Areli Valencia

Healthcare administrative professional with 10 years in pediatrics, geriatric surgical rehabilitation, dermatology, cosmetic medicine and dental. Skilled in working across dynamic healthcare environments including outpatient clinics, hospital bedside setting and corporate medical headquarters.

Credentialing Specialist & Revenue Cycle Specialist - American Dental Companies - Phoenix, AZ

(2025-05)

• Manage provider credentialing and re-credentialing for 70+ offices nationwide, ensuring compliance with payer and regulatory requirements.
• Submit and maintain applications through CAQH, Skygen Dental Hub, and multiple carrier portals.
• Audit and maintain provider compliance documentation to ensure readiness for payer audits.
• Oversee onboarding processes including NPI Type 2 applications and EMR system setup.
• Provide ongoing support for DoseSpot (eRx) integration within EMR platforms.
• Upload and maintain fee schedules across multi-platform systems for nationwide offices.
• Process refunds in compliance with company policies, including credit card refunds through Global Payments.
• Post and reconcile refund transactions accurately within patient account ledgers.
• Collaborate with accounting and operations teams to ensure proper documentation and resolution of account adjustments.
• Coordinate third-party collections in accordance with established company policies.

Patient Access & Scheduling Specialist - American Dental Companies - Phoenix, AZ

(2024-01)

• Scheduled hygiene appointments for 75+ dental offices nationwide across multiple EMR systems.
• Generated and reviewed six-week-out production and scheduling reports.
• Communicated with patients via phone and text while maintaining strict HIPAA compliance.

Mohs surgery coordinator - Platinum Dermatology Partners - Phoenix, AZ

(2021-11 - 2023-09)

• Managed 80+ daily inbound calls, scheduling dermatology, and plastic surgery procedures.
• Coordinated referrals and insurance authorizations.
• Communicated biopsy results to patients following provider review, ensuring professional and confidential communication.
• Prepared pre-operative and post-operative instructions and reconciled surgical schedules.

Front Desk Receptionist - AZ Pediatric Care - Phoenix, AZ

(2019-04 - 2021-08)

• Managed check-in and check-out processes for 90+ patients daily.
• Verified insurance coverage, collected copays, and reconciled patient documentation.
• Scheduled appointments and distributed lab results under physician delegation.

Assistant & Patient Scheduling Coordinator - Robles Plastic Surgery - Phoenix, AZ

(2018-03 - 2019-04)

• Scheduled consultations and surgical procedures.
• Assisted surgeon during procedures and maintained sterilization of instruments.
• Managed cosmetic consultations, lab coordination, and patient communications.

Rehab Tech & Certified Nurse Assistant - Advanced Healthcare of Glendale - Glendale, AZ

(2014-06 - 2018-03)

• Assisted therapists and nursing staff with patient mobility and daily care.
• Recorded vital signs and supported patient hygiene, meals, and transfers.
• Verified insurance coverage and coordinated DME equipment for discharged patients.

Certified Nursing assistant License - K's Training and Learning Center LLC (2014-06)

High school Diploma - Trevor Browne High School (2013-05)