Erika S. Email & Phone Number

Monitor 835 byte remittance files to identify and mitigate clearinghouse issues for carrier transmissions. Audit electronic transmittals of 342 byte and 80 byte files. Analyze and interpret findings for Missing Explanation of Benefits, invalid postings and invalid matches for direct bill recoveries. Validate critical fields for invoice and posting back up documentation for approval. Collaborated with cross-functional teams to address compliance issues and implement corrective actions.Key Achievements:Successfully identified and mitigated recoverable timeframe for specific carriers resulting in $1.3M invoiced. Led Engineering and Optimization team in a five sprint run to complete 53 projects with a velocity rate of 77%.

Monitored and evaluated financial health reports to address input/output data issues and report monthly recoveries. Analyzed, tracked, and addressed operational issues to improve business performance. Provided training and guidance to staff on compliance for all state and federal contracts.Key Achievements:Developed and implemented the direct bill financial health report, improving reporting accuracy by 75 percent. Streamlined and consolidated over 200 standard operating procedures to ten documents for direct bill and disallowance products. Developed and maintained dashboards to track operations pain points resulting in 85% of tickets resolved and closed.

Provided day-to-day operational support to ensure smooth business operations and resolve issues promptly. Coordinated with Account Management, Provider Relations and IT Accounts Receivable to meet cycle deadlines and correct billing issues.Key Achievements:Authored the first Coordination of Benefits Training manual focusing on cycle deliverables. Developed Coordination of Benefits Bootcamp for Direct Bill, Disallowance, Invoice and Posting, and Cost Avoidance.

Conducted root cause analysis of lockbox issues. Audited and performed data validation of direct bill recoveries. Assisted in the development and documentation of standard operating procedures (SOPs).

Collaborated with cross-functional teams to design and implement control processes and ensure operational efficiency. Analyzed operational data to identify trends, anomalies, and areas for improvement. Facilitated weekly meetings with department heads to formulate action items for training initiatives.Key Achievements:Increased staff awareness and reduced process and proficiency errors by 20% (monthly).

Coordinated with internal departments and vendors to cure delinquent accounts. Monitored delinquency reporting and reported findings to management.

Managed Chapter 7 and 13 bankruptcy portfolios. Maintained accurate and up-to-date records of bankruptcy cases in the loan servicing system. Coordinated with attorneys, court appointed trustees, and internal clients to resolve issues and provide necessary documentationMonitor and report on the status of bankruptcy cases, including discharge, dismissal, and reorganization.

Master'S Degree, Leadership

Master Of Science, Leadership