Summary
Overview
Work History
Education
Skills
Timeline
Generic

Kelly Valdez

Vancouver

Summary

I seek to thrive in a dynamic and demanding environment, leveraging my life experiences, education, and professional skills to advance my career within the organization. My commitment to achieving my goals is driven by hard work, intelligence, collaboration, enthusiasm, and a willingness to embrace new challenges with an open mind.

Overview

21
21
years of professional experience

Work History

Insurance Verification Specialist

Rebound Orthopedics & Neurosurgery
09.2021 - 05.2025
  • Worked off spreadsheets from the MedEvolve system.
  • Analyzed patient insurance information for accuracy and eligibility, facilitating seamless billing procedures.
  • Inputting correct data in the patient chart for the clinic.
  • Inbound and outbound calls with patients or insurance companies.
  • Processed pre-authorization requests for surgical procedures, improving workflow efficiency.
  • Collaborated with healthcare providers to resolve discrepancies in insurance information.
  • Verified insurance eligibility and benefits for patients to ensure seamless access to care.

Clinic Supervisor

Rebound Orthopedics & Neurosurgery
02.2019 - 09.2021
  • Review and approve timecards.
  • Call-outs and schedule changes.
  • Building provider schedules.
  • Stocking and prepping for new clinic openings.
  • Prepare for monthly staff meetings.
  • Annual employee evaluations.
  • Oversaw daily clinic operations, ensuring efficient patient flow and high-quality care.
  • Weekly check-ins with staff.
  • Coordinated scheduling for patient appointments, optimizing workflow and reducing wait times.
  • Supervised daily clinic operations, ensuring compliance with healthcare regulations and protocols.
  • Developed and implemented staff training programs to enhance team performance and service delivery.
  • Trained and mentored clinical staff in best practices for patient care and compliance.
  • Coordinated staff schedules, optimizing resource allocation to meet patient care demands.

Unit Coordinator | Site Facilitator

Rebound Orthopedics & Neurosurgery
09.2012 - 02.2019
  • Work directly with patients in a clinical setting.
  • Work directly with physicians and MA staff.
  • Inbound and outbound phone calls with patients, insurance companies, and other medical providers.
  • Scheduling patients for services within the clinic and outside of the clinic.
  • Patient referrals.
  • Verifying insurance benefits.
  • Authorizations
  • Member of the Safety Committee, Appreciation Committee, and Social Committee.
  • Train new hires.
  • Collaborated with healthcare providers to ensure seamless communication and information flow.
  • Coordinated patient scheduling and communication, enhancing workflow efficiency.
  • Implemented electronic record management systems to streamline patient data access.

Office Coordinator (Front Office)

Oregon Orthopedic & Sports Medicine Clinic – Satellite Office
05.2005 - 09.2012
  • Call Center.
  • Scheduling Patients.
  • Verify insurance eligibility.
  • Ensured accurate processing of patient records and maintained compliance with HIPAA regulations.
  • Scanning paperwork into charts.
  • Referrals
  • Chart preparation for the clinic.
  • Checking in/out patients
  • Opening/Closing Clinic.
  • Co-pay logs
  • Covering other employees' positions while out.
  • Managed inventory of medical supplies, ensuring availability for clinical staff.
  • Coordinated patient scheduling to optimize office workflow and reduce wait times.
  • Coordinated office operations and workflows to enhance efficiency and service delivery.
  • Managed scheduling and appointment setting to optimize patient flow and resource allocation.

Assistant Manager

Gymboree
04.2004 - 08.2005
  • Oversaw daily duties of employees (10+ employees)
  • Loss and prevention
  • Open/Close store
  • Prep for new line
  • Cash handling
  • Customer Service
  • Weekly Staff Meetings
  • New hire training
  • Covered due to short staffing.
  • Led team in implementing customer engagement strategies to enhance overall shopping experience.
  • Developed training materials and conducted workshops for new employees on sales techniques and product knowledge.
  • Led team to enhance customer service standards and improve guest satisfaction.
  • Developed staff training programs to increase employee engagement and retention.

Education

B.S. Education - B.S. Health Education, Sports Leadership

Western Oregon University
Monmouth, OR
06.2004

Diploma - General Studies

Milwaukie High School
Milwaukie, OR
06.1999

Skills

  • Experienced in PowerPoint, Excel, and Word
  • Proficient in clinical terminology
  • Leadership and team management
  • Work prioritization strategies
  • Problem-solving abilities
  • Efficient learner in changing environments
  • Time management
  • Adaptable work hours
  • Team collaboration
  • Authorization processing expertise
  • Experience in healthcare operations
  • Insurance coverage verification
  • HIPAA compliance
  • Patient confidentiality
  • Attention to detail

Timeline

Insurance Verification Specialist

Rebound Orthopedics & Neurosurgery
09.2021 - 05.2025

Clinic Supervisor

Rebound Orthopedics & Neurosurgery
02.2019 - 09.2021

Unit Coordinator | Site Facilitator

Rebound Orthopedics & Neurosurgery
09.2012 - 02.2019

Office Coordinator (Front Office)

Oregon Orthopedic & Sports Medicine Clinic – Satellite Office
05.2005 - 09.2012

Assistant Manager

Gymboree
04.2004 - 08.2005

B.S. Education - B.S. Health Education, Sports Leadership

Western Oregon University

Diploma - General Studies

Milwaukie High School