Customer & healthcare operations
Healthcare Revenue Cycle Analyst
Stacey Galapon
Revenue Cycle • Claims Resolution • Denials Management
Healthcare revenue cycle professional with experience resolving denied claims, interpreting EOBs and ERAs, researching payer policies, verifying eligibility, and documenting claim activity within Epic Hyperspace and payer portals. Experienced supporting VA, TRICARE, CHAMPVA, commercial, and managed care workflows while maintaining HIPAA compliance and documentation accuracy.
⌖ Columbus, OH • Open to Remote, Hybrid, and Relocation Opportunities
Epic-based work queues
From workflow intervention
Systems & Skills
Technical Proficiency
A comprehensive inventory of capabilities spanning revenue cycle operations, payer systems, compliance frameworks, medical billing knowledge, and tools used to support claim resolution.
Revenue Cycle & Claims
- Revenue Cycle Management
- Claims Resolution
- Denials Management
- Claim Correction
- Claim Resubmission
- Accounts Receivable Follow-Up
- Insurance Follow-Up
- Timely Filing
- Appeals Support
- Underpayment Review
- EOB / ERA Review
- Payment Research
Insurance & Payer Operations
- Eligibility Verification
- Benefits Interpretation
- Authorization Review
- Government Payers
- Coordination of Benefits
- Commercial Payers
- VA / TRICARE / CHAMPVA
- Payer Portal Research
- Coverage Validation
- Managed Care Workflows
Systems & Tools
- Epic Hyperspace
- eClinicalWorks
- Citrix Workspace
- Availity
- Compass
- Microsoft Excel
- Microsoft Outlook
- Microsoft Teams
- Microsoft OneNote
- Google Workspace
- CRM Documentation Systems
Compliance & Operations
- HIPAA Compliance
- Documentation Accuracy
- Root Cause Analysis
- Workflow Troubleshooting
- Cross-Functional Collaboration
- High-Volume Queue Management
- Process Adherence
- Audit-Ready Documentation
Medical Billing Knowledge
- CMS-1500
- UB-04
- CPT Familiarity
- HCPCS Familiarity
- ICD-10-CM Familiarity
- CARC / RARC
- Medical Necessity
- Medical Policy Research
- Billing Compliance
- Claim Lifecycle
Selected Impact
Where I Made a Difference
Beyond day-to-day claims processing, these are the moments where I identified problems, took initiative, and delivered measurable support for my team and organization.
Featured Case
Epic Workflow & Team Training Intervention
Aspirion Health Resources — SLHS Team
- 1
Identified a recurring Epic workflow issue contributing to repeated authorization denials across a 38-analyst team.
- 2
Escalated findings to management and was designated to help train team members on revised Epic protocols.
- 3
Developed targeted training resources that contributed to resolving 40+ recurring denials and improving workflow consistency.
Analysts supported
Denials resolved
Root cause identified
⌁
Denial Investigation
Reviewed payer responses and EOB codes to determine root causes of denied claims across government and commercial payer environments.
EOB / ERA ReviewCARC / RARCRoot Cause Analysis
✓
Eligibility Verification
Investigated coverage discrepancies across payer portals, Availity, and Epic to validate benefits and coordination of benefits.
AvailityPayer PortalsEpic Hyperspace
⚠
Claims Documentation
Maintained detailed, audit-ready records of payer communications, claim activity, denial rationale, and next-step recommendations.
HIPAA CompliantRCM DatabaseCall Tracking
Experience Snapshot
Professional History
A progressive trajectory from high-volume operations management into healthcare revenue cycle — each role building deeper expertise in claims resolution, payer operations, and process improvement.
VA / TRICARE Medical Claims Analyst
Jul 2025 – Dec 2025 · 6 mosAspirion Health Resources • Georgia, United States • On-site
Managed high-volume hospital and professional claims workflows involving VA, TRICARE, CHAMPVA, and related government payer accounts within Epic Hyperspace.
- Investigated claim rejections, denials, eligibility discrepancies, authorization issues, COB concerns, and missing documentation.
- Reviewed EOBs/EOPs and payer adjudication details to determine payment outcomes and next steps.
- Coordinated claim corrections, resubmissions, reconsiderations, and payer follow-up according to facility and payer-specific protocols.
Virtual Medical Receptionist | Client Experience
Apr 2024 – Oct 2024 · 7 mosAnywhereWorks (WellReceived) • Remote
Provided virtual front-desk support for healthcare practices, managing high-volume inbound patient calls with 98%+ QA scores.
Member Services Representative
Oct 2021 – May 2023 · 1 yr 8 mosElevance Health • United States • Remote
Supported members with health plan benefits, eligibility, claims status, and coverage interpretation in a high-volume healthcare environment.
Career Break — Caregiving
Oct 2016 – Oct 2021 · 5 yrs 1 moFull-Time Caregiving • Columbus, Georgia
Managed full-time caregiving responsibilities while maintaining structured daily operations and scheduling.
