Judith Valles
Access Healthcare
Springhill,FL
19
years of professional experience
Detail-oriented professional with a strong background in claims management and insurance verification. Recognized for analytical thinking and team collaboration, ready to leverage expertise to optimize workflows and enhance claim resolution.
Work History
Authorization Specialist
5 Years 5 Months- Coordinated with healthcare providers to resolve billing discrepancies.
- Implemented process improvements to enhance claim resolution rates.
- Analyzed billing data to identify trends and optimize workflows.
- Managed appeals for denied claims, achieving successful outcomes through effective communication.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Located errors and promptly refiled rejected claims.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
Insurance Verification Coordinator
13 Years 4 Months- Coordinated insurance verifications to ensure patient eligibility and coverage accuracy.
- Streamlined communication with insurance providers to expedite claim processing and reduce delays.
- Implemented process improvements that enhanced operational efficiency in verification workflows.
- Trained new team members on verification protocols and best practices for accuracy.
Education
High School Diploma
Timeline
Authorization Specialist
Access Healthcare
06.2018 - 11.2023Read More
Insurance Verification Coordinator
Advanced Imaging Concepts
03.2005 - 07.2018Read More
John Jay High School
High School Diploma
Read More