Christine Martinez
Combes,TX
Summary
Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals.
Overview
16
16
years of professional experience
Work History
Billing Specialist I/II-Revenue Cycle
University of Texas Rio Grande Valley
Harlingen, TX
05.2019 - Current
- Billed and coded office and hospital services
- Worked bill holds, missing slips and credit balance refunds
- Register new patients, verify insurance, make sure referral and authorization is in chart
- Scan and upload medical records into Athena EMR system
- Call insurances to follow up on denied claims and check status on appeals
- Maintained productivity by effectively resolving pre-payer rejections and denials.
- Provide exceptional customer service to patients, addressing their concerns regarding insurance claims or billing issues
- Posted payments and adjustments on patient accounts and reconciled payment/adjustment batches daily
- Open mail, review and work correspondence
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Billing Coordinator
Harlingen Spine
Harlingen, TX
03.2018 - Current
- Coded surgeries for both inpatient and outpatient settings
- Managed Missing Slips and Billholds, ensuring accurate verification of insurances when needed.
- Performed insurance verification, pre-certification and pre-authorization
- ·Worked closely with patients to discuss payment arrangements when needed.
- Streamlined and optimized the use of EClinicalWorks EMR system, resulting in increased efficiency and accuracy of patient record management.
- Reviewed and executed various types of correspondence
- Ensured timely and accurate completion of surgery authorizations as team lead
Account Representative
Prime Healthcare
Harlingen, TX
10.2017 - 03.2018
- Ensured accurate payment of claims in accordance with contract terms
- Posted adjustments
- Processed and resolved underpayment claims
- Confirmed claim statuses by making direct phone calls to insurance companies
- Obtained necessary authorizations
- Used Meditech EMR
- Pulled necessary EOB's from Provider sites
- Completed additional tasks and special assignments
- Conducts account reviews to identify causes of denial and takes appropriate action through appeals or calls
Billing Specialist II
Valley Baptist Physician Network
04.2015 - 10.2017
- Managed billing and coding for OBGYN department
- Entered procedure codes, diagnosis codes and patient information into Athena EMR
- Efficiently coded OBGYN surgeries and deliveries using Doctor's notes retrieved from Hospital Portal
- Validated that all claims had necessary Authorizations
- Posted adjustments and payments
- Pulling EOB's when necessary from Provider sites
- Performed additional duties as assigned by management team.
Biller/Coder
Hunter Women's Clinic
Harlingen, TX
11.2012 - 04.2015
- Performed billing and coding specific to OBGYN patients.
- Utilized expertise in data entry to accurately input patient demographic information into the Athena EMR
- Handled the posting of charges, payments, adjustments and sending patient statements
- Verified insurance, collected copay's and confirmed patient information.
- Medical Records
- Obtained pre-certification and pre-authorization
- Answered patient's queries regarding bills and payment methods over the phone
Tech II
LRGVDC Police Academy
Harlingen, TX
09.2008 - 09.2011
- Assisted potential students in understanding the prerequisites for starting classes at the Police Academy.
- Assisted with clerical and administrative tasks.
- Managed incoming calls and attended to front desk operations
- Notified local law enforcement agencies about available continuing education courses through email correspondence.
- Enrolled students for Police Academy
- Proctored and graded exams
- Maintained accurate record of student grades
- Created individual files for enrolled students
- Responsibly processed payments for tuition and other fees.
- Photographed students demonstrating skills during training
Education
Medical Insurance and Coding Specialist -
Valley Grande Institute
11.2012
Diploma -
Harlingen High School
12.2000
Business Management
Texas State Technical College - Harlingen
Harlingen, TXSkills
- Microsoft Office, Excel, PowerPoint
- Able to read and interpret EOB and payer correspondence
- Familiar with programs such as Cerner and Athena Health
- Experienced using payer portals such as TMHP, Availity, TriWest, HS Connect, Humana, United Healthcare
- Revenue Cycle Management
- Multitask
Course taken
- QuickBooks
- Computerized Accounting
- Human resources management
- Payroll & Business Tax Acct
- Financial Literacy
- Business Management
- Principles of Accounting
Timeline
Billing Specialist I/II-Revenue Cycle
University of Texas Rio Grande Valley
05.2019 - Current
Billing Coordinator
Harlingen Spine
03.2018 - Current
Account Representative
Prime Healthcare
10.2017 - 03.2018
Billing Specialist II
Valley Baptist Physician Network
04.2015 - 10.2017
Biller/Coder
Hunter Women's Clinic
11.2012 - 04.2015
Tech II
LRGVDC Police Academy
09.2008 - 09.2011
Medical Insurance and Coding Specialist -
Valley Grande Institute
Diploma -
Harlingen High School
Business Management
Texas State Technical College - Harlingen
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