintain proper Duty rates for Shipments coming into the United States to avoid penalties
- Compliance Marketing for other Logistics Companies to ensure maintenance of all regulations
- Experience with Clearing all Cargo through the US Federal Customs Boarder Protection
- Knowledge with Customs Holds on shipments and how to deal with the X-Ray exam, the tailgate exam and the intensive exam
Office Manager
Barber National Institute, Outpatient Clinic
11.2015 - 11.2019
- Supervise clinical and non-clinical staff in both locations to ensure efficiency and compliance of services and policies while maintaining schedules
- Oversee benefit assessment and work closely with the billing department to assign billing codes and authorizations
- Manage IT reports for regulatory compliance
- Provide ongoing clinical review for adult and adolescent acute partial hospitalization program
- Supervise service line managers
- Manage and maintain all contracts (MCO and Private Payers) for new hired professionals
- Ensure that evaluations and treatment plans are in compliance with state regulations
- Assist programs with obtaining referrals and appointments for medical necessity
- Aid the Compliance Department with internal audits
- Member of the HIPAA Compliance Committee and Safety Committee
Admission Liaison
HealthSouth
04.2015 - 11.2015
- Reviewed Medical Records and benefit assessments for new referrals to ensure appropriate vetting and doctor assignment
- Coordinated in conjunction with Rehab Liaisons to obtain accurate patient information
- Assisted the coding department in properly coding all inpatient admissions
- Provided Clinical review to obtain prior authorization for Inpatient Admission
- Confirmed all documentation met regulations and protocol for billing
- Supported the Director through routine communication as department contact
Insurance Analyst/Psychiatric Office Manager
Barber National Institute
09.2009 - 04.2015
- Reviewed clinical information in regards to clinical services programs
- Provided ongoing review for Acute Partial Program
- Analyzed financial billing reports to ensure timely filing of claims, proper secondary submission, and appropriate authorizations
- Assisted with internal audits for clinical services program to verify compliance
- Evaluated treatment plans in concurrence with state regulations
- Obtain and maintain all Insurance company contracts for all private payers
Medical Billing Specialist
Lake Erie OB/GYN
06.2002 - 09.2009
- Prepared and coded all medical claims and processed payments from commercial and government insurance payments
- Processed payments from commercial and government insurance payments
- Managed commercial and individual professional contracts
- Performed patient chart audits and appeals when applicable
- Trained new employees, counseled patients on different aspects of insurance, managed collections accounts
- Managed multiple Physician/Nurse Practitioners schedules
Education
B.A. - Psychology
Edinboro University of Pennsylvania
09.1996 - 05.2002
Skills
Auditing experience
undefinedTimeline
Compliance Specialist
A Bridge To Independence
09.2020 - Current
Compliance and Customs Specialist
Logistics Plus
12.2019 - 09.2020
Office Manager
Barber National Institute, Outpatient Clinic
11.2015 - 11.2019
Admission Liaison
HealthSouth
04.2015 - 11.2015
Insurance Analyst/Psychiatric Office Manager
Barber National Institute
09.2009 - 04.2015
Medical Billing Specialist
Lake Erie OB/GYN
06.2002 - 09.2009
B.A. - Psychology
Edinboro University of Pennsylvania
09.1996 - 05.2002
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