Leslie Valadez
San Antonio,TX
Summary
Pragmatic Insurance Verification Specialist touting 18 years of expertise in benefits explanation and coverage tracking. A team player with a vast knowledge of medical terms and working with all types of personalities effectively. Offering dynamic organizational skills and attention to detail.
Overview
18
18
years of professional experience
Work History
Supply Order Specialist/Government Insurance Verification Specialist
Medtronic Diabetes
01.2011 - 01.2024
- Ensure necessary physician documentation (RX, LOV, etc.) is on customer file
- Provide customer service regarding order status
- Verify traditional Medicare, Medicare supplements, MAPFFS, traditional Medicaid and other commercial coverages via online and/or telephone
- Quote out of network customers benefit options
- Inform of coverage termination, update, and re-verify as required.
Customer Service Representative
University Health Systems
01.2009 - 01.2010
- Performed receptionist duties
- Registered and verified demographics of patients
- Obtained Consents For Treatment, Patient Directory Privacy & CMS signatures from admitted inpatients
- Verified Medicare & Medicaid benefits via online portal.
Payment Poster/ Insurance Collection Specialist
Central Cardiovascular Institute
01.2006 - 01.2008
- Verified patient insurance information via online/phone/paper
- Processed insurance and patient payments, contractual adjustments, and denials to patient accounts
- Reviewed and followed up on EOB denials
- Submitted re-bills and appeals
- Identified debt accounts for adjustments and refunds.
Education
Some College (No Degree) - Psychology
University of Memphis Online
Memphis, TNParticipated in Medical Administrative Assistant Program., Took various medical management courses. - undefined
National Institute Of Technology
San Antonio, TX12.2006
Majored in Music Theory., Took various music courses. - undefined
Alamo Community College District
San Antonio, TX12.2003
Skills
- Excellent customer service and computer skills including experience with Microsoft Windows, Microsoft Office (Word, PowerPoint), ACT 2000, UPS Online World Ship, Intergy, Centricity, IDX Term, and IDX Web Familiar with Medicare Part B guidelines, ICD-9, CPT coding, and HIPPA certification Also familiar with all major forms of medical insurance I trained Overseas Employees via Zoom meetings on my current job duties
Timeline
Supply Order Specialist/Government Insurance Verification Specialist
Medtronic Diabetes
01.2011 - 01.2024
Customer Service Representative
University Health Systems
01.2009 - 01.2010
Payment Poster/ Insurance Collection Specialist
Central Cardiovascular Institute
01.2006 - 01.2008
Some College (No Degree) - Psychology
University of Memphis Online
Participated in Medical Administrative Assistant Program., Took various medical management courses. - undefined
National Institute Of Technology
Majored in Music Theory., Took various music courses. - undefined
Alamo Community College District
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