Kendall Valeu
New Bern,NC
Summary
A seasoned Director of Revenue Cycle Management with a strong background in data analysis and system automation. I have over a decade of proven effectiveness in both strategic leadership and operations with significant financial growth, including a 10% increase in private revenue ($3M) in the first year of RCM Director and 15% ($7M) in the second year. I led initiatives that improved ship-to-market speed by 25%, recovered $500,000 in AR leakage, and launched an AI-powered chatbot for enhanced client satisfaction. Recognized for my exceptional analytical skills and expertise in cross-departmental collaboration, I am passionate about integrating cutting-edge technologies to drive efficiency and growth. My leadership drives company growth and operational efficiency. Awarded the 2022 MVP for leveraging data-driven insights to achieve record-breaking company results.
Overview
11
11
years of professional experience
Work History
Director of Reimbursement
Lympha Press, USA
Chadds Ford, PA
10.2022 - Current
- Drove consistent financial growth across all revenue-impacting business lines—including Medicare, Commercial, and Retail—for three consecutive years. Achieved a 10% revenue increase ($3M) in Year 1, followed by 15% growth ($7M) in Year 2, and currently on track to deliver a record-breaking 22% growth, setting new performance benchmarks for the company.
- Successfully led the onboarding of a global workforce to support administrative functions within internal revenue departments, resulting in streamlined operations, increased efficiency, and enhanced overall productivity.
- Secured a strategic subcontract with the nation’s largest DME company, driving $195,000 in additional revenue within 12 months.
- Designed and implemented a streamlined communication system for all RCM departments using PowerApps, Power Automate, and PowerFlow. The system leveraged trackable and automated application tickets to address key operational challenges, improve workflow transparency, and enhance interdepartmental collaboration, fostering greater alignment across the organization.
- Audit Success: Successfully navigated a challenging and widely interpreted LCD, recognized across the industry for its ambiguity, and achieved compliance by passing the Region A TPE audit (2023–2024). This was accomplished through proactive and rigorous LCD education initiatives, in collaboration with Noridian.
- E-Prescribing Platform Rollout: Led the successful contracting and API rollout of an E-Prescribing platform, improving documentation accuracy, and simplifying ordering processes for physicians.
- Strategic Planning and Reporting: Participated in quarterly strategic planning with the executive team, presenting comprehensive reports on headwinds, tailwinds, and departmental performance.
- Priority Setting and Strategy Implementation: Established quarterly priorities based on company headwinds and tailwinds, ensuring alignment and execution by department leaders.
- Cross-Departmental Reporting: Facilitated reporting across collaborating departments and direct partners, ensuring clear communication and alignment of goals.
- Leadership in company-wide communication: Led company-wide Zoom/Teams meetings covering policy updates, revenue analysis, and industry changes, ensuring organizational alignment.
- Collaboration with DEV/IT Teams: Worked closely with internal and external DEV/IT teams to develop efficient, user-friendly medical software solutions.
- Sales Performance Monitoring: Created direct reports tracking leakage, aged pending, and revenue trajectories for 30 sales teams nationwide, providing actionable insights to drive performance.
- Market-Driven Strategy Development: Analyzed sales trends, and collaborated with the marketing team to develop and implement effective strategies based on field findings.
Client Services Team Leader
Lympha Press, USA
Chadds Ford, PA
01.2022 - 10.2022
- AI-Driven Customer Service Innovation: Designed and launched a customer service AI chatbot, improving client experience by handling 70% of common inquiries, thereby reducing onboarding time and enhancing customer satisfaction
- Effective Team Expansion and Training: Onboarded 18 FTEs in the Client Service Department, providing hands-on training to ensure all team members met key performance metrics
- Improved Patient Engagement: Implemented a local dialer DID strategy, resulting in a 40% increase in patient engagement and call response rates
- KPI Development: Created and implemented KPIs and KPI dashboards tailored to job roles within internal revenue departments, driving performance improvements
- Developed an interactive SharePoint site to streamline onboarding for Client Services and Reimbursement employees, offering centralized access to SOPs, QRGs, and essential company materials. This initiative reduced the average ramp-up time for mid-level employees from 18 months to just 8 months, significantly enhancing efficiency and productivity.
