Christina Simon
Summary
Detail-oriented professional with experience managing claims in EPIC and ensuring compliance with healthcare regulations. Skilled in collaborating with multidisciplinary teams to enhance compliance, optimize billing practices, and drive operational efficiency. Focused on improving patient outcomes and revenue cycle processes to support organizational financial stability.
Overview
15
15
years of professional experience
Work History
Managed Care/Quality Review Specialist
Trinitas Regional Medical Center
Elizabeth, NJ
03.2016 - Current
- Manage and reconcile Claims within "EPIC" Claim Edit Workqueue
- Patient registration (“EPIC”, Avatar & AMPFM)
- Manage Physicians' EPIC Scheduling Calendar
- Benefits and eligibility verification (NJMMIS, Availity -Provider Portal, NextBar/OneSource)
- Collaborated with healthcare teams to ensure timely and thorough patient assessments.
- Facilitated brainstorming sessions to generate actionable ideas for enhancing customer experience.
- Reviewed medical records for accuracy and adherence to regulatory standards.
- Working knowledge of ICD-10 and CPT coding.
Family Specialist
Trinitas Regional Medical Center
Elizabeth, NJ
02.2012 - 02.2016
- Coordinated multidisciplinary care plans to effectively address family needs and promote holistic treatment outcomes.
- Implemented and monitored therapeutic recommendations, ensuring alignment with patient goals and treatment plans.
- Facilitated therapeutic groups that address specific identified treatment issues and reinforces the patient’s treatment plan. (Ages 5 to 18 years old)
- Collaborated with physicians and clinical staff to provide observational insights, enhancing treatment strategies during team meetings.
- Completed Daily Billing and Weekly Behavioral Notes in AVATAR System
Education
Master of Science - MHA
The University of Arizona Global Campus
Arizona09-2026
Bachelors in Early Childhood Education -
Bloomfield College
Bloomfield, NJ05-2008
Bachelors of Science - Psychology
Bloomfield College
Bloomfield, NJ05-2008
Skills
- Certified in Claim Edit - EIPC Modules
- Dedicated and self-motivated
- Working Knowledge of EMRs: EPIC, AVATAR, AMPFM
- Working Knowledge of Payor/Provider Portals: Availity, NJMMIS, NextBar/OneSource
- ICD-10 coding
- Knowledge of HIPAA guidelines and regulations
- Capable of working independently or in a team
- Critical and analytical thinking in problem solving and resolution
- Proficient in Microsoft Office applications
Timeline
Managed Care/Quality Review Specialist
Trinitas Regional Medical Center
03.2016 - Current
Family Specialist
Trinitas Regional Medical Center
02.2012 - 02.2016
Master of Science - MHA
The University of Arizona Global Campus
Bachelors in Early Childhood Education -
Bloomfield College
Bachelors of Science - Psychology
Bloomfield College