Julia Plumley
Walton
Summary
Experienced healthcare revenue cycle and contract management professional with over a decade of expertise in reimbursement analysis, client implementation, and team leadership. Proven track record of identifying underpayment trends, optimizing contract builds, and driving multimillion-dollar revenue recovery. Skilled in Epic, Meditech, and a wide range of healthcare billing platforms. Recognized for critical thinking, mentorship, and cross-functional collaboration.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Contract Technician II
Ensemble Health Partners
01.2024 - Current
- Analyzed contract pricing methodologies and reimbursement structures to support accurate contract execution
- Maintain contract management system and perform build testing
- Lead HB contract client meetings and support cross-functional teams
- Audit contract builds and analyze Precision Reports for discrepancies
- Assist in training new associates and support revenue cycle departments
- Collaborated with team members to identify process gaps and implement effective solutions
- Developed comprehensive job aids to support daily operational tasks.
Contract Modeling Specialist I
Ensemble Health Partners
01.2023 - 01.2024
- Analyzed contract pricing methodologies and reimbursement structures to support accurate contract execution
- Conducted contract build testing and audits
- Reviewed Alexandria reports for build accuracy
- Led client meetings and mentored new team members
- Developed comprehensive job aids to support daily operational tasks.
Revenue Recovery Supervisor
Ensemble Health Partners
01.2020 - 01.2023
- Led two HB scopes generating $19M+ in 15 months
- Supervised 12 associates with 95%+ engagement scores
- Onboarded new FOS client and managed 35+ hospital reimbursement projects
- Proficient in CPT-4, HCPCS, and ICD coding; skilled in medical terminology, claims payment, and revenue cycle operations
- Created SOPs, workflows, and executive summaries; conducted quarterly audits
- Resolved billing issues and maintained False Variance Tracker
Revenue Recovery Specialist
Ensemble Health Partners
01.2018 - 01.2020
- Identified underpaid accounts and recovered lost revenue
- Discovered trends across clients leading to additional recovery
- Analyzed denial reports and mentored team members
- Conducted second/third-level reviews for revenue optimization
Regional Operations Specialist
Bottom Line Systems
01.2017 - 01.2018
- Coordinated new client implementations and onboarding
- Conducted quarterly QA reviews and submitted month-end reports
- Mentored regional staff and led deadline-driven projects
Implementation Specialist
Bottom Line Systems
01.2016 - 01.2017
- Developed training materials and resolved client-reported issues
- Conducted contract reviews and supported new hire training
Managed Care Analyst
Bottom Line Systems
01.2013 - 01.2016
- Identified Medicaid trend resulting in $800K+ revenue recovery
- Managed billing, appeals, and denial analysis
- Maintained revenue cycle operations and resolved claim discrepancies
Education
High School Diploma -
Pendleton County High School
Falmouth, KY05.2001
Skills
- Epic and Meditech systems
- PowerChart and HealthQuest
- Revenue cycle management
- Claims processing and tracking
- Data analytics and reporting
- Microsoft Office Suite
- Collaboration tools (MS Teams)
- Workday and IContracts integration
- Patient information management
Certification
- Epic HB Resolute Billing (RHB390)
- Certified Revenue Cycle Representative (CRCR)
- Epic Data Courier Badge
- Certificate of Proficiency: Medicare Reimbursement
Technical Skills
Epic, Meditech, PowerChart, Rev Cycle Pro, SSI, Claim Source, Chartmaxx, HealthQuest, EIQ, MS Office, MS Teams, Workday, iContracts, Passport, PIC
Timeline
Contract Technician II
Ensemble Health Partners
01.2024 - Current
Contract Modeling Specialist I
Ensemble Health Partners
01.2023 - 01.2024
Revenue Recovery Supervisor
Ensemble Health Partners
01.2020 - 01.2023
Revenue Recovery Specialist
Ensemble Health Partners
01.2018 - 01.2020
Regional Operations Specialist
Bottom Line Systems
01.2017 - 01.2018
Implementation Specialist
Bottom Line Systems
01.2016 - 01.2017
Managed Care Analyst
Bottom Line Systems
01.2013 - 01.2016
High School Diploma -
Pendleton County High School