Claudia Martell
Avondale,Arizona
Summary
Professional with significant experience in administrative support and office management. Strong focus on team collaboration and achieving results. Skilled in scheduling, communication, and problem-solving. Reliable, adaptable, and ready to contribute to organizational success.
Overview
20
20
years of professional experience
Work History
Administrative Specialist
Arizona Desert ENT Specialist
09.2021 - Current
- Process new hire paperwork and documents.
- Overlook open enrollments for all employees.
- Maintained payroll information by calculating, collecting, and entering data.
- Process W-2s, 1099s and other year-end reports to remain in compliance with state and federal laws.
- Overlook all credentialing aspects in the company which include physician and insurance contracts.
- Provide discretion and the ability to handle confidential information.
- Assist in handling and processing AR inquiries.
- Safeguard sensitive information through the proper handling of confidential documents and secure storage methods.
- Assist coworkers and staff members with special tasks on daily basis.
- Assist in recruiting qualified candidates for open positions, conducting initial screenings and interviews.
- Maintained and optimized manager's calendar and scheduled appointments and meetings and addressed conflicts with adequate time for preparation, follow-up and planning.
- Managed schedules, appointments, and travel arrangements for executives, ensuring seamless coordination of events.
Credentialing Coordinator
USPI / St Joseph’s Outpatient Surgery Center
09.2018 - 09.2021
- Follow facility bylaws and ensure the credentialing process is in compliance with the federal and state requirements.
- Utilize several resources, including NPDB & AMA to verify all credentialing.
- Improved turnaround times for processing credentials by diligently reviewing and verifying provider eligibility.
- Create internal reports and generate all letters required by the credentialing process.
- Work on quarterly reappointment's for all physicians/allied health in a timely manner.
- Ensure that all physician credentialing files are up to date and utilize Silversheet software application.
- Maintain a professional relationship with physicians and their office staff.
- Set up all MEC and Governing Board meetings, serve as a recording secretary for the MEC committee.
- Work closely with several managers and assist with any special projects, including Administrator, Business office Manager, CNO/COO.
Registration/Insurance Verifications-Authorization
USPI / St Joseph’s Outpatient Surgery Center
01.2014 - 09.2018
- Verify insurance benefits prior to patient arrival – up to 5 days in advance.
- Direct contact with physician offices regarding insurance contracts, authorizations and fees.
- Educate patients with their benefits, including alternative payment options prior to their surgery date.
- Assist as a Spanish translator.
- Provide assistance at the front desk / registration area and check in patients.
- Verify that appropriate payer source is assigned to each account for billing purposes.
- Comprehend each managed care contract and calculate allowable to determine the patient cost.
- Outbound collection calls to patients regarding their medical invoice/bill, answering questions and setting up payment/payment plans.
Logistics Coordinator
Assisteo AZ Home Health
10.2010 - 10.2012
- Obtain initial authorization and reauthorization for home health nursing, physical therapy, occupational therapy, speech therapy, home health aide and medical social worker services provided in the home-care setting.
- Obtain daily and weekly schedules from the nurses and therapist to input in the Home Solutions web based system.
- Ensure that every visit made has an approved authorization that falls within the date span approved.
- Notify each discipline in the home what proper discharge notification/paperwork is needed.
- Staff all home health aide and medical social worker request orders received. Also assist as a backup for staffing all initial starts of care in the agency as well as intake.
- Take patient phone call requests and relay information back to our clinical staff.
- Communicate important recertification dates to the clinical staff for documentation to be turned in on time.
Hospital Liaison
Sirona Infusion LLC
01.2008 - 10.2010
- Act as a liaison between Case Managers, Social Workers, Clients and the company staff to facilitate referrals and provide information on products/service.
- Work directly with account executives to support sales effort and maintain monthly sale profits.
- Complete scheduled daily sales calls and customer service to support sales growth in various territories.
- Call on physicians, hospital/skilled nursing facilities, discharge planners and Case Managers within an assigned territory to support the sale of infusion therapy services.
- Manage time effectively and work independently without supervision.
- Meet with patients/family one on one and educate about services and expectations from the company.
- Obtain clinical documentation needed in order to qualify Medicare patients.
- Coordinate between hospital, patient and company staff in order for discharge and pharmacy delivery to coincide with dosage time.
Intake Coordinator/Pharmacy Technician
AZ Homecare
08.2005 - 01.2008
- Verify insurance benefits for durable medical equipment, home health care including infusion.
- Obtain initial authorization and re-authorize any infusion cases including any denials or appeals.
- Ensure that any Medicare cases fall under Medicare guidelines and obtain the proper documentation.
- Check staffing availability and assign the case to the proper team.
- Prepare intake packets that went along with nursing/pharmacy supplies.
- Review each case and determine that the patient was appropriate for home health.
- Review insurance benefits with patients/community liaisons/case managers/nurses/billing department.
- Have close communication with community liaisons regarding new cases in order to have all proper information upon the start of care.
Education
Associate of Applied Science - Software Engineering
Apollo College
03.2001
Skills
- Confidentiality training under HIPAA
- Bilingual proficiency in Spanish
- Skilled in interpersonal interactions
- Independent work proficiency
- Strong attention to detail
- Data entry
- Administrative assistance
- Payroll management
- File organization and maintenance
- Accounts payable processing
- Time management coordination
Timeline
Administrative Specialist
Arizona Desert ENT Specialist
09.2021 - Current
Credentialing Coordinator
USPI / St Joseph’s Outpatient Surgery Center
09.2018 - 09.2021
Registration/Insurance Verifications-Authorization
USPI / St Joseph’s Outpatient Surgery Center
01.2014 - 09.2018
Logistics Coordinator
Assisteo AZ Home Health
10.2010 - 10.2012
Hospital Liaison
Sirona Infusion LLC
01.2008 - 10.2010
Intake Coordinator/Pharmacy Technician
AZ Homecare
08.2005 - 01.2008
Associate of Applied Science - Software Engineering
Apollo College
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