Evangeline Emmanuel
Bridgewater,NJ
Summary
Senior Hospital Application Analyst with a background in revenue cycle systems, reimbursement analysis, and clinical quality data, expanding Epic expertise into Specialty Pharmacy Willow.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Sr. Hospital Application Analyst
University hospital
Newark, New Jersey
03.2024 - Current
- Conducted end-to-end Epic HB/PB claims and remittance build, including foundation configuration, enhancements, testing, validation, and go-live support, ensuring uninterrupted production stability, and supporting sustained weekly cash flow of $12–15 million.
- Stabilized enterprise cash posting and remittance workflows by redesigning the Epic remittance build, collaborating with third-party vendors and clearinghouses, and training end users across Medicare, Medicaid, and commercial payer logic.
- Owned payer-specific Epic configuration for claims edits, ERA mapping, and plan logic, reducing claim edit volume, remittance posting errors, and contributing to lower A/R days.
- Identified and corrected systemic configuration gaps by analyzing denial patterns, underpayments, and misposted remittances, translating payer policy, and contract logic into optimized Epic build.
- Reconciled expected versus actual reimbursement through targeted analysis that surfaced payment discrepancies tied to documentation, coding, and workflow design, enabling timely correction by revenue cycle teams.
- Served as the primary escalation point for high-risk claims and remittance issues affecting cash posting and payer payment accuracy, coordinating across IT, finance, and billing teams to resolve complex failures.
Sr. Reimbursement Analyst
Zimmet Healthcare Services, LLC
Manalapan, New Jersey
07.2022 - 03.2024
- Analyzed clinical audit findings and SNF claims data against CMS Medicare and PDPM billing requirements, modeling financial loss or recovery under alternative compliant scenarios to guide coverage-driven billing and documentation decisions across multiple SNF facilities.
- Performed forensic reimbursement analysis on high-volume Medicare SNF claims datasets, comparing pre- and post-remediation billing patterns to assess adherence to coverage criteria, payment rules, and quantify financial impact.
- Developed data visualizations and analytic summaries demonstrating measurable improvement in rule-driven billing outcomes over multiple billing periods, enabling clear communication of remediation results to technical and non-technical stakeholders.
- Collaborated with legal and compliance teams, producing defensible analyses and visualizations used to support regulatory interpretation, risk mitigation, and external representation.
Quality Data Analyst
Premier Medical Labs, LLC
Edison, NJ
05.2020 - 05.2022
- Analyzed laboratory result reporting data within a clinical LIS (Avalon) to evaluate test volume, frequency, occurrence, and diagnosis prevalence, supporting population-level insights and business understanding of laboratory services rendered.
- Monitored and assessed laboratory quality metrics required for regulatory and accreditation standards, evaluating workflows and documentation practices to ensure that results rendered were accurate, complete, and compliant with quality requirements.
- Developed analytic summaries and reports used by laboratory leadership to track quality performance, deviation trends, and improvement over time.
- Identified deviations through data analysis and led investigation and resolution activities using SOP-driven CAPA processes, addressing root causes related to workflow design, documentation practices, and result reporting accuracy.
Application Analyst
ATOS IT Solutions and Services
, Remote
08.2021 - 01.2022
- Completed Epic certification requirements, gaining exposure to ambulatory clinical workflows, flowsheet design, and basic system configuration.
- Supported certification-driven build activities, including clinical flowsheets, and printer setup.
- Gained foundational knowledge of Epic ambulatory workflows, focusing on how clinical documentation design impacts downstream clinical and operational processes.
Education
Master of Science - Health Informatics & Data Science
University of Denver
Denver, CO03-2026
Bachelor of Arts -
Rutgers, The State University of New Jersey,
New Brunswick, NJ12-2019
Skills
- SQL
- Python
- R
- Tableau
- Power BI
- Advanced Excel
Certification
• Epic HB Claims and Remittance Administration
• Epic PB Claims and Remittance Administration
• Epic HIM Release of Information
• Epic Ambulatory
• EpicCare Link
• Epic PB Claims and Remittance Administration
• Epic HIM Release of Information
• Epic Ambulatory
• EpicCare Link
Timeline
Sr. Hospital Application Analyst
University hospital
03.2024 - Current
Sr. Reimbursement Analyst
Zimmet Healthcare Services, LLC
07.2022 - 03.2024
Application Analyst
ATOS IT Solutions and Services
08.2021 - 01.2022
Quality Data Analyst
Premier Medical Labs, LLC
05.2020 - 05.2022
Master of Science - Health Informatics & Data Science
University of Denver
Bachelor of Arts -
Rutgers, The State University of New Jersey,