Audited underpaid and denied claims against payer contracts, calculating expected reimbursements and analyzing root causes to recommend appeal and prevention strategies, contributing to $10M+ in recovered revenue.
Investigated payment discrepancies through inbound and outbound calls with insurance carriers, escalating unresolved claims with complete documentation for timely resolution.
Maintained audit-ready account records across Epic, proprietary systems, and payer portals in line with HIPAA, Medicare, and Medicaid requirements.
Used SQL, Excel, and Power BI to prioritize aging accounts receivable and track collection performance and payer trends, flagging backlogs and recurring issues for leadership.
Talent-Engagement Specialist
Baptist Memorial Health Care
Memphis, TN
06.2023 - 09.2023
Acted as the liaison between recruiters, candidates, and employment specialists, handling a high volume of calls, emails, and inquiries.
Coordinated pre-employment screenings, reference checks, and onboarding for new hires, keeping each candidate on schedule.
Maintained applicant tracking records and reporting dashboards to ensure accurate, compliant handoffs between hiring stages.
Sales Representative
Cellular Sales, Remote
09.2021 - 02.2022
Consistently exceeded sales targets by running customer needs assessments and recommending tailored solutions.
Managed multiple customer interactions, documenting follow-ups and outcomes to enhance customer satisfaction.
Tracked sales performance and customer trends in Excel to pinpoint areas for sales strategy improvement.
Contact Tracer
Navient, Remote
09.2020 - 01.2021
Managed high-volume inbound and outbound calls, providing clear, compassionate guidance to individuals in stressful situations.
Documented cases with precise, time-stamped records in Citrix-based systems, ensuring compliance with federal and state reporting standards.
Prioritized and coordinated cases with remote, cross-functional teams to ensure timely resolution of inquiries.
Education
Bachelor of Arts - Global Studies (Minor in Spanish)
University of Tennessee
Knoxville, TN
08.2019 - 05.2023
Skills
Spanish (Professional)
Escalation resolution
High-volume inbound and outbound calls
Coaching, onboarding, and mentoring
Claims entry and documentation
Billing and invoice auditing
Queue, workload, and KPI monitoring
Confidential data handling (HIPAA)
Tools: Microsoft Office (Excel, Outlook, Word, PowerPoint), Power BI, SQL, Epic, Citrix, payer and web portals, applicant tracking systems
Timeline
Revenue Cycle Analyst
R1 RCM, Remote
10.2023 - Current
Talent-Engagement Specialist
Baptist Memorial Health Care
06.2023 - 09.2023
Sales Representative
Cellular Sales, Remote
09.2021 - 02.2022
Contact Tracer
Navient, Remote
09.2020 - 01.2021
Bachelor of Arts - Global Studies (Minor in Spanish)