Work Preference
Summary
Overview
Work History
Education
Work Availability
Skills
Quote
Timeline
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Valerie Jean Isaac
Open To Work

Valerie Jean Isaac

Monticello,GA

Work Preference

Desired Job Title

Crisis Line Worker/AdvocateMedical Biller and Coder / Insurance SpecialistCustomer Service Advocate

Work Type

Full Time

Salary Range

45000/yr - 200000/yr

Summary

Results-driven healthcare professional with comprehensive experience managing all facets of medical billing and claims to support operational efficiency and continuous improvement. Demonstrated expertise in Medicaid billing policy development, resolving complex billing and coding issues, reviewing claim denials, and overseeing accurate charge entry, transmission, and resubmissions. Recognized for delivering exceptional administrative support and ensuring compliance with all regulatory and legal standards.

Certified Dermatology Coder with strong proficiency in accurately abstracting data from patient records, identifying documentation gaps, and assigning compliant, audit-ready codes. Skilled in training and mentoring staff on effective claims management practices aligned with legal, licensing, and payer requirements.

Proven ability to build collaborative relationships across providers, insurers, and executive leadership to improve workflows and enhance outcomes. Additionally experienced as a Crisis Advocate, providing empathetic, trauma-informed support to individuals impacted by domestic violence. Well-versed in conducting both individual and group counseling sessions to strengthen client well-being and coping skills.

Track record includes advocating for client access to vital resources, developing personalized treatment plans based on individual histories and life goals, and optimizing program operations to improve service delivery and support network development.

Overview

23
23
years of professional experience

Work History

Customer Service Advocate

OptumRx
Eden Prairie, MN
11.2025 - Current

* Provide customer service support by addressing client inquiries and resolving concerns in a timely and empathetic manner.
* Assist individuals in accessing services and resources to meet their healthcare needs.
* Collaborate with team members to ensure effective communication and delivery of support services.
* Maintain accurate records of client interactions and service requests.
* Apply problem-solving skills to identify solutions for clients facing challenges.
* Support clients by offering information and guidance on available assistance programs.
* Follow procedures to ensure compliance with organizational policies and confidentiality standards.
* Coordinate with other departments to facilitate comprehensive service delivery.

Crisis Line Worker/Advocate

Project Renewal
Conyers,GA
05.2023 - Current
  • Assisted clients in identifying community resources and connecting with appropriate services.
  • Consistently manage over 50 calls per day
  • Participated in professional development and training opportunities to enhance clinical skills.
  • Developed and maintained strong relationships with community resources for successful referrals.
  • Provided crisis counseling and intervention services to clients in emergency situations

Medical Biller and Coder / Insurance Specialist

Dermatology Associates of Georgia
Decatur, GA
03.2003 - 05.2023

Incorporate modifiers coded narrative diagnoses, and meticulously verify all diagnoses for completeness and accuracy

  • Healthcare and medical billing, collections, denial remediation experience
  • Medicare Experience with generic accounting, transactions, or medical billing systems
  • Ensured precision of final claim submissions by cross-referencing account charges with relevant documentation
  • Conducted diligent inquiries with healthcare providers and other pertinent personnel to acquire essential coding interpretations before proceeding with record abstraction
  • Facilitate communication among patients, billing staff, and insurance carriers to ensure smooth coordination
  • Achieved significant revenue growth and minimized number of unpaid and outstanding accounts by conducting thorough investigations of past-due invoices and delinquent accounts
  • Performed medical code verifications and assessments to process over 200+ insurance claims daily
  • Optimized process of staying up-to-date on CPT code changes and effectively communicating with IT department to update software that improve workflow and accuracy
  • Gathered crucial information on patient policies and payment benefits from insurance companies
  • Educated clients on extent of their coverage under benefits plans using easy-to-understand terminology
  • Updated and accurately inserted patient and insurance data into company's computer system
  • Gained knowledge of medical terminology for better understanding of medical procedures
  • Organized team meetings to share agendas and project materials through precise communications
  • Maintained commendable attendance record and cultivated reputation for punctuality and preparedness at work.

Education

Diploma - Medical Assistance for Billing & Coding

DeKalb Technical College
Clarkson, GA
1995

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Skills

  • Medical Billing Operations
  • Medicare and Medicaid Processes
  • Claims Processing & Administration
  • Issue Resolution
  • Safeguarded sensitive data, such as patient medical records and payment card information in adherence with strict security protocols and guidelines
  • Highly proficiency in
  • Domestic Violence Prevention
  • HIPAA Regulations
  • Crisis Intervention
  • Emotional Support

Quote

The way to get started is to quit talking and begin doing.
Walt Disney

Timeline

Customer Service Advocate

OptumRx
11.2025 - Current

Crisis Line Worker/Advocate

Project Renewal
05.2023 - Current

Medical Biller and Coder / Insurance Specialist

Dermatology Associates of Georgia
03.2003 - 05.2023

Diploma - Medical Assistance for Billing & Coding

DeKalb Technical College
Valerie Jean Isaac