JULIA YOUNG
Weatherford,TX
Summary
Dynamic Workers’ Compensation and Medical Claims Specialist with extensive experience handling Texas and Florida WC, PIP, and medical claims across hospital, chiropractic, occupational medicine, pain management and multi-specialty environments. Strong background in EHR/EMR implementation, project management, and optimizing billing workflows for providers. Skilled in full-cycle claims handling, medical records review, UB04/CMS1500 billing, denial management, and provider communication. Adept at training, onboarding, and supporting clinical and administrative teams. Texas Adjuster License with multiple additional state licenses.
Overview
39
39
years of professional experience
1
1
Certification
Work History
Sales and Marketing Specialist
Bizmatics Inc.
06.2022 - Current
- Product demos, customer webinars, ebook, videos and other educational content creation,
- Trade show coordinator
- Conduct Customer Success Interviews
- CAB for Occupational Medicine
Sr. Implementation Project Manager / RCM Specialist
Bizmatics, Inc. (PrognoCIS EHR/RCM)
06.2012 - 06.2022
- Lead full-cycle implementation of EHR/EMR, PM, and RCM systems for practices handling Workers’ Compensation, PIP, and commercial claims.
- Manage onboarding, configuration, workflow design, training, and post-go-live support for clinical, administrative, and billing teams.
- Train physicians, clinicians, office staff, and billing teams on documentation, coding, claims workflows, and compliance.
- Improve claims accuracy through claim scrubbing, eligibility verification, denial management, and EDI troubleshooting.
- Collaborate with clearinghouses, labs, radiology, and third-party vendors for interface setup and integration.
- Serve as SME for Workers’ Compensation documentation, employer communication, and medical record workflows.
- Review CMS updates and ensure HIPAA compliance across all implementation projects.
- Assist sales teams with product demos, workflow presentations, and technical explanations.
- Specialties supported: Occupational Medicine, Chiropractic, Pain Management, Behavioral Health, Primary Care, Multi-Specialty
Medicare/Medicaid Specialist / Medical Claims Processor
Directions for Mental Health
03.2008 - 06.2012
- Processed Medicare, Medicaid, commercial, and behavioral health claims including UB04 and CMS1500.
- Managed denials, appeals, eligibility issues, and medical records requests.
- Ensured compliance with CMS, HIPAA, and payer-specific guidelines.
- Supported outpatient behavioral health billing and AR collections.
- Medical Billing
Collector/Biller & Radiology Representative
Bayfront Medical Center
01.1991 - 09.1996
- Processed hospital inpatient and outpatient medical claims (UB04), including Workers’ Compensation and auto/PIP claims.
- Coordinated PACS/Radiology medical records disbursement for WC adjusters, attorneys, and providers.
- Managed AR collections, payment posting, and denial follow-up.
Medical Assistant / Biller (Workers’ Comp & PIP)
West Bay Chiropractic & Meadows Chiropractic
01.1987 - 01.1991
- Processed CMS1500 claims for Chiropractic and Pain Management patients, including Workers’ Compensation and PIP.
- Managed medical records, treatment notes, and communication with adjusters and attorneys.
- Verified eligibility, scheduled appointments, and supported front/back office operations.
Education
AA Degree - Therapeutic Recreation
Carteret Community College
Medical Terminology & Chiropractic MA Courses
Greensboro College
Skills
- Texas /Florida Workers’ Compensation Claims
- Medical Claims & PIP Processing
- UB04 & CMS1500 Billing / AR Collections
- Medical Records Review & Documentation
- EHR/EMR Implementation & Optimization
- Project Management & Workflow Design
- Occupational Medicine & Telemedicine
- Denial Management & Claim Scrubbing
- HIPAA, CMS, MIPS, Interoperability
- Training, Onboarding & Client Support
- Vendor & Stakeholder Coordination
- EHR/PM Systems: PrognoCIS, multiple EMR/PM platforms
- Clearinghouses: Trizetto, Availity, Navicure, Zirmed, Office Ally
- Tools: Microsoft 365, Teams, Zoom, Webex, GoToMeeting, Hubilo
- Interfaces: SureScripts, LabCorp, Quest, PACS, DDE
- Coding & Billing: ICD-10, CPT/HCPCS, UB04, CMS1500, ANSI 837/835
- Compliance: HIPAA, PHI, CMS QPP/MIPS, Interoperability
Certification
- Texas Adjuster School – Certificate of Completion
- Xactimate Level 1 Certification
- Texas Adjuster License #3418583
- Alabama #0303993870
- Arkansas #21780680
- Florida #G300614
- Mississippi #11172532
- Louisiana – Pending
- Oklahoma – Pending
Timeline
Sales and Marketing Specialist
Bizmatics Inc.
06.2022 - Current
Sr. Implementation Project Manager / RCM Specialist
Bizmatics, Inc. (PrognoCIS EHR/RCM)
06.2012 - 06.2022
Medicare/Medicaid Specialist / Medical Claims Processor
Directions for Mental Health
03.2008 - 06.2012
Collector/Biller & Radiology Representative
Bayfront Medical Center
01.1991 - 09.1996
Medical Assistant / Biller (Workers’ Comp & PIP)
West Bay Chiropractic & Meadows Chiropractic
01.1987 - 01.1991
Medical Terminology & Chiropractic MA Courses
Greensboro College
AA Degree - Therapeutic Recreation
Carteret Community College