Crystal MARTINEZ
San Antonio,TX
Summary
Dependable Medical Records Specialist with a background in document assessment and quality review. Enthusiastic and committed to accuracy, with great decision-making skills. Known for excellent interpersonal skills and deep knowledge of medical terminology.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Wound Care Unbilled Specialist
TEKsystems
San Antonio, TX
05.2023 - Current
- Maintained confidentiality of patients' health and financial information according to HIPAA standards.
- Maintained thorough records of client interactions, enabling efficient communication with other staff members regarding client needs or concerns.
- Identified and resolved discrepancies and errors in customer accounts.
- Cross-trained and provided backup support for organizational leadership.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Collaborated with team members to resolve discrepancies in insurance verification, ensuring proper billing practices.
- Increased patient satisfaction by promptly addressing concerns regarding insurance coverage or billing issues.
Medical Billing Specialist
Tri County Pain Management Center
Warminster, PA
11.2021 - Current
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Posted and adjusted payments from insurance companies.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
- Filed and updated patient information and medical records.
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
Insurance Verification Specialist
Acclaim Medical Billing
San Antonio , TX
07.2021 - 09.2021
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Observed strict procedures to protect sensitive patient information, medical records and payment data.
- Posted payments to accounts and maintained records.
- Answered telephone calls to offer office information, answer questions and direct calls to staff.
- Obtained payments from patients and scanned identification and insurance cards.
Research Interviewer
Nielsen
San Antonio, TX
09.2019 - 10.2020
- Managed over 50 customer calls per day
- Practice exceptional customer service and telephone techniques
- Ability to maintain participants engagement throughout short or medium length survey with low to medium complexity
- Ability to maintain patience and professionalism throughout surveys
- Maintain confidentiality of procedures, scripts and respondent information
- Maintain center standards for performance and productivity
- Maintained patience and professionalism despite negative customer interactions
- Attended pre-shift briefings and meetings to receive up-to-date information and changes in daily scheduling
- Performed quality control procedures to verify accuracy of spelling and grammar
Office Manager
Copa Bail Bonds
San Antonio, TX
04.2016 - 08.2016
- Oversaw appointment scheduling and itinerary coordination for both clients
- Filed paperwork and paid bonds to court, providing prompt jail release for defendants
- Assessed defendants' background and financial ability to repay bail bonds
- Accepted and processed account payments
- Kept physical files and digitized records organized for easy updating and retrieval by authorized team members
- Carried out administrative tasks by communicating with clients, distributing mail and scanning documents
- Maintained composure in stressful situations and continued to provide helpful and kind guest services for fantastic customer satisfaction
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance
Education
High School Diploma -
South San Antonio High School
San Antonio, TXCertification 2021 - Medical Billing And Coding Specialist
Southern Careers Institute
San Antonio, TX2021
Skills
- Coding error resolution
- Patient data compilation
- Insurance claims analysis
- Records management
- Medical claims coding
- Data security procedures
- Medical billing code accuracy
- Records review
- Problem resolution
- Project organization
- MS Office
- Proficiency in Electronic Health Records
- Clerical Support
- Account Posting
- Charge Slips
- Multitasking and Organization
- Medical Terminology
Certification
- CBCS : Certified Billing and Coding Specialist
- CMAA : Medical Administrative Assistant
- EHRS : Electronic Health Records Specialist
- Microsoft Word : Microsoft Word Certified
Timeline
Wound Care Unbilled Specialist
TEKsystems
05.2023 - Current
Medical Billing Specialist
Tri County Pain Management Center
11.2021 - Current
Insurance Verification Specialist
Acclaim Medical Billing
07.2021 - 09.2021
Research Interviewer
Nielsen
09.2019 - 10.2020
Office Manager
Copa Bail Bonds
04.2016 - 08.2016
High School Diploma -
South San Antonio High School
Certification 2021 - Medical Billing And Coding Specialist
Southern Careers Institute