Jennifer R. Valentin
South Chesterfield, VA
804-***-**** or admpf9@r.postjobfree.com
PROFESSIONAL STATEMENT
A highly motivated Location Manager with 20+ years of experience in the healthcare industry, and 15+ years of proven leadership in Customer Service, Intake, Billing, A/R Management, Procurement, Training and Operational Leadership while adhering to management principles, accreditation, compliance, state and local regulations and company missions statement.
CORE COMPETENCIES
●Team Leadership
●Third-Party Billing
●Performance Matrix Reporting (P&L)
●Protected Healthcare Information PHI)
●Durable Medical Equipment (DME)
●Medicare and Medicaid Billing
●Home Medical Equipment (HME
●Confidentiality
●CPT, HCPCS, ICD-10 Coding
●Accreditation (JACHO, ACHA)
PROFESSIONAL EXPERIENCE
AeroCare Holdings, Inc - Freedom Respiratory Henrico, VA September 1999 – March 2021
Location Manager
●Was accountable for the operation and performance of 3 DME locations in the Richmond area
●Implemented all company policies, procedures and training
●Ensured staff is trained in proper documentation requirements, certificates of medical necessity and assignment of benefits for timely and efficient billing
●Maintained knowledge of current Medicare, Medicaid and commercial insurance requirements
●Monitored billing activity and collection accounts for 3 branch locations
●Maintained a high level of satisfaction with patients, referral sources, physicians and employees
●Maintained and updated all manuals for company operations and compliance with policies and procedures
●Worked with sales and marketing staff to maintain key referral sources
●Trained new staff members according to company guidelines, compliance, accreditation and state and local regulations
●Oversaw staff competencies verifying completion prior to them working independently
●Ensured all employees complete daily tasks in an accurate and timely manner
●Directly reported to Regional Manager
Medical and Counseling Associates, Inc. Henrico, VA May 1997- September 1999
Medical Billing Specialist
●Code daily physician and clinical encounters with proper ICD and CPT codes
●Verify Insurance benefits and coverage
●Obtain referrals and prior authorizations
●Prepare claims for Medicare, Medicaid and commercial payers via paper and electronic submission
●Follow up and correspond with providers, patients and insurance providers
●Directly reported to Billing Manager
Commonwealth Medical Associates, Inc. Henrico, VA October 1994 – May 1997
Medical Billing Specialist / Medical Secretary
●Scheduled patient procedures and appointments for a 4-physician Primary Care and Endocrinology practice
●Filed medical records and billing documents
●Coded daily encounters with proper ICD and CPT codes
●Obtained referrals and prior authorizations
●Created and audited claims for submission to Medicare, Medicaid and commercial payers by paper and electronic submission
●Collected pays and coinsurance
●Created referrals for specialist appointments
●Directly reported to Practice Physicians
AARP Pharmacy Richmond, VA February 1992 – October 1994
Medical Billing Specialist
●Entered patient data for Schedule I and Schedule II prescriptions
●Coded daily encounters with proper ICD and CPT codes for claims submission
●Submitted claims to Medicare, Medicaid and commercial payers by paper and electronic submission
●Assisted patients with benefit and financial responsibility questions
●Advised patients on AARP drug and OTC memberships
●Directly reported to Operations Manager
EDUCATION
Hermitage High School Graduate
Medical Careers College – Nursing (Incomplete Associates degree)
TECHNICAL SKILLS
Brightree, Brightree Document Management, SNAP, OTL, GoScripts, Parachute, Paylocity, MS Office (Word
Excel & Outlook), Navi Health, Extended Care and Strategic A/R