Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Christal Epps

Bailey

Summary

Detail-oriented and analytical professional with extensive experience in data management, claims processing, and financial reconciliation. Expertise in utilizing systems such as EPIC and CRM to maintain accurate records, process complex transactions, and ensure compliance with regulatory standards. Proven track record in analyzing, researching, and resolving discrepancies, developed through roles in insurance investigation and military service where precision and confidentiality were paramount. Recognized for integrity, strong organizational skills, and a steadfast commitment to accuracy while adeptly managing large volumes of data and generating insightful reports to support operational efficiency.

Overview

5
5
years of professional experience
1
1
Certification

Work History

PB HB Refund Specialist

ECU Health
05.2025 - Current
  • Managed patient and provider data with EPIC to ensure accuracy and compliance with organizational standards.
  • Compiled department-specific reports to help senior managers identify trends and improve progress.
  • Processed insurance claims, reconciled accounts, and handled claim adjustments with high attention to detail.
  • Issued refunds and checks to providers and patients, maintaining accurate financial records and adhering to deadlines.
  • Resolved discrepancies by researching and entering missing data to ensure integrity of patient and provider information.
  • utilized data management tools to organize, track, and maintain sensitive financial and clinical information.
  • Maintained confidentiality and compliance with HIPAA regulations in all data processing activities.

Inbound Contacts Rep 2

Humana
08.2023 - 05.2025
  • Followed all Medicare, Medicaid, HIPAA and private insurance regulations and requirements.
  • Provided timely feedback to physicians regarding authorization status.
  • Established and maintained CRM databases, ensuring data accuracy and compliance.
  • Processed insurance claims and handled billing inquiries to ensure customer satisfaction.
  • Communicated effectively with policyholders, providing updates and explaining the claims process clearly.
  • Provided guidance and support to customers regarding billing issues and payment plans.
  • Participated in team meetings to discuss best practices for responding to customer inquiries.
  • Led initiatives to enhance customer engagement and satisfaction through effective communication strategies.

Criminal Background Researcher

Inform Data LLC
11.2022 - 08.2023
  • Utilized public databases to locate persons of interest or obtain additional background information on cases.
  • Ran background checks of individuals to obtain data on character, financial status and personal history.
  • Organized and maintained detailed case files for all investigations conducted.
  • Collected and organized information for entry, prioritizing entries to increase efficiency.

Administrative Assistant

C. Heather Colson DMD PC
05.2022 - 11.2022
  • Answered incoming calls, scheduled appointments, and confirmed patient visits.
  • Received and distributed incoming fax, mail and parcels to staff to facilitate communication.
  • Adhered to HIPAA requirements to safeguard patient confidentiality.
  • Prioritized and organized tasks to efficiently accomplish service goals.

Security Forces Leader

United States Air Force, USAF
03.2020 - 03.2022
  • Provided first response to emergency situations, administering first aid and coordinating with emergency services.
  • Cared for personnel in medical trauma situations as first-response to emergencies.
  • Conducted searches of facilities, vehicles, and personnel in accordance with established guidelines.
  • Oversaw staff correspondence, record tracking and data communications, resulting in improved automation of office operations.
  • Conducted research, compiled and typed statistical reports, synthesized information and provided excellent communication to disseminate information throughout organization.

Education

A+, Linux - Cyber Security

My Computer Career
09-2025

Skills

  • Refund processing
  • Dispute resolution
  • Conflict management
  • Account updating
  • Data accuracy
  • CompTIA A certification
  • CompTIA network certification
  • Data management
  • Superb problem-solving skills

Certification

  • Comptia A+ - June 2025
  • Linux + - June 2025

Timeline

PB HB Refund Specialist

ECU Health
05.2025 - Current

Inbound Contacts Rep 2

Humana
08.2023 - 05.2025

Criminal Background Researcher

Inform Data LLC
11.2022 - 08.2023

Administrative Assistant

C. Heather Colson DMD PC
05.2022 - 11.2022

Security Forces Leader

United States Air Force, USAF
03.2020 - 03.2022

A+, Linux - Cyber Security

My Computer Career

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Christal Epps