Victoria Bailey
Indianapolis
Summary
Healthcare Operations and Revenue Cycle Specialist with experience supporting billing workflows, provider data accuracy, claims resolution, and high‑volume member support across major health systems. Skilled in navigating Epic, CRM platforms, and payer policies to ensure accurate documentation, timely updates, and compliant processing. Known for quickly mastering new systems, adapting to evolving priorities, and delivering dependable results in fast‑paced environments.
My background includes multiple contract and project‑based assignments, which is standard in healthcare revenue cycle and IT support. These roles emphasized rapid onboarding, resolving high‑priority billing issues, clearing backlogs, and stabilizing operational workflows during periods of transition. I consistently step into complex environments, learn the structure quickly, and contribute measurable improvements in accuracy, efficiency, and service quality.
I bring strong analytical skills, clear communication, and a solutions‑focused mindset to every role. I’m seeking a long‑term opportunity where I can apply my experience in revenue cycle operations, customer support, and healthcare systems to support organizational goals and deliver high‑quality results.
Overview
7
7
years of professional experience
Work History
Customer Support Specialist
TEK Systems Global Services
Remote / Atlanta, GA
03.2025 - 08.2025
- Executed provider confirmation protocols within Epic Systems, validating credentials, affiliations, and status updates.
- Maintained high‑volume provider data queues, ensuring timely updates and preventing downstream billing or scheduling errors.
- Collaborated with cross‑functional teams (Credentialing, Medical Staff Office, HR, IT) to resolve discrepancies in provider profiles.
- Managed group Excel worksheets to track provider onboarding, terminations, and status changes.
- Ensured all provider data met CMS, HIPAA, and Emory internal compliance standards.
- Responded to internal department inquiries regarding provider status, privileges, and system access.
- Supported backend data cleanup projects during system transitions and provider roster updates.
- Identified data inconsistencies and escalated issues to leadership to prevent billing and scheduling disruptions.
- Maintained professional phone etiquette while handling sensitive provider information and high‑priority requests.
- Assisted with internal audits by providing accurate provider data and documentation.
- Ensured seamless data flow between Epic, credentialing systems, and reporting platforms.
- Contributed to improved provider data accuracy, reducing downstream claim errors and administrative delays.
Revenue Cycle Consultant
Healthcare IT Leaders
Remote / Alpharetta, GA
01.2024 - 05.2024
- Provided expert analysis on backend physician billing workflows to identify revenue leakage and improve financial performance.
- Analyzed provider billing cycles to uncover underreported descriptors and system flags impacting automated claim processing.
- Streamlined reporting structures to give leadership real‑time visibility into denial trends, recovery opportunities, and reimbursement delays.
- Supported multi‑client revenue cycle optimization projects, applying best practices in claim processing, payor relations, and denial prevention.
- Conducted root‑cause analysis on recurring denials and recommended corrective actions to reduce rework and improve first‑pass resolution.
- Collaborated with cross‑functional teams to align billing operations with CMS, HIPAA, and organizational compliance standards.
- Developed data‑driven insights to support leadership decision‑making and improve overall revenue cycle efficiency.
Revenue Cycle Analyst
IU Health Physicians
Remote / Indianapolis, IN
09.2020 - 01.2024
- Managed inpatient and outpatient physician billing services, ensuring accurate and timely processing
- Maintained professionalism while delivering exceptional customer service
- Verified insurance coverage for patients to ensure eligibility for physician services
- Conducted thorough billing and coding reviews for physician services to ensure compliance with healthcare regulations and standards
- Monitored and managed physician claims, including identifying and resolving claim denials and discrepancies
- Oversaw payment processing, including insurance and patient payments for physician services
- Analyzed revenue data related to physician billing to identify trends, discrepancies, and areas for improvement
- Generated and sent patient bills, answered billing inquiries, and set up payment plans as needed for physician services
- Ensured compliance with healthcare regulations, such as HIPAA and CMS guidelines, specific to physician billing
- Generated and analyzed financial reports related to physician billing revenue cycle performance
- Accurately entered and maintained patient and financial data for physician services in electronic health record (EHR) systems
- Implemented process improvements to enhance efficiency and effectiveness of physician billing operations
- Provided training and education to staff members on physician billing best practices and compliance
- Investigated and resolved physician claim denials, working with payors to appeal denials when necessary
- Communicated with patients regarding billing inquiries, payment options, and financial assistance programs related to physician services
- Reconciled financial records and accounts related to physician billing to ensure accuracy
- Assisted with internal and external audits related to physician billing processes
- Utilized healthcare revenue cycle management software and tools effectively for physician billing
- Provided financial counseling to patients, explaining their financial responsibilities and assisting with financial assistance applications for physician services
- Assisted in budgeting and financial forecasting for physician billing operations
- Maintained a high level of customer service when dealing with patients and external stakeholders related to physician billing
- Stayed updated on changes in healthcare regulations, billing codes, and industry best practices specific to physician billing
- Reporting: Generate and analyze financial reports related to revenue cycle performance.
