Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
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Valencia Valcarcel

Antioch,TN

Summary

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

19
19
years of professional experience

Work History

Compliance Auditor

LocumsMart
06.2022 - Current
  • Analyzed all audit results and resolved all compliance issues.
  • Participated in various training and development programs with our outsource teams.
  • Prepared reports for templates and maintained compliance database.
  • Partnered with auditors to track errors and add contributions to maintain accuracy.
  • Reviewed accounts, resolved rejection issues with vendor partners, and tracked recurring errors for vendor education.
  • Reviewed and processed invoices against all supporting documentation to ensure accuracy; including but not limited to the review of timesheets, confirmation agreements, receipts.
  • Approved invoices for payment.
  • Assisted customer service with vendor related concerns with resolution in a timely manner.
  • Maintained internal and external business relationships to resolve invoice rejections issues.

Remote AR Compliance Specialist

HCA
01.2013 - 06.2022
  • Supported team by pitching in to complete special projects.
  • Performed quality reviews to uncover workflow and communication issues.
  • Assisted with training sessions to educate management personnel on compliance and regulatory standards through Epic platform.
  • Business to Business follow up with governmental agencies and commercial payers to ensure claims are paid in compliance per the physicians contractual agreement. Responsible for resolving physician concerns via remedy support tickets. Investigating & overcoming objections causing provider claims to be underpaid by use of credentialing and other onboarding documentation. Researching denial trends and reporting to management. Review patient accounts for accurate charges, accurately posting payments to individual accounts per EOB/ERA received. Maintain proper communication with patients & providers regarding account status. Maintain a strong customer service relationship with business customers.

Paralegal

Chapter 13 Trustee's Office
09.2004 - 11.2011
  • Managed scheduling of court calendars and deadlines to maintain smooth flow of firm operations.
  • Edited and proofread legal documents to verify accuracy.
  • Maintained and updated organized client contact information to keep in touch with clients and provide updates on cases.
  • Conducted detailed client intakes and entered information into company database.
  • Responsible for multitasking in multiple databases to track debtors account. Conducted monthly audit of cases. Reviewed debtors account for compliance with court signed orders. Filing, uploading and scanning secure documents into the electronic record. Assisted attorney and client with case inquiries. Maintained proper communication with clients.

Education

Associate of Applied Science - Medical Billing & Coding

Remington College
Nashville
11.2012

Skills

  • Client Representation
  • Strong Computer Skills
  • Staff Oversight and Leadership
  • Effective and Professional Communication
  • Auditing and Attestation
  • Critical Thinking and Analysis
  • Reading Comprehension
  • Auditing Experience
  • Typing and 10-Key Entry
  • Microsoft Office
  • Proficiency in LocumSmart Platform
  • Proficiency in Epic Billing Plaform

Accomplishments

  • Collaborated with team of 10 in the development of Epic pilot program with HCA
  • Resolved product issue through testing.
  • Documented and resolved billing issues which led to several facilities adding Epic as their billing system.

Timeline

Compliance Auditor

LocumsMart
06.2022 - Current

Remote AR Compliance Specialist

HCA
01.2013 - 06.2022

Paralegal

Chapter 13 Trustee's Office
09.2004 - 11.2011

Associate of Applied Science - Medical Billing & Coding

Remington College

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Valencia Valcarcel