Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Blanca Monica Valdez

Phoenix,AZ

Summary

Results-driven Medical Claims Examiner with over 13 years of experience in evaluating claims for accuracy and compliance. Recognized for implementing process improvements and collaborating effectively with healthcare providers to resolve discrepancies and enhance operational efficiency.

Overview

14
14
years of professional experience

Work History

Medical Claims Examiner

Summit Administration Services
Scottsdale, AZ
09.2012 - Current
  • Evaluated medical claims for accuracy and compliance with industry regulations.
  • Conducted thorough reviews of claim documentation to ensure eligibility and proper coding.
  • Collaborated with healthcare providers and insurers to resolve discrepancies in claims processing.
  • Implemented process improvements that enhanced efficiency in claims adjudication workflows.

Education

Accounting

TECH ROSALES
Los Mochis, Sinaloa
05-1986

Skills

  • Customer service focus
  • Claims processing proficiency
  • HIPAA compliance
  • Teamwork orientation

Languages

English
Native or Bilingual
Spanish
Native or Bilingual

Timeline

Medical Claims Examiner

Summit Administration Services
09.2012 - Current

Accounting

TECH ROSALES
Blanca Monica Valdez