Angela J. Davies
Burlington
Summary
Dynamic professional with extensive expertise in team leadership and operational management, consistently driving collaboration and delivering impactful results. Demonstrated ability in conflict resolution, process optimization, and strategic planning, adapting seamlessly to evolving business needs. Recognized for reliability and strong communication skills, fostering a productive work environment that empowers teams to excel. Committed to achieving organizational goals through innovative solutions and a collaborative approach.
Overview
19
19
years of professional experience
Work History
Supervisor, Denial Recovery
Revecore
Crescent Springs, KY
01.2024 - Current
- Supervising analysts across three hospital projects
- Providing feedback to analysts to increase morale and productivity
- Direct collaboration with external clients regarding processes, progress, and goals
- Close collaboration with internal departments to streamline processes
- Maintaining and assigning inventory to insure claims are reviewed every 30 days
- Supporting analysts with continued training and development
- Producing monthly reports for clients
Team Lead, Denial Recovery
Revecore
Crescent Springs, KY
01.2023 - 01.2024
- Completing month end reports
- Organizing additional training for analysts
- Continuing to maintain client work to reach deadlines
- Ensuring compliance and submitting corrected claims to the client
- Supporting my team in any capacity required
Analyst, Denial Recovery
Revecore
Crescent Springs, KY
01.2022 - 01.2023
- Reviewing claims determined by the client with payment denials
- Utilizing verbal and written skills to resolve payment discrepancies
- Working within a team to meet client deadlines
- Mentoring new hires and supporting them through their probationary period
Analyst, Hospital Outpatient Infusion
Revecore
Crescent Springs, KY
01.2011 - 01.2022
- Analyzing chemotherapy and other infusion claims for insurance reimbursement discrepancies
- Writing appeals for denied claims to support
- Determining the accuracy of charges appearing on UB04s and submitting corrected claims
- Accurately identifying areas of opportunity through data mining, resulting in increased revenue for clients
- Providing in-depth feedback to clients regarding appropriate solutions for identified problems
- Interpreting legal contracts between healthcare systems and insurance carriers
- Navigating multiple electronic medical records platforms
Special Matters Expert
Humana RightSourceRx Mail Order Pharmacy
Cincinnati, OH
01.2009 - 01.2011
- Trained newly hired associates and supported their transition during probation period
- Cross trained established associates, expanding associates' skill sets
- Created and presented issue specific training sessions
- Liaison between members and pharmacy staff
- Supported customer service representatives with escalated situations
- Assisted members with billing and order errors and website issues
Customer Care Specialist
Humana RightSourceRx Mail Order Pharmacy
Cincinnati, OH
01.2007 - 01.2009
- Educated customers on health insurance and website issues
- Assisted customers with pharmacy needs
- Peer support for new hire training
- Aided peers with system and procedure issues
- Handled prior authorization request from physicians
Education
Bachelor of Arts - Philosophy
Northern Kentucky University
Highland Heights, Kentucky12-2001
Skills
- Proficient in medical terminology
- Advanced Excel capabilities
- Objective oriented
- Team leadership
- Customer service
- In-depth knowledge of EPIC software
- Knowledgeable in claims coding processes
- Knowledge of government billing regulations
- Experience with billing via DDE
- Analytical problem-solving
- Training and mentoring
Timeline
Supervisor, Denial Recovery
Revecore
01.2024 - Current
Team Lead, Denial Recovery
Revecore
01.2023 - 01.2024
Analyst, Denial Recovery
Revecore
01.2022 - 01.2023
Analyst, Hospital Outpatient Infusion
Revecore
01.2011 - 01.2022
Special Matters Expert
Humana RightSourceRx Mail Order Pharmacy
01.2009 - 01.2011
Customer Care Specialist
Humana RightSourceRx Mail Order Pharmacy
01.2007 - 01.2009
Bachelor of Arts - Philosophy
Northern Kentucky University