Victoria Epps
Sanford,FL
Summary
Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision-making skills and sound judgment to positively impact company success. Enhance team performance and maximize customer satisfaction by strategically managing calls and implementing process improvements.
Overview
9
9
years of professional experience
Work History
Billing/Claims Analyst
Alegeus
04.2018 - Current
- Processed member's claims following policy and guidelines within a timely manner.
- Posted payments, processed refunds, and communicated with clients regarding underpayments.
- Researched accounts and completed due diligence to resolve collection problems.
- Tracked and reported on claims processing metrics via Excel to aid senior management in making informed decisions.
- Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
- Maintained accurate records of all refunds processed, ensuring proper documentation for auditing purposes.
- Developed and documented collection procedures and policies to comply with government regulations.
Insurance Claims Processor
BroadPath
09.2017 - 04.2018
- Maintained strict adherence to industry regulations and internal policies when evaluating coverage eligibility for each claim submission.
- Collaborated with cross-functional teams to address customer concerns and provide timely and effective solutions.
- Generated, posted and attached information to claim files.
- Exported raw ACH data and prepared for analyzation using tools such as Macros, Pivot Tables, and SQL.
- Utilized excellent analytical and problem-solving skills to quickly and accurately assess insurance claims.
- Increased accuracy in claims processing by verifying policyholder information and cross-referencing with available records.
Customer Service Manager-OptumRx
Alorica
03.2015 - 09.2017
- Managed day-to-day operations of the customer service department, overseeing a team of 20 agents
- Lead team to provide top-tier support to clients, resulting in a 50% increase in customer satisfaction scores.
- Updated spreadsheets with current and monthly performance metrics daily.
- Implemented performance metrics and KPIs to measure team productivity, resulting in a 50% improvement in resolution times
- Reviewed repeated issues within operations and business management to solve problems and improve company outcomes.
- Assumed ownership over team productivity and managed work flow to meet or exceed quality service goals.
Education
Certificate - Insurance And Coding Specialist
Florida Technical College
DeLand, FL10.2018
Bachelor of Science - Supervision And Management
Daytona State College
Daytona Beach, FL12.2016
Associate of Arts - Accounting
Daytona State College
Daytona Beach, FL12.2014
Skills
- CPT Coding, ICD-10, HCPCS Coding
- EMR Utilizing Medisoft
- Microsoft Office Suite
- Conflict Resolution
- HealthCare Knowledge
- Health Insurance Verification
- Health Savings Account Knowledge
- Claims Processing and Adjustments
- Interpersonal Skills
- Problem Solving Skills
- Management Skills
- HIPAA
- Typing: 62 WPM
- Quality Assurance
- Attention to Detail
Timeline
Billing/Claims Analyst
Alegeus
04.2018 - Current
Insurance Claims Processor
BroadPath
09.2017 - 04.2018
Customer Service Manager-OptumRx
Alorica
03.2015 - 09.2017
Certificate - Insurance And Coding Specialist
Florida Technical College
Bachelor of Science - Supervision And Management
Daytona State College
Associate of Arts - Accounting
Daytona State College
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