@skymirandavillafuert
I build billing, credentialing, and payer operations for therapy organizations.
United StatesI've built and led the billing and credentialing function at MYO Fun Speech Plus dba MOST/DFW, supporting a multi-location therapy organization. I manage end-to-end enrollment and recredentialing for 35+ therapists across Medicare, Medicaid, and commercial payers.
I secure payer contracts, resolve denials and reimbursement disputes, and train staff on scalable billing and credentialing workflows. My work spans CAQH, PECOS, NPI, claims, authorizations, ICD-10, CPT coding, and payer relations.
Work history, roles, and key accomplishments
Myo Fun Speech Plus
Oct 2015 - Present (10 years 11 months)
Led end-to-end credentialing and enrollment for 35+ therapists across Medicare, Medicaid, and major commercial payers. Built the billing department from the ground up, established workflows, and secured new provider contracts with major payers.
Degrees, certifications, and relevant coursework
Medical Assistant Certificate, Medical Assisting
Grade: 4.0
Earned a Medical Assistant Certificate with coursework in medical billing and coding, front office procedures, and medical assisting.
Medical Billing & Coding Certificate, Medical Billing & Coding
Completed a Medical Billing & Coding Certificate with coursework in medical terminology and HIPAA compliance.
High School Diploma, General Studies
Earned a high school diploma with a focus on general studies and Spanish.
Software and tools used professionally
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