Valyncia Dickson
Cleveland
Summary
Dedicated Medical Billing & Credentialing Specialist with 3 years of experience in full-cycle billing and denial management across behavioral health and multi-specialty settings. Known for consistently exceeding productivity goals, reducing claim denials by 60%, and resolving complex payer issues independently.
Overview
3
3
years of professional experience
Work History
Medical Billing Specialist
Trubridge
Remote
07.2023 - Current
- Surpassed productivity benchmarks by processing over 24 claims daily and 120 claims weekly in a high-volume billing environment.
- Oversaw denied claims resolution process, including payer outreach, appeals, and claim resubmission.
- Partnered with medical coders to identify and rectify CPT and diagnosis coding discrepancies.
- Conducted comprehensive outreach to patients within Medicaid, Medicare, and commercial insurance frameworks to ensure precise claim processing.
- Executed claims submission and faxing processes, engaging with insurance carriers to address and resolve outstanding denials and appeals.
Billing & Credentialing Specialist
Alliant Treatment Center
Shaker Heights, OH
04.2023 - 07.2024
- Oversaw full-cycle billing operations for two behavioral health facilities, ensuring accurate and timely claims submission for IOP, PHP, and individual therapy services.
- Corrected billing errors and reworked denied claims, resulting in a 60% decrease in claim denials across both facilities
- Managed authorization and appeal submissions to ensure claim approvals across Medicaid, Medicare, and commercial insurance.
- Managed provider coordination to gather and maintain credentialing documentation, supporting licensing compliance with Medicaid and other active payers.
- Managed interactions with insurance carriers to negotiate resolutions for claim denials, enhancing overall claims processing efficiency.
Education
Diploma-Medical Front Office, Billing & Coding -
Valley College
06.2023
Skills
- Medical Claims Submission & Management
- Denial Management & Appeals
- Prior Authorization
- Accounts Receivable (AR) Management
- Provider Credentialing & Licensing Compliance
- Coordination of Benefits (COB)
- CPT & ICD-10 Coding Review
- Medicaid, Medicare & Commercial Insurance Billing
- Payer Portal Navigation
- Clearinghouse Claim Submission
- Microsoft Excel
- EHR & Billing Software Proficiency
Timeline
Medical Billing Specialist
Trubridge
07.2023 - Current
Billing & Credentialing Specialist
Alliant Treatment Center
04.2023 - 07.2024
Diploma-Medical Front Office, Billing & Coding -
Valley College