Ana Martinez
Palmdale,CA
Summary
Experienced with medical billing processes, including claim submission and follow-up. Utilizes knowledge of insurance guidelines to ensure accurate and timely billing. Track record of effective communication and problem-solving, consistently supporting healthcare providers' financial goals.
Overview
21
21
years of professional experience
Work History
Medical Biller/Collector
Pacifica Hospital of the Valley
03.2023 - 03.2024
- Provide excellent Customer Service, Bill Managed Care Medical accounts, Medicare Part B for Neuro patients, Handle Incoming Insurance Calls make out-bound calls to insurance
- Appeal denied Claims, verify patients Eligibility with coverage or medical state website
- Follow-up on claims payments and denials, mail out share of cost letters, verify authorization request extended authorization
Los Angeles Orthopedic Surgery Specialist
03.2022 - 03.2023
- Provide excellent customer service
- Handel incoming calls and outgoing calls
- Assist with billing and collection questions
- Verify insurance
- Collect share of cost, coinsurance and or deductible
- Set up payment plans
- Offer settlements
- Take credit card payments
- Send out electronic billing statements or mailed billing statements according to patients preferred preference
- Post work comp payments, keep log for provider payments
- Post payment
Case Specialist
Child Care Resource Center
11.2021 - 03.2022
- Handel incoming calls and outgoing calls
- Assist with childcare services request
- Verify participants active status on county website Cal Saws and LRS
- Obtain income information and calculate participants income to make sure participant is placed in the appropriate stage for childcare
- Handle discontinuance of program, change and cut childcare schedules as requested by either provider or participant
- Handle provider transfers and changes
- Provide excellent customer service at all time
Financial Counselor
Pacifica Hospital of the Valley
01.2020 - 09.2020
- Company Overview: Sun Valley
- Provide excellent customer service, follow up on Managed Care Medical accounts, Medicare Part B for Neuro patient accounts
- Verify patients Eligibility with coverage or medical web site
- Apply for medical eligibility for none covered patients
- Collect share of cost, deductible, verify who is at risk for authorization and claims update demographic information
- Sun Valley
Medical Biller/Collector
Pacifica Hospital of the Valley
04.2015 - 01.2020
- Company Overview: Sun Valley
- Provide excellent Customer Service, Bill Managed Care Medical accounts, Medicare Part B for Neuro patients
- Handle Incoming Insurance Calls make out-bound calls to insurance
- Appeal denied Claims, verify patients Eligibility with coverage or medical state website
- Follow-up on claims payments and denials, mail out share of cost letters, verify authorization request extended authorization
- Sun Valley
Collector
Absolute Bail Bonds
12.2013 - 02.2015
- Handle incoming and outgoing calls, assist with billing issues and resolution
- Accept credit card payments via phone
- Verify employment and reference information, run credit report skip trace, request letters
- Set up payment arrangement
- Follow up on all collections
Temp/Self-pay Collector
Healthcare Resources
04.2013 - 07.2013
- Company Overview: Temp/Pacifica Hospital
- Handle incoming and outgoing collection calls with excellent Customer Service
- Assist with billing issues and resolution
- Direct issues, to appropriate area related to Medical or workers compensation
- Document account notes related to incoming call resolution
- Accept credit card/cash payments, Appeal denied claims, follow up on collection calls, promise to pay, appeals, and offer settlements
- Gather financial data for incoming emergency patients with no medical coverage
- Assist with medical plans and repayment plans
- Temp/Pacifica Hospital
Credit resolution/patient billing
Kaiser Permanent
01.2009 - 03.2013
- Handle inpatient self-pay collection calls
- Provide excellent customer service, Assist patients to resolve billing issues and concerns
- Direct issues to appropriate area related to Medical, Workers Compensation
- Input account notes related to incoming call and resolution
- Accept credit card and check payment
- Set up payment plans, offer settlement discounts, and refer to medical financial program
- Verify accounts have a true credit to outstanding balance
- No outstanding balance in hospital account or physician account request patient refund
- Post credits and refunds
Loan Manager/Home retention collector
Countrywide Home Loans
09.2003 - 08.2008
- Handel Heavy incoming and outgoing collection calls
- Take credit card payments
- Update Financial data to assist customers with formal payment plan, offer workout assistance for loan modification, short sales, long term payment plans
- Reinstate loans from Foreclosure, assist with foreclosure postponements
- Call Attorneys for Reinstatements quote
- Assist with customer service overflow calls
- Spanish certified/ Assist with Spanish call queue
Education
High School Diploma -
San Gabriel Mission High School
Medical Assistant Certificate -
University of Antelope Valley
Skills
- Electronic claims
- HIPAA compliance
- Insurance verification
- CPT knowledge
- Patient billing
- Customer service
- Billing and collection procedures
Insurance billing
- Accounts receivable
- Claim submission
- Medicare and medicaid process
- Data entry
- Denial management
- Payment posting
- Claims processing
- CMS-1500 billing forms
Timeline
Medical Biller/Collector
Pacifica Hospital of the Valley
03.2023 - 03.2024
Los Angeles Orthopedic Surgery Specialist
03.2022 - 03.2023
Case Specialist
Child Care Resource Center
11.2021 - 03.2022
Financial Counselor
Pacifica Hospital of the Valley
01.2020 - 09.2020
Medical Biller/Collector
Pacifica Hospital of the Valley
04.2015 - 01.2020
Collector
Absolute Bail Bonds
12.2013 - 02.2015
Temp/Self-pay Collector
Healthcare Resources
04.2013 - 07.2013
Credit resolution/patient billing
Kaiser Permanent
01.2009 - 03.2013
Loan Manager/Home retention collector
Countrywide Home Loans
09.2003 - 08.2008
High School Diploma -
San Gabriel Mission High School
Medical Assistant Certificate -
University of Antelope Valley
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