Trevá Simms
New Orleans,United States
Summary
Pharmacy professional with strong foundation in auditing and compliance, 15 years in the healthcare and social services sector and ready to bring expertise to new role. Committed to fostering a collaborative team environment and promoting holistic well-being through strategic problem-solving and effective communication. Proven track record in identifying discrepancies and implementing corrective actions to enhance operational integrity. Known for fostering collaboration and achieving high standards in team environments, adaptable to changing needs. Proficient in regulatory compliance and risk assessment.
Overview
15
15
years of professional experience
Work History
340B Pharmacy Auditor
LCMC Health
05.2024 - 07.2025
- Support information governance and integrity across the enterprise by managing data assets and the performance of data functions.
- Managed sensitive patient information and utilized medical terminology across various computer applications for data processing.
- Provided detailed documentation on audit findings, facilitating swift corrective action when necessary.
- Facilitated revenue cycle management by applying analytical skills to validate claims under the 340B Drug Pricing Program.
- Ensured compliance with HRSA regulations and aligned operations with 340B policies while collaborating with analysts.
- Conducted thorough documentation reviews and performed data entry tasks using E-PRIV and EPIC systems.
340B Pharmacy Analyst
LCMC Health
10.2023 - 05.2024
- Analyzed operational data to identify trends and support decision-making processes.
- Streamlined data collection processes, resulting in improved turnaround times for analysis.
- Enhanced data accuracy by meticulously validating and updating customer information in database.
- Validated patient and covered entity eligibility, identifying and mitigating compliance risks.
- Ensured compliance with HRSA regulations and maintained integrity of 340B program across all entities.
Intake Social Worker
Bridge House Treatment Facility
11.2022 - 10.2023
- Managed client intake processes, including greeting, registration, and insurance verification to assess client needs effectively.
- Conducted comprehensive assessments to determine client needs and eligibility for services.
- Coordinated referrals to community resources, enhancing client access to necessary services.
- Monitored client progress and adjusted treatment plans based on ongoing evaluations.
- Coordinated discharge planning efforts for clients transitioning out of the agency''s care into independent living or alternative supportive environments as appropriate based on their individual needs assessment results.
Legal Intake Coordinator
Southeast LA Legal Services
11.2021 - 10.2022
- Serve as primary contact for clients seeking legal assistance, gathering essential information and evaluating case viability.
- Manage client relationships, facilitating communication between attorneys and clients to support case progress.
- Managed case documentation using legal software, enhancing data accuracy and retrieval efficiency.
- Collaborated with legal teams to prioritize cases based on urgency and resource availability.
- Developed and maintained relationships with community organizations for client referral opportunities.
- Conducted follow-up communications with clients to assess satisfaction and gather feedback on services provided.
Case Management
Resources for Better Health
08.2014 - 12.2019
- Delivered weekly direct services to assess client needs and develop tailored care plans.
- Advocated for clients by monitoring progress,strong interpersonal skills and problem -solving, and implementing mandated reporting during therapeutic sessions.
- Ensured strict confidentiality of progress notes in compliance with privacy regulations.
- Collaborated with a multidisciplinary team to review client cases and enhance resource access.
- Coordinated discharge planning with case management teams to ensure timely transitions from hospital care.
Medical Administrative Assistant
Ochsner Health System
01.2011 - 01.2013
- Managed administrative and clinical tasks in hospital setting by scheduling appointments and verifying patient eligibility.
- Answered incoming calls, routed messages and resolved patient inquiries within target timeframes.
- Maintained electronic health records (EPIC) with attention to detail, ensuring compliance with HIPAA regulations.
- Collaborated with healthcare professionals to maintain high-quality care across departments.
- Coordinated communication between medical staff and patients to facilitate seamless information flow.
Education
Master of Social Work - Social Work
Southern University At New Orleans
New Orleans, LA05-2017
Bachelor of Sociology - Sociology
Southern University At New Orleans
New Orleans, LA05-2013
Associate of Applied Science - Medical Billing & Coding
Nunez Community College
Chalmette, LA01.2013
CNA - Nursing
Nunez Community College
Chalmette, LA03.2010
Medical Assistant - undefined
Remington College
Metairie, LA08.2004
Skills
- 340B program compliance
- Revenue cycle management
- Patient eligibility verification
- Risk mitigation strategies
- Case documentation management
- Community resource coordination
- Multidisciplinary teamwork
- HIPAA compliance
- Data integrity management
Timeline
340B Pharmacy Auditor
LCMC Health
05.2024 - 07.2025
340B Pharmacy Analyst
LCMC Health
10.2023 - 05.2024
Intake Social Worker
Bridge House Treatment Facility
11.2022 - 10.2023
Legal Intake Coordinator
Southeast LA Legal Services
11.2021 - 10.2022
Case Management
Resources for Better Health
08.2014 - 12.2019
Medical Administrative Assistant
Ochsner Health System
01.2011 - 01.2013
Associate of Applied Science - Medical Billing & Coding
Nunez Community College
CNA - Nursing
Nunez Community College
Medical Assistant - undefined
Remington College
Master of Social Work - Social Work
Southern University At New Orleans
Bachelor of Sociology - Sociology
Southern University At New Orleans
INTERNSHIPS
- Aug 2014 — May 2017 New Orleans, LA
Intern Social Worker, Department of Veterans Affairs / HUD-VASH Internship
Support case managers by performing tasks like conducting outreach, maintaining case files, and assisting with documentation. Duties include fieldwork to assess Veterans' needs, coordinating with other staff, and managing administrative tasks such as data collection, preparing reports, and tracking vehicle usage.