MICHELLE WALLER
ROANOKE,US
Summary
Epic Professional Billing Analyst with over 15 years of experience in optimizing healthcare operations and enhancing system functionality. Demonstrates exceptional skills in attention to detail, claims review, and cross-functional communication, fostering seamless project execution and improved client satisfaction. Committed to leveraging analytical expertise and innovative solutions to drive efficiency and support organizational goals.
Overview
18
18
years of professional experience
1
1
Certification
Work History
SENIOR AR INSURANCE FOLLOW-UP SPECIALIST
RevMax Pro
Plains, TX
10.2025 - Current
- Review and resolve unpaid or denied insurance claims using Epic platform
- Optimized reimbursement processes by coordinating system functionalities, achieving measurable improvements in claim resolution times.
- Analyze accounts trends and assist with AR reporting to internal stakeholders and clients.
- Access payer portals and use multiple systems to analyze unresolved accounts.
- Coordinated follow-up on outstanding insurance claims to ensure timely resolution.
- Analyzed claim denials and identified trends for process improvement initiatives.
EPIC OPTIMIZATION ANALYST
Ensemble Health Partners
Blue Ash, OH
09.2024 - 03.2025
- Collaborated with revenue leaders to implement a new system, enhancing process efficiency.
- Secured essential materials for operational leaders, supporting seamless project execution.
- Facilitated timely meetings to ensure information accuracy and alignment with objectives.
- Developed best practices with Epic IT, optimizing system functionality and user experience.
- Identified engagement opportunities, fostering stronger client relationships and satisfaction.
- Orchestrated cross-functional meetings to streamline information flow, enhance project alignment and ensure timely decision-making.
- Analyzed current Epic functionality, identifying gaps and proposing best practice processes to boost user satisfaction and system performance.
- Fostered a collaborative environment among stakeholders, promoting open communication and shared ownership of project outcomes.
- Led cross-functional teams to identify gaps in Epic functionality, implementing the best practices that elevated user satisfaction and system performance.
- Spearheaded initiatives to foster stronger client relationships, resulting in noticeable gains in client satisfaction and engagement.
- Collaborated with cross-functional teams to enhance operational efficiencies.
- Analyzed data trends to inform strategic decision-making processes.
RCM OTS/APPS COORD I
Carilion Clinic
Roanoke, VA
06.2022 - 09.2024
- Handled incident and maintenance tickets for Epic Professional Billing with precision.
- Kept records of tasks, set priorities, and reliably met all deadlines.
- Streamlined communication between Revenue Cycle Management and Technical Service Group, enhancing issue resolution speed and improving operational efficiency.
- Participated in cross-functional meetings to drive application updates, fostering teamwork and ensuring alignment on project goals.
- Maintained and prioritized incident and optimization tickets for Epic Professional Billing, ensuring timely resolution and minimal disruption to service.
- Testing and troubleshooting of incident tickets, as well as newly implemented upgrades and changes.
- Analyzed procedural issues within applications, proposing actionable solutions that led to measurable improvements in workflow efficiency.
- Provided comprehensive training for new hires, facilitating a smooth onboarding process and strengthening team capabilities.
- Facilitated effective communication between departments, leading to quicker application issue resolutions and enhanced team collaboration.
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
PB MEDICAID BILLING ANALYST PRECEPTOR
Carilion Clinic
Roanoke, VA
06.2016 - 06.2022
- Provided MCO Medicaid training and assisted with conducting interviews for new hires to improve the efficiency of the candidate selection process.
- Collaborated with providers to resolve issues, improving service delivery and satisfaction.
- Fostered a collaborative training environment, enhancing team cohesion and knowledge retention among new and existing staff.
- MCO Medicaid procedures analyzed to create comprehensive training manuals, ensuring compliance and improving operational efficiency.
- Streamlined interview processes for candidate assessments, resulting in quicker hiring timelines and improved team performance.
- Coordinated with MCO Medicaid providers to resolve issues, strengthening partnerships and enhancing service delivery.
- Maintained up-to-date knowledge of MCO Medicaid regulations, informing team updates and training initiatives for consistent compliance.
- Implemented a structured training program for new analysts, leading to measurable improvements in billing accuracy and reduced processing times.
- Analyzed billing data to identify discrepancies and ensure accuracy in patient accounts.
- Collaborated with healthcare providers to resolve billing inquiries and optimize revenue cycle processes.
RCM SPECIALIST
Carilion Clinic
Roanoke, VA
05.2013 - 06.2016
- Identified and analyzed problematic accounts, determined solutions, and implemented corrections to ensure accurate processing and payment of claims for Medicaid (Virginia Premier).
- Coordinated computer system functionality to facilitate reimbursement while addressing a range of complex billing issues. Analyzed complex billing discrepancies, implementing targeted solutions that ensured timely claims processing and enhanced revenue flow.
- Optimized reimbursement processes by coordinating system functionalities, achieving measurable improvements in claim resolution times.
- Maintained precise billing records and reconciled discrepancies, upholding compliance standards and minimizing errors in claims submissions.
- Fostered cross-departmental communication to address billing issues, leading to strengthened relationships and improved issue resolution efficiency.
- Streamlined claims processing workflows, achieving noticeable results in claim resolution speed and enhancing overall revenue cycle efficiency.
- Coordinated patient care initiatives to enhance service delivery and operational efficiency.
- Developed training materials for staff, improving knowledge retention and patient interaction standards.
ACCOUNT COORDINATOR
Liberty Medical Supply
Salem, VA
01.2008 - 04.2013
- Contacted insurance companies as needed to secure payment for supplies.
- Collected payments from both insurance providers and patients. Streamlined the accounts receivable process, significantly improving payment turnaround times and enhancing cash flow for the organization.
- Analyzed patient eligibility data to optimize insurance verification, ensuring compliance and reducing claim rejections.
- Coordinated daily account management activities to ensure seamless operations and client satisfaction.
- Developed and maintained strong relationships with clients, addressing inquiries and resolving issues promptly.
Education
No Degree - Accounting
Axia College of University of Phoenix Online
Phoenix, AZHigh School Diploma -
Patrick Henry High School
Roanoke, VA06-1992
Skills
- Epic
- ServiceNow
- Critical thinking capacity
- Organizational growth
Microsoft Office
Effective communication
- Claims processing expertise
- Denial management strategies
- Electronic health records usage
- Problem-solving skills
- Time management
- Attention to detail
Certification
- CRCR Certification
- Epic Resolute Professional Billing Administration Certification
- Epic Professional Revenue Cycle Operations Certification
Timeline
SENIOR AR INSURANCE FOLLOW-UP SPECIALIST
RevMax Pro
10.2025 - Current
EPIC OPTIMIZATION ANALYST
Ensemble Health Partners
09.2024 - 03.2025
RCM OTS/APPS COORD I
Carilion Clinic
06.2022 - 09.2024
PB MEDICAID BILLING ANALYST PRECEPTOR
Carilion Clinic
06.2016 - 06.2022
RCM SPECIALIST
Carilion Clinic
05.2013 - 06.2016
ACCOUNT COORDINATOR
Liberty Medical Supply
01.2008 - 04.2013
No Degree - Accounting
Axia College of University of Phoenix Online
High School Diploma -
Patrick Henry High School
March 2025 – Oct 2025 CHILD CARE/CERTIFICATION
- Creating a safe and engaging environment for my grandson
- Accompanying him to medical appointments
- Assisting with his educational development and mobility skills
- Obtained Epic Resolute Professional Billing Administration certification