Andy Martinez

• Answer over 60-70 telephone calls per day to schedule appointments and answer patient questions.

• Oversee front desk operations to maintain lobby, check in patients and coordinate general office reception.
• Set up patient appointments with timely benefits verification, referral processing and insurance authorizations.
• Coordinated new intake documentation, HIPAA-mandated releases and other patient and office forms.
• Maintained data integrity, keeping accurate and concise documentation of patient-related interactions.
• Answered calls, scheduled appointments and coordinated registrations.
• Collected payments and updated accounts with current payment information.
• Maintained knowledge of community services and resources available to patients.
• Improved quality of care with diligent attention to patient needs and delivery strategies.
• Coordinated communication between patients, family members and medical staff.
• Supported patient service needs by coordinating efficient referrals for additional resources.

• Prioritized referrals according to urgency and adhered to appropriate referral deadlines.
• Reviewed demographic, clinical and insurance information before sending to referred specialists.
• Assisted in the development of referral processes and procedures.
• Reviewed referral details and expectations with providers and patients and requested new referrals when necessary.
• Answered questions and resolved concerns raised by both patients and specialists.
• Reviewed medical records to determine if additional services are needed prior to making a referral.
• Coordinated with external agencies to ensure timely processing of referrals.
• Maintained accurate records of all referrals, including contact information and follow-up activities.
• Identified and resolved inconsistencies in patient responses by means of appropriate questioning or explanation.
• Collaborated with internal departments to ensure smooth transitions for referred patients.
• Resolved conflicts between referring physicians and receiving providers.
• Resolved customer service issues in a timely manner according to established policies.
• Adhered to HIPAA regulations when handling confidential patient information.
• Troubleshot and resolved department issues to maintain patient satisfaction and keep optimal patient flows.
• Assisted referred patients in filling out applications and insurance forms.
• Explained policies, procedures and services to patients.
• Communicated with patients with compassion while keeping medical information private.

• Responded to patient inquiries via phone or email in a professional manner
• Gathered, entered and updated data to maintain departmental records and databases.
• Greeted visitors in a courteous manner and directed them to the appropriate office or person.
• Maintained accurate records of employee attendance, vacation requests, absences.
• Made copies, sent faxes and handled all incoming and outgoing correspondence.
• Consulted with managers to resolve problems relating to employee performance, office equipment and work schedules.
• Answered phone calls, provided information and connected callers to appropriate personnel.
• In charge of obtaining doctors prescriptions & coordinating appointments for Pulmonary Function Testing, 6 Minute Walk Tests, High Altitude Simulation Testing, Cardio Pulmonary Exercise Testing, MIP & MEP, & Arterial Blood Gases
• Responsible for coordinating the Pulmonary Rehabilitation program, Including getting all insurance information and Most recent Notes + History
• Ordered medical supplies as needed to maintain adequate inventory levels throughout the Pulmonary, Respiratory, & the Sleep Department
• Responsible for maintaining adequate inventory of medical gases throughout the facility
• Charging Accounts for Pulmonary Testing and Pulmonary Rehabilitation
• Problem Solving for Patients (Insurance Problems, Bills, etc)
• Collecting Financial Responsibilities with Health Pay 24 System
• Replaced medical gases within Hospital (Oxygen, Nitrogen, Medical Air, Nitrous Oxide, Etc)
• Responsible for Logging In Gem 5000 Cartridges for ABG machines
• Medical Interpreter (Spanish)
• Provided assistance during special projects or events as needed
• Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
• Updated patient and insurance data and input changes into company computer system.
• Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
• Communicated with insurance carrier, patient and third party or employer to verify patient insurance benefits.
• Navigated through multiple online systems to obtain documentation.
• Entered data in EMR database to record payer, authorization requirements and coverage limitations.
• Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
• Contacted patients to confirm demographic information and communicate financial responsibilities.
• Checked documentation for appropriate coding, catching errors and making revisions.
• Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
• Identified discrepancies in patient's insurance coverage or benefits, ensuring accuracy of data entered into system.
• Retained strong medical terminology understanding in effort to better comprehend procedures.
• Contacted patients to arrange payment arrangements for deductible and out-of-pocket liability.
• Collaborated with internal staff members such as Billing Specialists, Medical Coders to resolve any discrepancies in patients' insurance information.
• Responded promptly to customer inquiries regarding their benefits and eligibility status.
• Participated in training sessions on new software programs used for verification purposes.
• Determined estimated self-pay portion by calculating charges, co-insurance and deductibles.

• Register patients, provide facility billing information, assigns beds on Meditech System
• Verify insurance coverage eligibility via Assistant EMDEON
• Collects copayments and deductibles
• Obtain signatures on consent forms
• Answer phones, make copies, scan documents into facility system
• Provide Funeral Directors with release of body forms
• Translate medical information from doctors to spanish speaking patients.