Valerie De Jesus
@valeriedejesus
Insurance verification and authorization specialist optimizing revenue cycle and patient access.
United StatesWhat I'm looking for
I am a results-driven Insurance Verification and Authorization Specialist with over five years of progressive experience in commercial and government healthcare insurance programs. I am bilingual in English and Spanish and bring strong leadership, problem-solving, and technical proficiency to insurance operations.
In prior roles I led verification teams, designed process documentation and training guides, and implemented tools that reduced verification errors and claim denials. I consistently verified benefits, obtained authorizations and referrals, and coordinated with clinical and billing teams to ensure timely reimbursements and smooth patient experiences.
I seek to leverage my expertise in healthcare administration, authorization management, and process improvement to support a growing organization focused on reducing denials, improving patient access, and strengthening revenue cycle performance.
Experience
Work history, roles, and key accomplishments
UIAuthorization Representative
United Surgical Partners International
Jan 2025 - Jul 2025 (6 months)
Updated patient accounts, verified eligibility, and managed authorizations to ensure clean claims and timely reimbursements, proactively renewing authorizations to prevent service delays.
Supervisor, Verification Department
Florida Ear, Nose, Throat, and Allergy Associates
May 2023 - Nov 2024 (1 year 6 months)
Led verification team to validate benefits at least one week in advance, implemented process improvements and training materials that reduced verification errors and minimized claim denials.
Verification Specialist
Florida Ear, Nose, Throat, and Allergy Associates
Oct 2021 - May 2023 (1 year 7 months)
Verified patient benefits and obtained authorizations/referrals for ENT services, provided cost estimates via Phreesia, and collaborated with scheduling and billing to reduce claim denials.
Receptionist
Orta Oral Surgery
Feb 2021 - Oct 2021 (8 months)
Managed scheduling and high call volumes, verified insurance eligibility, submitted prior authorizations, and prepared treatment proposals to support payment plan discussions.
Receptionist
Coast Dental and Orthodontics
Mar 2020 - Feb 2021 (11 months)
Checked in patients, scheduled appointments, performed insurance verifications, reviewed charts for claim accuracy, and collected payments to maintain account standing.
Education
Degrees, certifications, and relevant coursework
VCValencia College
Associate of Science, Computer Programming
2010 - 2012
Completed an Associate of Science in Computer Programming from 2010 to 2012.
Academy of Mount St. Ursula
High School Diploma, General Secondary Education
2006 - 2010
Earned a High School Diploma between 2006 and 2010.
Availability
Location
United StatesAuthorized to work in
Job categories
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