Summary
Overview
Work History
Education
Skills
Timeline
Generic

Valerie Millard

North Branch

Summary

Dynamic Revenue Cycle Specialist with proven expertise at Kai Shin/Sasaki Medical Clinic, enhancing claims processing efficiency and achieving optimal reimbursement rates. Skilled in insurance verification and fostering team collaboration, I excel in resolving billing discrepancies and educating patients, driving trust and satisfaction in healthcare services.

Overview

14
14
years of professional experience

Work History

Revenue Cycle Specialist

Kai Shin/Sasaki Medical Clinic
777 Raymond Ave. St Paul, MN 55114
10.2024 - 04.2026
  • Processed patient billing inquiries to ensure timely resolution and accuracy for the Drug and Alcohol Program.
  • Assisted in verifying insurance eligibility and benefits for patients.
  • Collaborated with healthcare providers to resolve discrepancies effectively.
  • Maintained electronic medical records for compliance and accuracy standards.
  • Trained new team members on revenue cycle best practices, contributing to a more knowledgeable workforce.
  • Coordinated with external vendors to optimize claims processing efficiency.
  • Increased revenue by identifying and resolving billing errors in a timely manner.
  • Reached out to insurance companies to verify coverage.
  • Achieved optimal reimbursement rates by verifying insurance coverage, eligibility, benefits, and authorization prior to service delivery.
  • Contacted responsible parties for past due debts.
  • Assisted patients in understanding complex billing statements, leading to increased trust between patients and healthcare providers.
  • Provided regular updates on billing status to upper management through detailed reports.

Utilization Review & Quality Assurance Specialist

Kai Shin Clinic
04.2023 - 04.2026

Retrieve and verify insurance and benefit information entered in patient charts. Upload insurance and benefit information into client chart. Support and implements the organization's vision, mission and values. Determines priorities and method of completing daily workload to ensure that all responsibilities are carried out in a timely manner. Performs all job functions in a professional and courteous manner. Work with patients to educate on benefit summaries, financial liability and discuss patient financial assistance when needed. Run eligibility checks for upcoming appointments and walk-ins, add on appointments and first of the month eligibility checks. Serve as subject matter expert regarding all eligibility and benefit information.

Account Manager, Preferred Accounts

NuWay Alliance
2217 Nicollet Ave. Minneapolis, MN
01.2012 - 04.2023

Regulate treatment funding for patients in varies counties. Correspond with insurance companies to acquire authorizations and referrals. Sustain patient registrations to secure accurate billing and patient satisfaction. Coordinate and schedule appointments for patients. Process patient and records requests. Proof and process electronic billing. Research and re-process claim denials.

Education

Information Processing Specialist Program

WI Indianhead Technical College
Rice Lake, WI
05-1998

Skills

  • Claims review
  • Claims processing proficiency
  • HIPAA compliance
  • Professionalism and ethics
  • Patient registration
  • Insurance verification
  • Verifying insurance
  • Insurance collaboration

Timeline

Revenue Cycle Specialist

Kai Shin/Sasaki Medical Clinic
10.2024 - 04.2026

Utilization Review & Quality Assurance Specialist

Kai Shin Clinic
04.2023 - 04.2026

Account Manager, Preferred Accounts

NuWay Alliance
01.2012 - 04.2023

Information Processing Specialist Program

WI Indianhead Technical College
Valerie Millard