Support Specialist
International Medical Group
Indianapolis, IN
09.2018 - 03.2019
- Delivered frontline support to members by resolving benefit, eligibility, and claims‑related inquiries with accuracy and professionalism.
- Assisted patients and providers with policy verification, coverage questions, and documentation requirements to ensure smooth claims processing.
- Investigated and escalated complex account issues, coordinating with internal departments to resolve discrepancies quickly.
- Maintained detailed case notes and updated member records to ensure compliance with organizational and regulatory standards.
- Provided guidance on international medical coverage, helping members understand plan benefits, limitations, and next steps.
- Managed high‑volume inbound calls while meeting performance metrics for quality, accuracy, and customer satisfaction.
- Provided technical support for clients, resolving issues efficiently and ensuring satisfaction.
- Collaborated with cross-functional teams to streamline communication and enhance service delivery.
- Developed training materials for new software tools, improving onboarding processes for staff.
- Managed customer inquiries through multiple channels, maintaining response accuracy and timeliness
Support Specialist
International Medical Group
Indianapolis, IN
09.2018 - 03.2019
- Delivered frontline support to members by resolving benefit, eligibility, and claims‑related inquiries with accuracy and professionalism.
- Assisted patients and providers with policy verification, coverage questions, and documentation requirements to ensure smooth claims processing.
- Investigated and escalated complex account issues, coordinating with internal departments to resolve discrepancies quickly.
- Maintained detailed case notes and updated member records to ensure compliance with organizational and regulatory standards.
- Provided guidance on international medical coverage, helping members understand plan benefits, limitations, and next steps.
- Managed high‑volume inbound calls while meeting performance metrics for quality, accuracy, and customer satisfaction.
- Handled physician billing using systems such as Cerner and Epic, ensuring accuracy and compliance with billing procedures
- Processed billing claim forms (UB-04 and Medicare CMS 1500) with a high degree of accuracy for physician services, significantly contributing to the financial stability of the practice
- Processed payments for medical procedures, ensuring timely and accurate posting for physician billing
- Efficiently routed incoming correspondence to appropriate departments, sent faxes and emails, and delivered mail to various departments
- Resolved billing issues and discrepancies by working closely with physicians and healthcare providers, ensuring the financial integrity of the practice
- Assisted with audits to ensure compliance with billing regulations and guidelines specific to physician services
- Managed the denial management process, including identifying, investigating, and appealing denied claims to ensure maximum reimbursement for physician services
- Maintained detailed records of denial reasons and outcomes to identify patterns and areas for improvement
- Communicated with insurance companies to resolve billing disputes and ensure timely payment of physician claims
Education
Associate of Science - Business Management
University of Phoenix
Tempe, AZ12-2026
GED -
High School Equivalency Diploma
Indianapolis, IN03-2014
Attending - Business Management
University of Phoenix
Tempe, AZ12-2026
Skills
- Healthcare & Revenue Cycle Skills
- Revenue cycle analysis
- Denial management
- Claims processing
- Prior authorization support
- Eligibility & benefits verification
- Provider data management
- Charge entry review
- Coding accuracy awareness
- Reimbursement optimization
- Payor policy interpretation
- Medical terminology
- HIPAA compliance
- CMS guidelines familiarity
- Patient account resolution
- EOB interpretation
- AR follow‑up
- Backend billing workflows
- Revenue leakage identification
- First‑pass claim resolution improvement Customer Service & Support Skills
- High‑volume call handling
- Member support & issue resolution
- Conflict de‑escalation
- Professional communication
- Active listening
- Empathy & patience
- Case documentation
- Problem‑solving
- Multi‑tasking under pressure
- Service‑level adherence
- Cross‑department collaboration Technical & Software Skills
- Epic Systems
- Cerner (if applicable)
- Microsoft Excel (VLOOKUP, filters, pivot basics)
- Microsoft Teams
- Microsoft Outlook
- CRM systems
- Ticketing systems
- Data entry accuracy
- Reporting & documentation
- Remote work tools (Zoom, Teams, WebEx) Administrative & Operational Skills
- Workflow management
- Queue management
- Time management
- Prioritization
- Process improvement
- Data accuracy & auditing
- Record maintenance
- Policy interpretation
- Quality assurance
- Confidential information handling
Languages
English
Full Professional
Timeline
Customer Support Specialist
TEK Systems Global Services
03.2025 - 08.2025
Revenue Cycle Consultant
Healthcare IT Leaders
01.2024 - 05.2024
Revenue Cycle Analyst
IU Health Physicians
09.2020 - 01.2024
Support Specialist
International Medical Group
09.2018 - 03.2019
Support Specialist
International Medical Group
09.2018 - 03.2019
Associate of Science - Business Management
University of Phoenix
GED -
High School Equivalency Diploma
Attending - Business Management
University of Phoenix