MIKKI VALENCIA
Rio Rancho
Summary
Proactive, goal-oriented professional recognized for exceptional time management and problem-solving abilities. Key strengths include reliability and adaptability, complemented by a swift capacity to learn and effectively apply new skills. Committed to leveraging these qualities to drive team success and contribute to overall organizational growth. A strong focus on achieving results through collaboration and innovative thinking enhances the ability to meet challenges head-on.
Overview
16
16
years of professional experience
Work History
Payment Poster
NM Surgery Center Orthopaedics
Albuquerque, NM
01.2026 - 04.2026
- Executed posting of insurance payments, including Medicare and Medicaid, ensuring accuracy for timely claim processing.
- Partnered with billing team to investigate and resolve claim discrepancies.
- Conducted thorough reviews of overpayments and facilitated refunds to patients and payers to uphold financial accuracy and integrity.
- Documented payment denials within billing system to ensure accurate records and informed account managers for swift resolution.
- Executed posting of payer remittances in the system, aligning EOB line items with charges to maintain financial accuracy.
Insurance and Benefits Admin. Tech
Presbyterian Health Care
Albuquerque, NM
05.2015 - 11.2021
- Facilitated resolution of provider claims and eligibility questions to enhance provider satisfaction through effective communication and follow-up.
- Collaborated with supervisor to address and resolve complex provider and member issues, maintaining focus on timely resolution and accurate record-keeping.
- Resolved complex customer conflicts by leveraging internal resources to develop strategic solutions.
- Managed confidential patient records and communications to uphold HIPAA compliance and protect patient privacy.
- Clarified benefit limits and patient financial responsibilities to callers while meticulously documenting guidance and follow-up actions.
Call Center Representative
Alliance Data
Rio Rancho, NM
02.2013 - 04.2015
- Resolved customer inquiries promptly to foster positive experiences and maintain satisfaction levels.
- Boosted satisfaction ratings through effective communication, tailored recommendations, and prompt issue resolution.
- Demonstrated high performance by consistently exceeding call volume targets, receiving accolades for outstanding contributions.
- Maintained calm demeanor during high-pressure interactions to de-escalate situations and ensure continued positive customer relations.
- Facilitated resolution of intricate billing disputes on inbound calls to enhance customer satisfaction and reduce repeat contacts.
Head Cashier
Home Depot
Keller, TX
06.2010 - 01.2013
- Executed accurate register transactions and upheld drawer accountability to enhance financial integrity.
- Managed cashier scheduling to optimize coverage and enhance service efficiency during peak shifts.
- Fostered strong interpersonal connections among team members to facilitate effective communication and collaboration on the floor.
- Managed multi-lane register functions to minimize customer wait times and improve overall shopping experience.
- Instructed cashiers on POS shortcuts and scanning techniques to enhance checkout efficiency and throughput.
Education
Associates Degree - Liberal Arts
CNM
Skills
- Customer service proficiency
- Skilled in prioritizing tasks
- Effective communicator with a positive attitude
- Detail-oriented execution
- Strong work ethic
- Ensure compliance with HIPAA standards
- Attentive listening
- Quickly adjusting to change
- Empathy in communication
- Effective problem resolution
- Appointment scheduling
- Medical terminology comprehension
- Claims processing knowledge
Timeline
Payment Poster
NM Surgery Center Orthopaedics
01.2026 - 04.2026
Insurance and Benefits Admin. Tech
Presbyterian Health Care
05.2015 - 11.2021
Call Center Representative
Alliance Data
02.2013 - 04.2015
Head Cashier
Home Depot
06.2010 - 01.2013
Associates Degree - Liberal Arts
CNM