Revenue Cycle Customer Service
Resume:
***********@*****.***
BROOKLYN, NY
LUIS VALERIO SANCHEZ
REVENUE CYCLE SUPERVISOR
Objective
Dedicated and results-driven Supervisor with a warm, energetic, and friendly demeanor. Strong background in Team Leadership and Healthcare Administration. Known for fostering collaborative environments, effective communication, and operating efficiently and professionally under pressure. Passionate in supporting patient, employee, and departmental needs while assisting in creating a positive and solution-oriented work culture. Seeking to leverage my expertise and leadership to contribute as a key member of the management team, delivering impactful solutions and supporting the organization’s long-term success.
Key Skills
Technical
Professional
EPIC
Tableu
Experian
Centricity
Kronos
ECW
EVR Vista
GUI
McKesson
Peoplesoft/SAP
STAR Navigator
Strong Claims and Insurance Processing
Third Party Payor Operations
Data Management and Reporting
Highly knowledgeable and compliant with HIPAA, ACA, EPACES, CMS
Analytical CRM efficient
Microsoft Office Proficient
Team Leadership and Development
Onboarding
Training, Mentoring, Coaching
Strong attention to detail
Collaborative/ Team Player
Medical Terminology Fluent
Strong customer service
Time-Management
Analytical Thinking
Swift Adaptability
Decision-Making
Multi-task efficient
Conflict Resolution
English and Spanish Fluent
Education
NYU Langone Academy
2023 – 2024 New York, NY
Certifications:
Management Leaders & Development
Brooklyn Management Leads
DeVry University (Online)
2020 – 2021 Chicago, Illinois
Major: Business Administration
College of Staten Island
2005 – 2008 Staten Island, NY
Major: Liberal Arts
Work Experience
Supervisor – RCO Insurance Clearance
NYU Langone Brooklyn Brooklyn, NY
2020 – 2024
Supervised a team of twelve (12) hybrid employees, providing leadership, guidance, and performance feedback ensuring workflow priorities and deadlines were met efficiently
Organized and led team meetings and staff training sessions to enhance employee skills and knowledge, and implement process changes, resulting in increased productivity
Facilitated and executed performance improvement training tools to address underperformances as needed
Conducted and Supervised Team’s daily operational needs ensuring timely and functional accuracy
Monitored and toggled through 35+ work queues generating a minimum of 600 cases each, ensuring staff met daily quota
Managed billing and denial reviews related to patient monetary and estimate disputes in compliance with (NSA) New York’s No Surprise Act
Performed and maintained routine staff quality assurance, ensuring adherence to productivity standards while integrating coaching and team building methods
Collaborated with Insurance Clearance Manager to support, organize and implement Revenue Cycle initiatives, driving the department and overall institute forward
Participated in Quarterly Management Training for continued support, guidance, and innovative leadership strategies
Strong knowledge of financial clearance, intake processes and systems, regulatory and 3rd party payor issues, and automated payor systems
Promoted and maintained a positive work environment producing overall staff morale and inclusivity
Conducted other and additional managerial functions as needed and outside of current scope
RCO Coordinator
NYU Langone Brooklyn Brooklyn, NY
2006-2020
Verified, updated, and entered patient insurance and patient information for billing and notification purposes
Initiated appropriate procedures to maintain accurate patient and insurance records, including updating and correcting patient demographic and insurance verification
Determined patient Medicaid eligibility via screening and referred accounts accordingly
Verified insurance recipient, policy number, and effective dates of service on EMEVS, MedE, OMNI, and EPIC web portals, in addition to, other insurance verification tools ensuring correct plan and updated the account timely and as needed
Proactive decision-making and facilitation of departmental workflow in presence or absence of immediate Supervisor
Maintained accurate insurance coverage, insurance contacts, and overall insurance information, including the institutions Charity Care policies and procedures
Conducted face to face interviews in a professional manner with patients and/or patient representatives for screening purposes to determine eligibility and avoid financial challenges
Performed insurance management functions to prepare patient accounts for claims and billing
Processed maternity registrations and admissions, newborn admissions, and provided notification to all insurances
10+ years of processing claims and billing for Patient Accounts Department
Collaborated with Supervisor in monitoring all assigned daily tasks and providing training and refreshers to staff as needed
Performed all additional duties related to Insurance Clearance directed by Senior Management
Patient Transport
Lutheran Medical Center Brooklyn, NY
2005 – 2006
Conducted daily patient attendance for all assigned floor units
Proactive in-patient safety during active transport to and from all areas of facility
Responsible for patient personal belongings during active transport to different facility units
Maintained check-out area neat, organized, and sanitized
Performed miscellaneous and any additional transport tasks as directed by daily nursing managers
References Available Upon Request
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