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Sky Miranda-VillafuerteSM
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Sky Miranda-Villafuerte

@skymiranda-villafuer

I lead healthcare billing, credentialing, and payer operations for multi-location therapy services.

United States
Message

I manage billing, credentialing, contracting, and payer operations for MYO FUN SPEECH PLUS dba MOST/DFW, a multi-location speech and occupational therapy organization. I built the billing department and established standards and workflows for accurate claims submission and timely payment collection.

I resolve complex payer issues across eligibility, benefits, authorizations, claims, denials, appeals, reimbursement, and provider participation. With 15+ years in healthcare administration, I also train staff, supervise workflow, and support providers, patients, and insurance organizations.

Experience

Work history, roles, and key accomplishments

MM
Current

Billing Manager & Credentialing Coordinator

Myo Fun Speech Plus dba MOST/DFW

Oct 2015 - Present (10 years 11 months)

Manage billing, insurance, credentialing, contracting, and payer-related operations for speech and occupational therapy services. Lead provider credentialing and enrollment, resolve complex payer issues, and supervise staff.

MS

Office Manager / Medical Billing Specialist

MedArt Pros South

Dec 2009 - Jan 2016 (6 years 1 month)

Managed day-to-day medical office operations while providing patient service and administrative support. Verified insurance benefits and eligibility, handled preauthorization requirements, and supported bookkeeping and financial tasks.

Education

Degrees, certifications, and relevant coursework

PS

PCI Training School

Medical Assistant Certificate, Medical Billing & Coding

Grade: 4.0

Earned a Medical Assistant Certificate with coursework in medical billing and coding, front office, and medical assisting.

BC

Bryan College

Medical Billing & Coding Certificate, Medical Billing & Coding

Completed a Medical Billing & Coding Certificate covering medical billing and coding, medical terminology, and HIPAA.

MS

Menasha High School

Diploma, General Studies

Earned a high school diploma with coursework in general studies and Spanish.

Tech stack

Software and tools used professionally

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