Stephanie Beard

ACTIVE EPIC CERTIFICATIONS & CREDENTIALS ● Epic Resolute Hospital Billing Administration (Active) ● Epic Resolute Hospital Billing Claims & Electronic Remittance (Active) ● Epic Resolute Hospital Billing Charging (Active) ● Epic Resolute Hospital Billing Extracts (Active Badge) ● Hospital Revenue Cycle Operations (Active)

● CER Claim Edit Configuration: Independently configure CER claim edits, billing indicators, and DNB flags to optimize mid-revenue cycle efficiency and ensure clean claim submission.
● Payer-Specific Automation: Configured CER claim remark automation for Medi-Cal and Partnership payers to auto-populate supervision requirements based on CPT codes eliminating manual entry and reducing claim submission errors.
● Subscriber ID Validation: Optimized CER logic to resolve 'Invalid Subscriber ID' claim edits by implementing plan-specific exclusions to character truncation rules. This ensured data integrity for high-sensitivity Medi-Cal specialty programs and eliminated front-end rejections.
● Remittance Processing: Configure 835 remittance code mappings (CARC/RARC) to automate denial and payment processing, ensuring payer-specific adjustment codes are handled appropriately across
service areas.
● Claim Troubleshooting: Resolve claim routing issues and edit errors by analyzing CER rules, claim workflow, and payer requirements, preventing revenue leakage from misrouted or stalled claims.
● Cross-Functional Collaboration: Partner with Patient Access, HIM, and Revenue Integrity to resolve front-end registration edits, coding-related DNB flags, and CER-triggered holds, ensuring seamless claim
flow.
● Testing & Validation: Execute end-to-end validation for new build and upgrades, ensuring claim output, edit resolution, and 835 remittance processing meet payer and revenue integrity expectations.
● Operational Support: Resolve configuration-related billing staff tickets and author detailed ServiceNow documentation to support system transparency, knowledge transfer, and consistent build practices.