Summary
Overview
Work History
Education
Skills
Certification
Affiliations
Software
Work Availability
Quote
Timeline
Hi, I’m

VALERIE STANCLIFF

Healthcare Revenue Cycle
Napa,CA
VALERIE STANCLIFF

Summary

Organized and dependable candidate with over 15 years of experience in Healthcare Administration and Revenue Cycle Management. Excellent reputation for resolving problems, improving customer satisfaction, building relationships, facilitating growth, and driving overall results. Recognized consistently for performance excellence and contributions to success.

Overview

15
years of professional experience
3
Certifications

Work History

Neurovations
Napa, CA

Director of Revenue Cycle Operations
02.2022 - 06.2023

Job overview

  • Responsible for the revenue cycle of a well-established pain management practice, surgery center, TMS clinic, and clinical research department
  • Oversaw daily operations of the RCM team, including charge and demographic entry, authorizations, billing, and claims follow-up/collections
  • Established, implemented, and documented policies and procedure
  • Performed technological capabilities analysis and presented improvement recommendations
  • Audited and monitored for compliance and the capture of maximum revenue
  • Led contract and budget negotiations
  • Increased collections by 20%
  • Counseled employees regarding company policies, procedures and workplace issues

SyMed Corp
Napa, CA

Director of Provider & Client Services
09.2018 - 02.2022

Job overview

  • Oversaw healthcare administrative support functions of payer contracting, provider enrollment, contract maintenance and negotiations, provider outreach and education, verification of benefits, and authorizations/single case agreements
  • Provided leadership and guidance to team of Provider Support Specialists
  • Assigned and monitored workflow
  • Trained and educated on best practices, field knowledge, and emerging developments on the healthcare landscape
  • Provided client support during payer audits
  • Increased provider compliance with payer regulations
  • Consulted with clients through mergers/acquisitions and adding new lines of business. Guided a client in increasing their business by 50%
  • Networked for referrals of additional business through relationships with clients, vendors, and associations
  • Traveled to conferences as both vendor and attendee, debriefing and distributing pertinent information to internal staff upon return
  • Consulted on EHR and software integrations and development with multiple systems
  • Acted as liaison between our external clients and internal software development team
  • Collaborated with Business Development and IT on new client on boarding and requests for custom data and reporting
  • Represented clients in government and payer meetings or negotiations
  • Contributed to strategic management and budget & finance committees.

SyMed Corp
Napa, CA

Division Manager - Behavioral Health Revenue
07.2011 - 09.2018

Job overview

  • Responsible for Division performing full-scope revenue cycle management services for large non-profit and private agencies in behavioral health, substance use, and developmental disabilities/autism treatment maintaining a collection rate of at least 95%
  • Supervised team of Reimbursement Specialists, delegating responsibilities and managing priorities to maintain a smooth interface
  • Contributed to company handbook and developed policies, procedures, and training manuals
  • Attended county and client meetings, facilitating accurate and timely exchange of information and problem resolution
  • Evaluated for process improvement to streamline and increase reimbursement
  • Generated monthly and fiscal year end closing, invoicing, and financial reporting
  • Consulted with clients in planning for expansion of programs and services
  • Participated in multiple electronic health record transition/on-boarding teams
  • Performed compliance audits of billing and medical records maintaining an error rate of less than 3%.

SyMed Corp
Napa, CA

Reimbursement Specialist
05.2010 - 07.2011

Job overview

  • Performed all functions of Medi-Cal (Fee-for-Service, Specialty Mental Health, Drug Medi-Cal), Medicare, managed care, and commercial billing
  • Prevented delays and claim denials by correcting information prior to submission
  • Monitored and documented accounts receivable trends, including account-specific profitability
  • Helped minimize escalations by reaching out to clients in advance of expected problems
  • Compiled department-specific reports to help senior managers identify trends and improve progress
  • Contributed knowledge to help improve financial management, billing and tracking systems
  • Delivered timely information to insurance representatives to resolve common and complex issues
  • Followed up on denied and unpaid claims to resolve problems and obtain payments.

Education

California State University - East Bay

B.S from Industrial/Organizational Psychology

University Overview

Napa Valley College

A.A from Social & Behavioral Sciences

University Overview

Aldea High School

High School Diploma

University Overview

Skills

Revenue Cycle Management

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Certification

Strategic Healthcare Leadership Certificate, Cornell University, College of Human Ecology – October 2021

Affiliations

Affiliations

Healthcare Business and Management Association, American Medical Billing Association, American Association of Healthcare Administrative Management, Open Minds, California Council of Community Behavioral Health Agencies, National Council for Behavioral Health, National Association of Medical Staff Services

Software

Microsoft Office Suite

Google Suite

Salesforce

Project Management Boards - Trello, ClickUp

Multiple Electronic Health Records - Netsmart/Avatar, Credible, Welligent, Foothold/Awards, Unicare, Central Reach, Greenway/Intergy

Availability
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Quote

There is a powerful driving force inside every human being that, once unleashed, can make any vision, dream, or desire a reality.
Tony Robbins

Timeline

Director of Revenue Cycle Operations
Neurovations
02.2022 - 06.2023
Director of Provider & Client Services
SyMed Corp
09.2018 - 02.2022
Division Manager - Behavioral Health Revenue
SyMed Corp
07.2011 - 09.2018
Reimbursement Specialist
SyMed Corp
05.2010 - 07.2011
California State University - East Bay
B.S from Industrial/Organizational Psychology
05.2008
Napa Valley College
A.A from Social & Behavioral Sciences
05.2004
Aldea High School
High School Diploma
05.1998

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VALERIE STANCLIFFHealthcare Revenue Cycle