Raul Valdez

Behavioral Health Business Manager at OneWorld Community Health Centers
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Contact Information
us****@****om
(386) 825-5501
Location
Omaha Metropolitan Area

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Experience

    • United States
    • Hospitals and Health Care
    • 100 - 200 Employee
    • Behavioral Health Business Manager
      • Nov 2022 - Present

      As the Behavioral Health Business Manager i am a member of the Behavioral Health team whose primary responsibilities are for the day-to-day business of the department, management of staff, assistant to Behavioral Health Director, patient and staff support, and facilities and inventory management. This includes scheduling and training of personnel, back-up to Behavioral Health Referral Navigators, and performance improvement. Organize, plan, and manage the behavioral health clinic operations and assist Behavioral Health Director in administrative functions related to personnel, quality control, and performance improvement. Show less

    • United States
    • Hospitals and Health Care
    • 1 - 100 Employee
    • Executive Medical Administrator
      • Jun 2022 - Nov 2022

      Currently managing the Multi Care Health Clinic as the Office Manager/ Administrator. Managing Intake /Admin /Billing& HR Reports to the CEO and President Currently managing the Multi Care Health Clinic as the Office Manager/ Administrator. Managing Intake /Admin /Billing& HR Reports to the CEO and President

    • United States
    • Hospitals and Health Care
    • 1 - 100 Employee
    • Business Office Manager-Omaha Market
      • Oct 2021 - May 2022

      As a key member of the Finance and Revenue Cycle team, I am responsible for the financial operations in an assigned Northpoint market including financial management, operational reporting, and identifying key performance indicators. A key deliverable of the role is ensuring the accuracy, timeliness, and integrity of financial reporting and related processes on a daily, weekly, and monthly basis. I will produce revenue cycle related financial reports, manage daily charge reconciliation, and provide oversight of patient responsibility collections with the intent of mitigating risk and driving standards to assist Northpoint with achieving financial results and growth goals to report to the VP of Rev Cycle. Show less

    • United States
    • Food and Beverage Manufacturing
    • 1 - 100 Employee
    • Medical Cash Posting Supervisor- Revenue Cycle Managment
      • May 2021 - Oct 2021

      Working with Insurance AR/ Billing and Cash Posting Analysis Working with Insurance AR/ Billing and Cash Posting Analysis

    • United States
    • Hospitals and Health Care
    • 700 & Above Employee
    • Eligibility Enrollment Supervisor (Iowa Market) Revenue Cycle Managment
      • Mar 2020 - May 2021

      EES role for Conifer Health solutions managing the Eligibility Enrollment Service Department in association with CHI Health/ Mercy One in the Iowa Region. EES role for Conifer Health solutions managing the Eligibility Enrollment Service Department in association with CHI Health/ Mercy One in the Iowa Region.

    • United States
    • Hospitals and Health Care
    • 1 - 100 Employee
    • Patient Financial Coordinator-Lead
      • May 2015 - Mar 2020

      • Counsel patients in choosing appropriate insurance policy during Open Enrollment • Coordinate patient care with case managers, doctors, nurses, and specialists, ensuring insurance coverage • Request pre-certification and authorizations with Insurance companies • Work with claims, billing and processing of a patients account • Familiar with ICD-10 codes and medical terminology • Certified Medicaid Specialist with (DHS) /Certified Application Counselor with the US HEALTHCARE • Trained in medical database software (Epichyperspace 2016) •Lead for Staff and Regional Manager Show less

    • United States
    • Hospitals and Health Care
    • 700 & Above Employee
    • Credit Analyst
      • Apr 2019 - Oct 2019

      Resolved credits and analyzed patient accounts within EPIC hyperspace. Resolved credits and analyzed patient accounts within EPIC hyperspace.

      • Oct 2018 - Apr 2019

      Performed Credit analytics and processed Refunds for the Idaho facilities affiliated with Trinity health

      • Apr 2018 - Oct 2018

      Processed claims in accordance to contracts with the facility and California Medicaid. (Medi-Cal) successfully followed up and revised COBs processing in accordance to extent of liability.

    • United States
    • IT Services and IT Consulting
    • 700 & Above Employee
      • May 2014 - May 2015

      • Facilitated communication between guarantors and claims and assorted loan servicing establishments• Researched and located necessary documents for various departments• Researched third party documentation with claims to save the company from losing income from borrowers Promissory Note.• Operated documentation systems and maintained up-to-date knowledge of most efficient utilization• Trained in documentation and processing with MICROSOFT SUITE and US DEPT OF ED DATABASE

      • Dec 2013 - May 2014

      • Communicated to borrowers via outgoing and ingoing phone calls• Communicated with Departments in NELNET in regards to adding assistance to accts• Certified to offer a patient Federal assistance on behalf of the DEPT OF EDUCATION• Collected payment for accounts that were past due or in process of default • Trained in documentation and processing with MICROSOFT SUITE and US DEPT OF ED DATABASE

    • Housing Supervisor /Resident Assistant
      • Jan 2009 - Aug 2012

      • Prepared scheduling for employees (10) • Headed meetings in regards towards university RES LIFE • Assisted visitors and students with questions • Worked along side study abroad residents • Aided Resident Directors and Facilities • Available for students 24/7 on resident floor (30-40) • Prepared scheduling for employees (10) • Headed meetings in regards towards university RES LIFE • Assisted visitors and students with questions • Worked along side study abroad residents • Aided Resident Directors and Facilities • Available for students 24/7 on resident floor (30-40)

Education

  • University of Nebraska-Lincoln
    Bachelor's degree, Psychology
    2008 - 2012

Community

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