Summary
Overview
Work History
Education
Skills
Languages
Timeline
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April Martinez

Houston,TX

Summary

Proven Medical Billing Specialist fluent in English and Spanish language with a track record of enhancing revenue by adeptly managing accounts receivables and minimizing write-offs for Texas Hearing Institute. Skilled in customer service and proficient in Athena and IMS, demonstrating a keen ability to resolve billing inconsistencies and streamline patient financial processes. Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision-making skills and sound judgment to positively impact company success.

Overview

14
14
years of professional experience

Work History

Medical Billing Specialist

Texas Hearing Institute
01.2022 - Current
  • Focused on maximizing revenue and reducing contractual allowances and write offs at all times
  • Verified insurance of patients to determine eligibility.
  • Research and resovle billing inconsistencies and errors through individual and collaborative analysis
  • Liaised between patients, insurance companies, and billing office.
  • Obtains prior authorizations for medical services including Hearing Aids and medical appointments and procedures.
  • Filed and updated patient information and medical records.
  • Evaluated patients' financial status and established appropriate payment plans.
  • Precisely evaluated and verified benefits and eligibility.
  • Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable

Medical and Dental Billing Specialist

Legacy Community Health
01.2018 - 01.2022
  • Audited and corrected billing and posting documents for accuracy.
  • Handled account payments and provided information regarding outstanding balances.
  • Maintained accurate records of customer payments.
  • Collaborated with customers to resolve payment disputes.
  • Kept detailed and accurate documentation of payments, charges, and write-offs
  • Reconciled up-to-date details of patient financial responsibilities, fee-for-service, and managed care plans
  • Verified accuracy of accounts payable payments, resulting in 76% reduction in payment errors and check reissues

Patient Account Representative

Midwestern University Dental Institute
01.2014 - 01.2018
  • Prepared reports detailing billing actions, flags and other key information.
  • Monitored customer accounts for payment delinquency and initiated collection efforts.
  • Utilized computer programs to create invoices, letters and other documents.
  • Responded to patient, family and external payer inquiries.
  • Posted payments and processed refunds.
  • Worked with outside entities to resolve issues with billing, claims, and payments.
  • Responded to customer inquiries and provided detailed account information.
  • Processed debtor payments and updated accounts to reflect new balance

Patient Services Coordinator

Fort Bend Family Health Center
01.2011 - 01.2012
  • Scheduled appointments to enter appointment date and time into computerized scheduler.
  • Collected patient co-pay and issued receipt to confirm payment.
  • Completed clerical duties and tasks for clinic administration.
  • Managed multi-line phone system and pleasantly greeted patients.
  • Verified and updated demographic and other personal information for clients with respect to personal boundaries when asking for important details.
  • Maintained current and accurate medical records for patients.
  • Supported office staff and operational requirements with administrative tasks.
  • Remained aware of provider schedules and scope of practice on evolving basis to organize and schedule appropriate care.

Education

GED -

Morton College
Cicero, IL

Skills

  • Accounts Receivables
  • Customer Service
  • Prior Authorizations
  • Medical Billing
  • Claims Processing
  • Claims review
  • Collection calls
  • Collections Management
  • ICD-10
  • Knowledgeable Athena, IMS, Dentrix, Microsoft 365
  • Insurance Verification
  • Teamwork and Collaboration

Languages

Spanish
Professional Working

Timeline

Medical Billing Specialist

Texas Hearing Institute
01.2022 - Current

Medical and Dental Billing Specialist

Legacy Community Health
01.2018 - 01.2022

Patient Account Representative

Midwestern University Dental Institute
01.2014 - 01.2018

Patient Services Coordinator

Fort Bend Family Health Center
01.2011 - 01.2012

GED -

Morton College

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April Martinez