Summary
Overview
Work History
Education
Skills
Timeline
Generic

ROCHELLE VALDEZ

Denver,CO

Summary

Accomplished Records Auditor at Air Methods, adept in converting and auditing aircraft maintenance records, and ensuring data accuracy. Demonstrated expertise in insurance verification and claims processing, with a strong foundation in customer service and organizational abilities. Achieved a significant improvement in claim processing efficiency by 30%, leveraging skills in data entry and problem resolution.

Overview

27
27
years of professional experience

Work History

Records Auditor

Air Methods
Greenwood Village, Colorado
06.2024 - Current
  • Daily audit of all maintenance entries online
  • Convert aircraft records into digital format for archiving and retrieving
  • Ensure that recorded maintenance on aircraft is entered into the maintenance reaching system
  • Review aircraft hours/cycles daily to ensure data is correct
  • Ensure accuracy of component removals and replacement in the maintenance database to include accuracy of past numbers and serial numbers
  • Research and disposition historical record for aircraft
  • Perform periodic aircraft records, audit for completeness and accuracy

Insurance Eligibility Coordinator

Colorado Heart & Vascular
Golden, CO
05.2022 - 06.2024
  • Received patient referrals and scheduled appointments accordingly
  • Verified insurance coverage for each referral appointment prior to scheduling
  • Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers

Claims Processor

Sonsio Inc.
Arvada, CO
01.2016 - 04.2022
  • Processed warranty claims promptly according to manufacturer guidelines
  • Responded quickly to customer inquiries regarding service issues or warranty claims
  • Provided customer support to customers, dealerships and repair shops
  • Processed claims for payment or forwarded to appropriate personal for further investigation

Receptionist

Color Change Painting
Denver, CO
12.2000 - 11.2015
  • Answered incoming calls, took messages, and transferred calls to appropriate departments or personnel
  • Scheduled appointments for clients, customers, and other visitors
  • Performed data entry tasks into various computer systems accurately and promptly
  • Assisted in maintaining office supplies inventory by checking stock to determine inventory level; anticipating needed supplies; placing orders for supplies; verifying receipt of supplies

Medical Claims Processor

Anthem Blue Cross & Blue Shield
Denver, CO
11.1997 - 09.2000
  • Reviewed medical claims for accuracy and completeness, verifying patient eligibility and coding
  • Processed a high volume of claims on a daily basis using established time frames
  • Responded promptly to customer inquiries regarding claim status or other issues
  • Prepared documents for submission to insurance companies for review and approval for payment of claims
  • Calculated payments due based on allowed charges compared to billed charges according to contract terms with payers, insurers, third parties

Education

GED -

Technical Education Center North
Denver, CO
01.1997

Skills

  • Complaint resolution
  • Inbound and Outbound Calling
  • Customer Service
  • Quality Assurance Controls
  • Medical Terminology
  • Data Entry
  • Appointment Scheduling
  • Shipping and receiving understanding
  • Spreadsheets
  • Problem Resolution
  • Filing
  • Microsoft Outlook
  • HIPAA
  • Claim validity determination
  • Insurance Verification
  • Insurance claims processing
  • Organizational abilities
  • Telephone Etiquette

Timeline

Records Auditor

Air Methods
06.2024 - Current

Insurance Eligibility Coordinator

Colorado Heart & Vascular
05.2022 - 06.2024

Claims Processor

Sonsio Inc.
01.2016 - 04.2022

Receptionist

Color Change Painting
12.2000 - 11.2015

Medical Claims Processor

Anthem Blue Cross & Blue Shield
11.1997 - 09.2000

GED -

Technical Education Center North

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ROCHELLE VALDEZ