Wanda Valencia
Elizabeth,New Jersey
Summary
Results-oriented Intake Supervisor experienced in insurance verification, Medicare/Medicaid compliance, and referral management. Improved team performance and operational efficiency through effective training, coaching, and process optimization. Led a team of intake specialists to enhance adherence to protocols and address escalations, driving achievement of organizational goals.
Overview
15
15
years of professional experience
Work History
Central Intake Supervisor
Adapthealth
08.2011 - 06.2026
- Supervised daily operations of the Central Intake department, overseeing intake specialists responsible for processing DME and health care referrals.
- Managed end-to-end intake workflow, ensuring accurate referral review, timely insurance verification, and effective order entry.
- Ensure compliance with Medicare, Medicaid, and commercial payer guidelines, reducing audit risk and claim denials.
- Led and developed intake staff through coaching and performance evaluations, enhancing team capabilities.
- Monitor and report on KPIs such as referral turnaround time, authorization approval rates, and intake accuracy.
- Collaborated with clinical teams, sales representatives, providers, and billing departments to resolve intake barriers, expediting patient care.
- Implement process improvements that increased intake efficiency and improved patient satisfaction.
- Serve as an escalation point for complex referrals, payer issues, and provider concerns.
- Remote
Qualification Specialist Supervisor
Community Surgical Supply
Sayreville, NJ
08.2011 - 12.2023
- Processed high volumes of DME and healthcare referrals, ensuring compliance with Medicare requirements and enhancing referral accuracy.
- Verified insurance eligibility and benefits; obtained prior authorizations and documented payer communications.
- Reviewed and validated CMNs, DWOs, physician orders, and supporting clinical documentation.
- Resolved missing or incomplete information through effective communication with providers, patients, and internal teams, improving overall service delivery.
- Ensured adherence to HIPAA and company policies, safeguarding patient information and maintaining operational integrity.
Education
Associate's degree - Health
Union County College
Cranford, NJSkills
- Central Intake Operations
- DME Referral Processing
- Authorization verification
- Documentation compliance
- HIPAA & Regulatory Compliance
- Insurance programs
- Intake EMR systems
- EMR systems
- Workflow management
- Workflow optimization
- Productivity reporting
- Insurance Portals & Payer Systems
- Documentation review
- Team Leadership & Staff Development
- Cross-Department Collaboration
- Microsoft Office (Excel, Word, Outlook)
Personal Information
Title: Central Intake Supervisor – Healthcare & DME
Timeline
Central Intake Supervisor
Adapthealth
08.2011 - 06.2026
Qualification Specialist Supervisor
Community Surgical Supply
08.2011 - 12.2023
Associate's degree - Health
Union County College