Summary
Overview
Work History
Education
Skills
Timeline
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Megan Harlan

NORWOOD,PA

Summary

Results-driven professional with a strong work ethic and proven adaptability, recognized for effectively communicating across diverse teams. Demonstrates a proactive approach to learning and problem-solving, contributing to enhanced team performance and organizational success. Passionate about leveraging skills in a dynamic environment to achieve collective goals.

Overview

14
14
years of professional experience

Work History

Referral Coordinator

Nuvem
Mount Laurel, NJ
03.2023 - 02.2024
  • Worked closely with healthcare centers to provide assistance with their 340B Drug Pricing Program.
  • Verifying credentials for all clinicians, including primary care providers and specialists.
  • Worked extensively within EMRs to review and determine patients' eligibility.
  • Remotely access EMR systems to validate potential referrals, or consult notes.
  • Contact healthcare facilities across the country via telephone.
  • Coordinate with facilities to retrieve copies of medical records via mail, fax, or remote retrieval.
  • Complying with HIPAA (Health Insurance Portability and Accountability Act) ensures the right to privacy for patients' records.
  • Audit, review, and attachment of records to the proprietary software system.
  • Captured verified claims based on client requirements and contacts.

Account Analyst

Pinnacle Health Recovery Partners
Woodlyn, PA
03.2021 - 03.2023
  • Specialize in unpaid workers' compensation cases, as well as coordination of benefits claims, and high-dollar insurance denials.
  • Managed multiple accounts simultaneously, while adhering to strict deadlines, and maintaining attention to detail.
  • Investigate multiple avenues to identify insurance carriers.
  • Determine the appropriate method for resolving an account for payment.

Advanced Medical Support Assistant (Care in the Community)

Department of Veteran Affairs
Wilmington, DE
10.2018 - 03.2021
  • Served as an integral member of the PACT, Specialty Clinic, and Care in the Community teams to further promote daily healthcare referrals required for veterans.
  • Participated in a coordinated care delivery model to ensure the proper and timely treatment of patients.
  • Responsible for accurate appointment management, and the coordination of all administrative information between the professional staff and the patient.
  • Updated and verified demographic information, verified eligibility, and performed data entry as needed.
  • Prepared authorizations and obtained medical records from non-VA providers
  • Scanned records and integrated updated health information through scanning on a timely basis.
  • Forwarded VA and non-VA records to the appropriate provider for review.

Advanced Medical Support Assistant (call Center)

Department of Veteran Affairs
Wilmington, DE
10.2017 - 09.2018
  • Answered phone calls, scheduled appointments, and assisted the veterans in communication with their healthcare teams.
  • Trained new staff members on metrics, standards for call volume, talk time, and level of service.
  • Interpreted and verified provider orders while following scheduling guidelines.
  • Communicated with medical staff to review consults and orders.
  • Identified and communicated workload fluctuations to the supervisor to ensure the timely accomplishment of projects throughout the facility.

Administrative Case Manager

Crozer Keystone Health System
Chester, PA
10.2016 - 09.2017
  • Managed a diverse caseload of 600 clients with chronic mental health issues.
  • Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
  • Contributed to team discussions and case conferences actively, sharing insights and expertise with colleagues to optimize client support strategies.
  • Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.

Targeted Case Manager

Crozer Keystone Health System
Chester, PA
11.2014 - 10.2016
  • Provided resources to 30 clients with persistent mental health issues.
  • Collaborated with treatment teams and community-based organizations to increase the safety and success of clients' lives.
  • Enhanced client well-being by developing personalized case management plans.
  • Ensured compliance with insurance, state, and federal regulations.
  • Provided crisis intervention services, de-escalating tense situations, and connecting clients with appropriate emergency resources.

Behavioral Health Professional

CATCH, Inc.
Philadelphia, PA
11.2009 - 11.2014
  • Focused on social skills, anger management, problem-solving, behavior management, and conflict resolution with clients in grades K-8.
  • Developed customized behavior modification plans, leading to significant improvements in patients' daily functioning abilities.
  • Wrote treatment plans and progress notes, performed assessments, and collected data for future review.
  • Performed weekly consultations with teachers and parents.

Education

Bachelor of Arts - Sociology

Widener University
Chester, PA
05-2009

Skills

  • Mental health
  • Behavioral Health
  • Caseload management
  • Accurate documentation
  • Appointment scheduling
  • HIPAA regulations
  • Patient care
  • Customer service
  • Follow-up coordination
  • Patient records oversight
  • Communication
  • Healthcare systems
  • Electronic patient charts
  • MS office expertise

Timeline

Referral Coordinator

Nuvem
03.2023 - 02.2024

Account Analyst

Pinnacle Health Recovery Partners
03.2021 - 03.2023

Advanced Medical Support Assistant (Care in the Community)

Department of Veteran Affairs
10.2018 - 03.2021

Advanced Medical Support Assistant (call Center)

Department of Veteran Affairs
10.2017 - 09.2018

Administrative Case Manager

Crozer Keystone Health System
10.2016 - 09.2017

Targeted Case Manager

Crozer Keystone Health System
11.2014 - 10.2016

Behavioral Health Professional

CATCH, Inc.
11.2009 - 11.2014

Bachelor of Arts - Sociology

Widener University

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