Commercial Parts Professional
Apr 2016 – Oct 2016 · 7 mosAdvance Auto Parts • Georgia, United States • On-site
Supported commercial client accounts and daily sales operations, with department sales reported by management to have tripled following onboarding.
Assistant Manager of Operations
Jul 2010 – Dec 2015 · 5 yrs 6 mosPapa John's • Georgia, United States • On-site
Managed daily operations, staff coordination, and customer service in a high-volume environment, contributing to the store achieving the highest sales profits in the region.
Portfolio Deliverable
Denied Claims Follow-Up Tracker & Documentation Template
A sample deliverable demonstrating practical workflow thinking for revenue cycle, claims follow-up, accounts receivable, and reimbursement support roles. This reflects a structured approach to researching denials, documenting payer activity, tracking next steps, and supporting timely claim resolution.
Identify the denial
- Payer name, claim number, patient/account identifiers
- Date(s) of service
- Denial code / denial reason
- Billed amount / allowed amount / paid amount / balance
Validate core claim details
- Patient demographics, subscriber / member ID, group / plan
- Provider / facility details, rendering / billing NPI, place of service
- CPT / HCPCS / ICD-10 coding, modifiers, units, charges
- Authorization / referral status, timely filing status
Research the root cause
- Payer portal claim status, ERA / EOB details
- Eligibility / benefits information, prior documentation
- Medical records or supporting documentation
- Coordination of benefits, contractual / payer-specific guidelines
Determine corrective action
- Correct and resubmit the claim
- Submit reconsideration or formal appeal
- Send medical records or supporting documentation
- Update insurance, rebill, request coding review, adjust balance, escalate
Document clearly
- What was reviewed, what issue was identified
- What action was taken, what documents were sent
- Who was contacted, reference / call tracking number
- Next follow-up date
Track until resolution
- Claim paid correctly
- Appeal decision finalized
- Balance adjusted appropriately
- Patient responsibility confirmed or account closed with rationale
What This Demonstrates
Organized denial researchClear documentation practicesUnderstanding of payer follow-up workflowsRoot cause analysisAccuracy and traceabilityProfessional written communicationRevenue cycle awareness from denial through resolution
Certifications & Education
Professional Development
Continuously strengthening formal reimbursement and billing expertise through AAPC certification coursework and employer-sponsored Epic training.
AAPC / CourseraCourse CertificateIntroduction to Certified Professional Biller
Introduction to Certified Professional Biller (CPB)®
AAPC via Coursera
- Completed
- May 2, 2026
- Instructor
- Katherine Abel, CPC, CPB, CPMA, CPPM, CDEI, RCMS
AAPC CPB Coursework — In Progress
Full certification pathway
Training includes: Revenue Cycle, Claims Lifecycle, Reimbursement, HIPAA, Denials, EOB/ERA Interpretation, Insurance Models, Billing Compliance.
Epic Hyperspace Training
Employer-sponsored
Shaw High School
High School Diploma
Volunteer Work
Community Involvement
Active volunteer serving in digital engagement and worship ministry roles — demonstrating reliability, collaboration, and a commitment to building inclusive communities.
♡
Online Ministry Engagement
Cascade Hills Baptist Church Inc
Dec 2022 – Present · 3 yrs 7 mos
Supported online ministry efforts by engaging with attendees during virtual services, assisting with communication, and helping maintain a welcoming digital environment.
♫
Worship Ministry Vocalist
Cascade Hills Baptist Church Inc
Jun 2024 – Present · 2 yrs 1 mo
Served as a vocalist on the worship team, supporting weekly services and special events through music, rehearsal participation, team collaboration, and reliable service.
Recommendations
What People Say
Professional endorsements from a mentor and a direct manager — offering perspective on my work ethic, problem-solving approach, and impact on the teams I've been part of.
Julie Harris, CD, MBA
All Things Comms | Senior Marketing & Communications Leader
April 27, 2026 — Julie was Stacey's mentor
I had the pleasure of mentoring Stacey and was consistently impressed by her versatility and adaptability. She approaches every challenge with a growth mindset — eager to learn, quick to apply new knowledge, and always looking for ways to improve processes around her.
What sets Stacey apart is her rare combination of big-picture thinking and meticulous attention to detail. She doesn't just identify problems; she investigates root causes, proposes solutions, and follows through to resolution.
Brittany Katherine Gilder
Revenue Cycle Management | Complex Claims | Operations Management
February 19, 2026 — Brittany Katherine managed Stacey directly
Stacey was an outstanding Claims Analyst on my team. From day one, her willingness to learn and her attention to detail set her apart. She consistently processed high volumes of claims with accuracy and took the time to research denials thoroughly rather than rushing through them.
What impressed me most was her initiative. Stacey identified a recurring Epic workflow issue causing authorization denials across our team, escalated it appropriately, and then took it upon herself to develop and deliver quick training sessions for her peers.
Contact
Let’s Connect
Open to healthcare revenue cycle, claims analyst, denials management, billing operations, and remote healthcare operations opportunities.