Nanisha Walker
Cypress,TX
Summary
Results oriented Epic Revenue Cycle Specialist with experience in healthcare billing and charge description master (CDM) management. Adept at designing and delivering comprehensive training programs for billing staff, ensuring proficiency in Epic systems and optimizing revenue cycle processes. Skilled in CDM maintenance, including accuracy validation, compliance assurance, and pricing optimization. Proven track record of driving operational efficiencies, reducing errors, and maximizing revenue capture. Strong communicator and collaborator, able to engage diverse stakeholders and foster a culture of continuous learning and improvement. Passionate about leveraging technology to enhance healthcare delivery and financial performance.
Overview
2
2
years of professional experience
Work History
Epic Revenue Cycle Specialist
Tidelands Health
Myrtle Beach, SC
03.2024 - Current
- Assisted payment posting staff with HB/PB cash management, remittance checks load and manual payment posting.
- Collaborated with revenue cycle end users to identify any discrepancies on EOB between expected payments, contractual adjustments and patient responsibility.
- Corresponded with providers regarding any missing or incomplete documentation needed for successful adjudication of claims.
- Provided guidance and training to staff members regarding charge review, claim edits, insurance followup, denials and retro review workques.
- Educated staff on utilizing follow up activity tool to resubmit claims, update registration and NRP balances owed.
Epic Revenue Cycle Specialist (Remote)
ProHealth Physicians
Groton, SC
02.2024 - 02.2024
- Facilitated zoom trainings on how to complete a charge corrections, investigate denials, no responses and documenting results using insurance follow up activities.
- Assisted staff in using RTE to submit insurance query, and resolving alerts such as relationship to subscriber and plan mismatch.
- Remotely access end user's device via Bomgar software to assist users with claims appeal.
- Trained staff how to utilize Wokques to identify and correct errors related to billing, coding, and missing registration items.
- Supported customer service staff in researching and resolving customer inquiries, setting up payment plans and payment collection.
Epic Credentialed Trainer, Rev Cycle
Tufts Medical Center
Lowell, MA
04.2022 - 12.2023
- Completed full training cycles to include the credentialing process, End User classroom training for PB community connect.
- Provide teach backs to new trainers to develop style and delivery of software workflows.
- Collaborated with PTs, Analyst, and system users, recommended and identified potential areas of opportunity.
- Prepared and delivered presentations, demonstrations, train-the-trainer, and end-user classes, and special training courses as needed.
- Performed in-depth Analysis of workflows, data collection, report details, and other technical issues associated with the Epic PB module to the command center.
- Eliminated process gaps by implementing new methods of standardized training.
Epic Revenue Cycle Specialist
UMass Memorial Medical Center - University Campus
Worcester, MA
06.2023 - 10.2023
- Assisted coding team to Identify coding errors, correct them, and resubmit claims to payers as needed.
- Guided users in utilizing the Epic workqueues to optimize productivity.
- Collaborated with management to conduct audits of medical records to identify missing or incorrect documentation that could affect accurate coding and billing.
- Researched denied claims to determine the cause of denial and corrected errors as needed.
- Worked closely with billing team to assign appropriate codes using ICD-10-CM for diagnosis, CPT for procedures, HCPCS for supplies and modifiers as required by payers.
Charge Master Informatics
University Hospital Cleveland Medical Center
Cleveland, OH
01.2023 - 03.2023
- Mass imported over 1000+ technical and professional procedure records (CPT & CDM).
- Conducted a RVU mapping project to ensure Providers are receiving the appropriate RVUs from posted procedures.
- Structured cost centers & fee schedules across the facility ensuring revenue is routed to the appropriate revenue locations.
- Collaborated with the Accounting & Finance department to reconcile all CDM, CPT, & HCPCS codes being utilized in the facility.
Education
Lone Star College-North Harris
Skills
- Epic Trainer
- Hospital Billing
- Professional Billing
- Revenue Auditing
- CDM Management
- Claim Reconciliation
- Process improvement
- Remittance Reconciliation
- General Ledger Reconciliation
- Revenue Cycle Management
Timeline
Epic Revenue Cycle Specialist
Tidelands Health
03.2024 - Current
Epic Revenue Cycle Specialist (Remote)
ProHealth Physicians
02.2024 - 02.2024
Epic Revenue Cycle Specialist
UMass Memorial Medical Center - University Campus
06.2023 - 10.2023
Charge Master Informatics
University Hospital Cleveland Medical Center
01.2023 - 03.2023
Epic Credentialed Trainer, Rev Cycle
Tufts Medical Center
04.2022 - 12.2023
Lone Star College-North Harris
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