Revenue Cycle Management Supervisor South East
Adapthealth
06.2017 - 12.2020
- Leadership in Revenue Cycle Management: Oversee all aspects of the revenue cycle, including intake, billing, coding, contracting, fee schedule accuracy, clearinghouse processes, payment posting, denial management, accounts receivable, appeals, and patient responsibility
- Data-Driven RCM Analysis: Conduct in-depth analysis of data and metadata from Tableau, SQL, and other sources to review and optimize the RCM cycle at AdaptHealth
- Focus on increasing cash-to-net revenue ratios and minimizing leakage, ensuring accurate financial reporting for earnings calls
- CPTM Team Collaboration: Work closely with the CPTM team to fine-tune pricing, contracting, and billing edits, ensuring compliance with contracts and fee schedules for accurate billing
- Client Relationship Management: Maintain and cultivate relationships with contracted hospitals and facility payers to ensure accurate billing and AR posting, fostering long-term partnerships
- Cross-Functional Collaboration: Collaborate with internal teams to identify and address recurring issues, driving solutions that support net-to-cash revenue goals
- Performance Reporting and Analysis: Develop and monitor productivity, earnings, staffing, leakage, and cash projections, providing direct reports to the Vice President of RCM and presenting findings during quarterly regional reviews
- Global and Domestic Staff Management: Lead both domestic and global teams to ensure transparency and effectiveness in the revenue cycle, consistently delivering on the company's service promises
- Achievement of Revenue Goals: Consistently meet AdaptHealth's monthly, quarterly, and annual revenue targets
- Documentation and Process Improvement: Create and maintain QRGs, SOPs, and SLAs for domestic and global CNS staff, enhancing operational efficiency
- Executive Reporting: Provide regular updates to the Vice President of RCM on earnings, productivity, and key insights during weekly, quarterly, and annual reviews
Owner & Founder
Samson Labs, LLC
01.2016 - 01.2019
- Founder & Operator of Samson Labs, LLC: Established and successfully managed the company from inception to profitability
- Significant Financial Growth: Transformed a $5,000 business loan into a company grossing over $100,000 within the first 18 months
- High-Impact Digital Marketing: Developed and executed social media ads, SEO strategies, and email marketing campaigns that reached over 15 million users, achieving an average cost per click of less than $0.001 with a monthly ad budget under $500
- Intellectual Property Development: Created and trademarked all Samson Labs, LLC products, including PreChaw️, under NDA with All American Pharmaceuticals
- Comprehensive Brand Creation: Designed the Samson Labs, LLC logo, developed the E-commerce store, and led all product design and marketing efforts
Assistant Manager
The Vitamin Shoppe
03.2014 - 10.2017
- Sales Team Leadership: Led a small sales team to consistently achieve monthly, quarterly, and yearly sales targets through interactive training, ongoing education, and corrective actions for underperforming associates
- Strategic Action Planning: Developed and implemented action plans to exceed key company metrics, including private label transactions, customer satisfaction ratings, and average basket size
- Shift Management & Operations: Oversaw all shift-related activities, including cash handling, deposit transfers, customer interactions, corporate communications, and accurate reporting of sales projections
- Customer Experience & Storefront Management: Ensured the fulfillment of the company's commitments to customers by maintaining a knowledgeable staff, fostering friendly interactions, and upholding a clean and inviting storefront
- Compliance & SOP Adherence: Adhered to retail month-end guidelines and SOPs, ensuring staff compliance with DSHEA regulations during every customer interaction
- Revenue Reporting: Provided daily, weekly, and monthly revenue reports to the store manager and district manager, ensuring transparency and alignment with sales goals
Central Intake Leader Mid-West & National Accounts
Adapthealth
01.2017 - 06.2017
- Responsible for all accounts loaded into Brightree that are 'on - hold' for additional documentation, denials, and insurance authorization approval
- Received and resolve feedback from all AR branches in the Mid-West regarding RCM holds and denials
- Assign out and manage the ques for several global RCM TPA companies, track productivity, and present the results directly to the VP
- Meet with the VP bi-weekly to prove reductions to the on-hold accounts posted in Brightree software
- Create and modify all payer QRG's and Authorization SOP's to present to global team members
Data Reimbursement & IV Authorization Specialist
Advanced Home Care Inc.
High Point, NC
10.2016 - 01.2017
- Oversight of On-Hold Accounts: Manage all accounts in Brightree that are on hold due to pending documentation, denials, or insurance authorization requirements
- AR Branch Coordination: Address and resolve feedback from all AR branches in the Mid-West related to RCM holds and denials, ensuring smooth operations and quick resolutions
- Global RCM Team Management: Assign tasks and oversee queues for multiple global RCM TPA companies, tracking productivity and reporting results directly to the VP
- Bi-Weekly Performance Review: Collaborate with the VP bi-weekly to demonstrate progress in reducing on-hold accounts within the Brightree system
- Documentation & SOP Development: Develop and update payer QRGs and authorization SOPs, providing clear guidance to global team members
Education
High School Diploma -
Eastern Alamance High School
Mebane, NC05-2011
Some College (No Degree) - Criminal Justice
Cape Fear Community College
Wilmington, NCSkills
- Advanced Multi-Platform Data Analysis & Configuration
- Proficient in Brightress, CPR, and Metabase
- Data Warehousing and ETL Data Configuration
- Expertise in Revenue Cycle Management
- Microsoft Excel Expert Certification
- Microsoft Word Expert Certification
- Microsoft Power Applications
- Healthcare reimbursement
- Data analytics
- Claims processing
- Denial management
- Medicare compliance
- Insurance verification
- Accounts receivable management
- Write reports
- Data trending
References
Available upon request
Awards
MVP, 2022
Personal Information
Title: Director of Reimbursement & Client Services
Timeline
Director of Reimbursement
Lympha Press, USA
10.2022 - Current
Client Services Team Leader
Lympha Press, USA
01.2022 - 10.2022
Revenue Cycle Management Supervisor South East
Adapthealth
06.2017 - 12.2020
Central Intake Leader Mid-West & National Accounts
Adapthealth
01.2017 - 06.2017
Data Reimbursement & IV Authorization Specialist
Advanced Home Care Inc.
10.2016 - 01.2017
Owner & Founder
Samson Labs, LLC
01.2016 - 01.2019
Assistant Manager
The Vitamin Shoppe
03.2014 - 10.2017
High School Diploma -
Eastern Alamance High School
Some College (No Degree) - Criminal Justice
Cape Fear Community College
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