Sheryl Dealca
San Bruno,CA
Summary
Revenue cycle professional. Proven ability to enhance team performance and streamline operations to achieve optimal financial results. Known for effective collaboration, adaptability, and reliability. Skilled in revenue cycle management software, regulatory compliance, and customer service.
Overview
1
1
Language
1
1
Certification
21
21
years of professional experience
Work History
NSA Revenue Cycle Specialist
Radiology Partners
09.2023 - Current
- Manage multiple IDR workflows, improving default ruling rates from 10% to 0.2%.
- Submitted disputes, brief requests, and supporting documentation through IDREs and patient portals, facilitating resolution processes.
- Verified NSA eligibility and entered determinations while conducting QA audits on offshore team, ensuring compliance and accuracy.
ABO Certified Optician
All Eyes on You Optometry Inc
10.2011 - 09.2023
- Managed optical department and front desk operations, ensuring efficient patient flow and service delivery.
- Processed Processed Medicare billing, ensuring compliance and timely reimbursement. claims accurately
- Provided expert guidance on eyewear selection and fitting for diverse clientele.
- Managed inventory of optical products, ensuring availability of high-demand frames and lenses.
Sales Floor Team Leader
Target, Daly City Serramonte Center
12.2005 - 10.2011
- Oversaw 6 clothing departments.
- Designed creative displays of inventory to enhance the visual experience for customers.
- Delivered customer service via telephone and in person to address inquiries and resolve issues.
- Staffing and managing talent.
Education
Medical
Skyline Community College
06-2002
Diploma - General Education
Hazel Park High School
06-2002
Skills
- Claims processing
- Medical Billing
- Insurance verification
- Medical Records
- Medical Scheduling
- HIPAA
- Excel
- Medical office management
- Due diligence
- Revenue cycle analysis
Certification
ABOC, June 2017, American Board of Optometry Certification for Dispensing Optician.
Languages
English - Expert
Additional information
Life coach certificate
Personal Information
- Title: ABO Certified Optician - All Eyes on You Optometry Inc
- Work Permit: Authorized to work in the US for any employer
Timeline
NSA Revenue Cycle Specialist
Radiology Partners
09.2023 - Current
ABO Certified Optician
All Eyes on You Optometry Inc
10.2011 - 09.2023
Sales Floor Team Leader
Target, Daly City Serramonte Center
12.2005 - 10.2011
Diploma - General Education
Hazel Park High School
Medical
Skyline Community College