Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Rhiannon Ungerer

Milwaukee

Summary

Experience in the configuring and supporting Charge Router, CRDs, Remittance Processing, RMC Codes, Workqueues, Statements, Cash Drawers, GL Support. Update Fee Schedules, create CPT/HCPC Codes, maintain the quarterly MUE, RVU, and CCI/LCD load with the annual CMS updates. Supported Dashboards, Charge Router Reconciliation Reports, Epic Terminal TXT/Putty, SFTP, Security Classes, Security Points and Modules. Managed Slicer Dicer Reports, Payment and Adjustment Codes, Paper and Electronic Form Configuration and Overrides. Taxonomy Code Updates, Payment Plans, Follow-Up Records and Profile. Implemented Batch Jobs, Extracts, MyChart billing, Credit Card and Kiosk Payment Configuration. Experience in NOVA, Sherlock, Foundation System, and SFTP. Familiar with ServiceNow for Ticket Processing.

Overview

8
8
years of professional experience
4
4
Certifications

Work History

Epic PB Certified Claims Analyst

Optum
Eden Prairie
02.2024 - Current
  • Ongoing Operational support as a Epic Professional Billing Analyst for Prohealth Care and multiple Community Connect Sites.
  • Implemented E-Visits, Hello World, and a new Claims, Remittance, and Statements Vendor. Manage Workqueues, daily support, upgrades, end user workflow, and file transfers from vendors.
  • Experience in AIP records, Cash. Management, Estimates, UB Form Updates, SFTP File Transfers, and PLB Updates.
  • Payment Plan Configuration and Auto-Pay Set Up in Epic. Improve automation in claims submission.

Epic PB Certified Claims Analyst

ProHealth Care
Peqaukee
02.2020 - 02.2024
  • Provided Epic Professional Billing and Claims operational support for ProHealth Care and 22 Community Connect Sites.
  • Worked on new billing providers, claim edits, new workqueue rules, statement updates.
  • New Department build, collection agency updates, follow-up workqueue profile build, RMO mapping.
  • Kiosk and Credit Card Mapping with Vendor, and payment plan configurations

EPIC ANALYST ASSOCIATE

ProHealth Care
Pewaukee
06.2018 - 02.2020
  • Supported and maintained the daily level tasks given by each Epic Application.
  • Provided Support in Epic MAR Chart Corrections, New Printer Records, Guarantor Accounts, Front Desk/Registration.
  • Fee Schedule Pricing Updates, Cash Drawers, New Payor/Plans, and created test patients for integrated testing in our ALM system.
  • Supported Beaker Go-Live and Epic Upgrades.
  • GL String updates for departments and new procedure records.

Education

Bachelor of Science - Computer Science-Emphasis in Business & Management

Brescia University
Owensboro, KY
05-2018

Skills

  • Epic Professional Billing
  • Claims Processing
  • Payment Plan Configuration
  • Workflow Optimization
  • Vendor Management with Claims, Remits, Statements, and Credit Card Processing
  • Epic System Quarterly Upgrades
  • Epic GL Files
  • Fee Schedules, Charge Router, Workqueue Logic
  • Follow Up Workqueue Profile
  • MyChart Billing

Certification

Epic Certified in Resolute Professional Billing Claims and Electronic Remittance Administration

Timeline

Epic PB Certified Claims Analyst

Optum
02.2024 - Current

Epic PB Certified Claims Analyst

ProHealth Care
02.2020 - 02.2024

EPIC ANALYST ASSOCIATE

ProHealth Care
06.2018 - 02.2020

Bachelor of Science - Computer Science-Emphasis in Business & Management

Brescia University
Rhiannon Ungerer