Shelby Jackson
Lone Tree
Summary
Healthcare operations professional with 4+ years of combined clinical and pharmacy experience utilizing Epic EHR and insurance systems. Direct exposure to revenue cycle workflows including prior authorizations, eligibility verification, documentation compliance, and interdisciplinary coordination impacting reimbursement outcomes. Strong analytical thinker experienced in workflow analysis, financial data organization, and end-user support. Seeking to transition into an Epic Professional Billing Systems Analyst role to optimize system performance, reduce denials, and improve revenue integrity.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Licensed Practical Nurse (LPN)
Sky Ridge Medical Center
- Current
- Utilize Epic EHR to document clinical encounters ensuring compliance with payer and regulatory requirements.
- Collaborate with physicians, RNs, and case managers to support discharge planning aligned with insurance authorization guidelines.
- Identify documentation gaps and communicate with providers to prevent reimbursement delays or claim denials.
- Apply utilization management criteria and eligibility standards to support appropriate level-of-care determinations.
- Participate in interdisciplinary workflow discussions to improve documentation accuracy and operational efficiency.
Pharmacy Technician (CPHT)
Walgreens
01.2022 - 01.2024
- Processed insurance claims and managed prior authorizations, communicating directly with payers to verify benefits and resolve claim denials.
- Investigated rejected claims and collaborated with prescribers to reduce billing delays and improve reimbursement efficiency.
- Maintained accurate electronic documentation within pharmacy systems ensuring HIPAA compliance.
- Educated patients on co-pays, formulary alternatives, and coverage limitations.
- Analyzed recurring claim issues impacting revenue cycle workflows and escalated systemic barriers when appropriate.
Personal Finance Intern
CCU
01.2021 - 12.2021
- Assisted students with financial aid processes, budgeting strategies, and funding allocation guidance.
- Organized and reviewed financial documentation to ensure compliance and accuracy.
- Utilized Microsoft Excel to track financial data and identify discrepancies.
- Supported documentation of financial workflows to improve reporting transparency.
- Communicated financial policy information clearly to diverse student populations.
Education
B.S. - Business Management
WGU
01-2026
Associate of Arts - Humanities
Skills
- Epic EHR (Clinical End-User Experience)
- Revenue Cycle & Professional Billing Exposure
- Insurance Claims Processing
- Prior Authorizations & Eligibility Verification
- Workflow Analysis & Process Improvement
- Documentation Compliance & Charge Awareness
- Financial Data Organization (Microsoft Excel)
- End-User Support & Troubleshooting
- HIPAA Compliance
- Cross-Functional Collaboration
Certification
- BLS
- ACLS
- CPR/AED
- IV Certified
- CPHT
Timeline
Pharmacy Technician (CPHT)
Walgreens
01.2022 - 01.2024
Personal Finance Intern
CCU
01.2021 - 12.2021
Licensed Practical Nurse (LPN)
Sky Ridge Medical Center
- Current
B.S. - Business Management
WGU