1. MicheleValverde
WORKHISTORY
2006-present Patient Accounts CBO Supervisor, Mercy Health System
Supervise staff numbering between 7-10
Monitor high dollar claims
Hold continuing education session for staff
Manage staff payrollvia Kronos
Payers responsible for assisting in billing and follow up: IBC , MCR ADVANTAGEPAYERS
Completing Audits on staff
Conduct meetings with Payers
Conduct meetings with internal colleagues
Education staff on payer changes and contracts
Providing updates to Patient Access on payer requirements
Running reports to capturedenial trends
Assist in builds, implementations, and testing of new systems (i.e. Meditech,)
Resubmission of corrected claims via electronic trading partners
Creating Policies
2001-2006 Revenue Cycle Analyst, Mercy Health System
Conduct registration and admission audits
Organize and conduct education classes for registration staff
Assist patient access management with reports and monitoring staff’s productivity and accuracy
Assist in builds, implementations, and testing of new systems (i.e, AHIQA system, Medical Necessity
system, HDX auto plan assignment, Invision, MSP enhancement)
Maintain the accuracy of insurance help guides and the registration guideline on Mercy intranet
Assist in theimplementation of Invision
1998-2001 Patient Account Follow up representative – Mercy Health System
Calling payers or status of claim submission
Calling payers to have claims reprocessed as corrected information provided
Reviewing denials and determining next steps to reconcile accounts
Speaking with patients about their billing
Resubmitting claims through our electronic claims system, Premis.
1995-1998 Enviromental Services, Unit Clerical and Transport – Mercy Fitzgerald Hospital
Greeting patients
Obtaining demographic and insurance information
Placing Dr orders
Verify insurance via HDX system
Calling insurance for authorization of treatment
Food server
Cleaning patient rooms
Transportingpatient’s from one department to the next
EDUCATION
1988 Graduated, John Bartram HighSchool
COMPUTERSKILLS Siemens, Unity, Invision, Meditech, HDX, Navinet, Internet, KRONOS, 3M, AHIQA, Document Imaging, Express
Query, Passport and Premis
References Available upon request
235 Carre Ave
Essington,Pa 19029
Home Phone (610) 521-1836
Mvalverde862@gmail.com