Jauntae Phillips
Trinity Health
Muskegon,MI
Summary
Results-driven Provider Trainer with nearly 15 years in employee training and provider support. Trained and coached staff to enhance efficiency in claims and revenue integrity, utilizing Epic Resolute Hospital Billing and Charge Router for complex account issue resolution. Demonstrates expertise in workflow optimization and effective process communication.
1
Certification
16
Years of experience
Work History
Revenue Integrity Charge Analyst
4 Years 7 Months- Analyze MUE and CCI/NCCI edits and investigate complex billing, eligibility, authorization, coding, and payer issues to determine appropriate resolution.
- Use Epic Resolute Hospital Billing and Charge Router to research and resolve claim edits, coding conflicts, and charge discrepancies.
- Training delivery including workflow based and role-specific class content including eLearning, job aides, and Learning Home Dashboards
- Documented findings and escalations while prioritizing high-volume work queues and time-sensitive accounts to maintain operational efficiency.
Provider Services & Employee Trainer
1 Year- Delivered new-hire and internal employee training on healthcare processes, enhancing accuracy and quality in operations.
- Trained and coached authorization specialists on eligibility and pre-certification processes, addressing complex inquiries effectively.
- Performed quality assurance reviews and provided feedback to help employees apply established processes accurately.
- Conduct detailed reviews of rejected, denied, and underpaid medical claims/benefits to determine the root cause of nonpayment to correctly reimburse providers.
Provider Services Representative II
10 Years- Researched claims and benefit questions, verified eligibility, and investigated discrepancies to ensure accurate claims processing.
- Supported provider help-desk inquiries, clarifying healthcare processes and facilitating issue resolution to enhance provider experience.
- Applied knowledge of ICD-10-CM, CPT, HCPCS, modifiers, NCCI edits, payer-specific requirements, and general coding/billing principles when analyzing claims to enhance provider reimbursement.
- Analyzed benefit plan data to identify discrepancies and improve processing accuracy.
- Determined whether claim issues were related to coding, billing, authorization, eligibility, documentation, bundling, medical necessity, timely filing, payer processing, or other reimbursement requirements.
Education
Bachelor of Science - Healthcare Administration
Skills
Epic Resolute Hospital Billing
Claims analysis
Clinical workflow analysis
Business analysis
End-user training
ITIL framework
Medical coding and abstracting
Certification
Certified Revenue Cycle Representative (CRCR) | HFMA | 2026
Personal Information
Title: Healthcare Trainer | Epic End User | Workflow Support
Timeline
Revenue Integrity Charge Analyst
Trinity Health
03.2022 - Current
Provider Services & Employee Trainer
Blue Cross Blue Shield of Michigan
01.2021 - 01.2022
Provider Services Representative II
Blue Cross Blue Shield of Michigan
01.2011 - 01.2021
Baker College
Bachelor of Science from Healthcare Administration