Claritza Valenzuela
Phoenix,AZ
Summary
Efficient Revenue Cycle Supervisor oversees and optimizes billing and coding management for a rheumatology practice. Knowledgeable about full revenue cycle process, including accounts receivables, payment posting and customer relations. Astute accounting professional with eye for detail.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Revenue Cycle Supervisor
Arizona Arthritis & Rheumatology Associates
07.2021 - Current
- Trained, evaluated, and challenged team of 10 personnel and offshore vendors.
- Conducted regular staff meetings to review performance metrics, address challenges, and foster an environment of continuous improvement within the team.
- Optimized payment posting processes to improve cash flow and minimize delays in revenue recognition.
- Analyzed financial data for trends and opportunities, providing valuable insights for management decision making.
- Developed key performance indicators for the team, monitoring progress toward goals and providing actionable feedback to staff members.
- Served as a subject matter expert on reimbursement regulations, maintaining up-to-date knowledge of industry best practices and compliance requirements.
- Monitored department KPIs and employee performance and adjusted plans to meet daily and monthly goals.
- Reduced accounts receivable days outstanding by streamlining collection efforts and collaborating closely with customers for prompt payments.
- Monitored and guided revenue cycle operations.
- Conducted regular audits of charge capture systems to identify potential issues or areas for improvement within the revenue cycle process.
- Collaborated with cross-functional teams to develop and implement revenue cycle policies and procedures.
- Provided exceptional customer service by addressing billing questions and concerns in a timely, professional manner.
- Implemented robust denial management strategies that significantly reduced lost revenue due to denied claims or appeals processes failures.
- Completed financial reporting and analysis for billing revenue cycle.
- Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
- Streamlined billing procedures for increased accuracy, reducing errors and improving overall collections.
- Enhanced revenue cycle efficiency by implementing strategic process improvements and workflow optimizations.
Senior Medical Office Administrator
Hanger Clinic: Prosthetics & Orthotics
10.2018 - 11.2020
- Maintained patient database and updated information in alignment with HIPAA protocols.
● Coordinated front office duties, including customer service, patient
scheduling and billing for a busy prosthetic and orthotic office.
● Managed office inventory by restocking supplies and placing purchase
orders to maintain adequate stock levels.
● Inventory coordinator performing inventory count every quarter.
● Audited patient files to verify medical necessity and satisfaction of
coverage criteria.
● Managed costs, billing and resolved financial discrepancies effectively
through organizational management of account information.
● Established efficient workflow processes, monitored daily productivity
and implemented modifications to improve overall effectiveness of
personnel and activities.
● Established and developed a highly efficient and dependable
administrative team by delivering ongoing coaching and motivation
and fostering career advancement.
● Restructured installation processes boosting productivity.
● Improved patient satisfaction scores through application and superior
conflict resolution and problem-solving skills - Examined, interviewed and measured patients in order to determine
prosthetic needs and identify factors affecting the fit. - Instructed patients on how to use and care for mastectomy devices to
obtain optimal life and operation from each device.
Medical Office Administrator
Prosthetic Orthotic Associates
05.2011 - 10.2018
- Examined, interviewed and measured patients in order to determine
prosthetic needs and identify factors affecting the fit.
● Instructed patients on how to use and care for mastectomy devices to
obtain optimal life and operation from each device.
● Submitted electronic and paper claims to insurance companies
including Medicare and Medicaid to collect medical payments.
● Assisted on day-to-day operations of the billing department, including
medical coding, payment posting, accounts receivables and collections.
● Coordinated front office duties and patient scheduling in a prosthetic
and orthotic office.
Education
Associates in Health Administration - Health Administration
Pima Medical Institute
Aurora, CO01.2026
Medical Assistant Certificate -
Carrington College - Phoenix
Phoenix, AZ05.2010
High School Diploma -
Sunnyslope High School
Phoenix, AZ05.2008
Skills
- Denial Resolution
- Healthcare compliance
- Billing management
- Billing cycle expertise
- Revenue Enhancements
- Team Leadership
- Employee Supervision
- Operations Management
- Workflow Optimization
Affiliations
- National Organization of Rheumatology Management Member
Certification
- Certified Mastectomy Fitter (CFm)
- AAPC CRHC Certification Expected Sept 2024
Languages
Spanish
Native or Bilingual
Timeline
Revenue Cycle Supervisor
Arizona Arthritis & Rheumatology Associates
07.2021 - Current
Senior Medical Office Administrator
Hanger Clinic: Prosthetics & Orthotics
10.2018 - 11.2020
Medical Office Administrator
Prosthetic Orthotic Associates
05.2011 - 10.2018
Associates in Health Administration - Health Administration
Pima Medical Institute
Medical Assistant Certificate -
Carrington College - Phoenix
High School Diploma -
Sunnyslope High School
- Certified Mastectomy Fitter (CFm)
- AAPC CRHC Certification Expected Sept 2024
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