Melany Garvey
Summary
Revenue Cycle Leader with 15+ years of experience optimizing financial operations for Federally Qualified Health Centers (FQHCs). Expertise in Medicare, Medicaid, Medicaid MCO, and commercial payer billing, with a strong background in denial management, EDI workflows, and revenue optimization. Proven success improving claim accuracy, reducing denials, and strengthening billing team performance through training and process improvement. Experienced in athenaPractice systems, payer compliance, and KPI monitoring including AR aging, reimbursement performance, and revenue leakage.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Assistant Director of Revenue Cycle
HealthPoint Family Care
11.2025 - 03.2026
- Oversee revenue cycle operations for a multi-site FQHC including Medicare, Medicaid, Medicare Advantage, Medicaid MCO, and commercial payers
- Monitor key KPIs including AR aging, denial trends, reimbursement rates, and productivity metrics
- Develop billing workflows to improve claim accuracy and reduce denial rates
- Ensure compliance with PPS billing, wrap payments, and payer-specific requirements
- Manage payer configuration, fee schedules, and EDI processes within athenaPractice
- Collaborate with leadership and clinical teams to improve revenue capture and operational efficiency
Revenue Cycle Trainer - FQHC
Centerprise
02.2025 - 11.2025
- Delivered revenue cycle training for healthcare organizations focused on billing accuracy and payer compliance
- Trained staff on registration, charge entry, payment posting, denial management, and AR follow-up
- Developed workflows and job aids to standardize revenue cycle operations
- Identified root causes of denials and implemented corrective training solutions
- Assisted organizations with clearinghouse management and EDI billing processes
RCM Team Lead → Athena One Dental Team Lead
Visualutions, Inc.
Cincinnati
09.2022 - 01.2025
- Led revenue cycle operations for multiple FQHC clients, including medical and dental billing, charge entry, and collections
- Managed and trained remote billing teams, providing onboarding, quality oversight, and ongoing support
- Oversaw EDI processes, claim submission workflows, and clearinghouse rejections to ensure clean claim rates
- Partnered with payers to resolve denials and improve reimbursement turnaround times
- Increased claims processing efficiency and reduced denial rates through process improvement initiatives
EDI Manager
HEALTHPOINT FAMILY CARE
06.2017 - 08.2022
- Oversaw EDI setup, maintenance, and troubleshooting to facilitate efficient claims processing.
- Handled complex billing scenarios across multiple specialties, including Behavioral Health and OB.
- Streamlined EDI workflows to minimize claim rejections.
Revenue Cycle Manager
HEALTHPOINT FAMILY CARE
03.2014 - 06.2017
- Directed all RCM activities such as billing, coding, and collections for a multispecialty FQHC.
- Ensured adherence to federal, state, and payer-specific regulations.
- Collaborated with clinical and administrative staff to enhance financial performance.
Billing Specialist
HEALTHPOINT FAMILY CARE
Kentucky
01.2011 - 03.2014
- Executed billing, charge entry, and denial follow-up across multiple disciplines.
- Posted payments and reconciled daily deposits with accuracy and efficiency.
- Handled confidential patient data in compliance with HIPAA regulations.
Education
Bachelor of Science - Biology/Natural Sciences
Mount St. Joseph University
05.2004
Skills
Revenue Cycle Management (RCM) & Operations FQHC Billing & PPS Reimbursement Medicare & Medicaid Compliance (FFS & MCO) Denial Management & AR Optimization EDI & Clearinghouse Management Claims Submission & Follow-Up AR Aging & KPI Analysis Charge Entry & Payment Posting Medical Coding (ICD-10, CPT, HCPCS) Workflow Development & Training Leadership, Communication, Project & Change Management
Certification
- Medical Coding & Billing Certificate (CBCS), U.S. Career Institute — In Progress, Expected May 2026
- ICD-10 Coding Certification/Training — Completed 2015
Timeline
Assistant Director of Revenue Cycle
HealthPoint Family Care
11.2025 - 03.2026
Revenue Cycle Trainer - FQHC
Centerprise
02.2025 - 11.2025
RCM Team Lead → Athena One Dental Team Lead
Visualutions, Inc.
09.2022 - 01.2025
EDI Manager
HEALTHPOINT FAMILY CARE
06.2017 - 08.2022
Revenue Cycle Manager
HEALTHPOINT FAMILY CARE
03.2014 - 06.2017
Billing Specialist
HEALTHPOINT FAMILY CARE
01.2011 - 03.2014
Bachelor of Science - Biology/Natural Sciences
Mount St. Joseph University