Crystal Martinez
Austin,Texas
Summary
Professional in healthcare administration with expertise in managing medical office operations. Strong skills in patient scheduling, records management, and insurance verification. Highly reliable team player known for adaptability and achieving results in fast-paced environments. Excellent communication and organizational abilities. Experienced with scheduling and coordinating medical procedures, utilizes effective communication and organizational skills to ensure smooth and timely operations.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Medical Office Specialist
Texas Cardiac Arrhythmia
08.2024 - Current
- Managed high call volume while maintaining professionalism and accuracy when gathering client information for appointment bookings.
- Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.
- Schedule appointments for patients either by phone when they call in or in person after an office visit.
- Generated reports to track insurance verifications and claim progress.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Supported patient access to care by efficiently resolving insurance-related issues and inquiries.
- Improved claim submission times by streamlining verification and authorization process.
- Maintained up-to-date knowledge of insurance policies and changes, aiding in accurate verification.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Use Epic to schedule appointments for doctor visits and procedures.
- Helped patients complete necessary medical forms and documentation.
- Checked patient insurance, demographic, and health history to keep information current.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Transcribed phone messages and relayed to appropriate personnel.
- Prepared and processed patient referrals and transfer requests.
Patient Care Specialist
Eyecare Specialist
12.2020 - 08.2024
- Manage multi-line phone system and pleasantly greeted patients.
- Monitored doctor's scheduled insured no over bookings, manage monthly scheduled such as clinic and procedure days.
- Entered previous appointment ICD codes in patient's appointment notes for the current visit.
- Received and created encounters for procedure payments, using NextGen system.
- Enhanced patient satisfaction by efficiently managing check in and check out and addressing inquiries in a timely manner.
- Confirmed appointments, communicated with patients, and updated patients records.
- Successfully maintained accurate reconciliation processes and procedures for complex financial office accounts.
- Assisted in the preparation of financial statements and other related reports. Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Handled cash transactions and maintained sales and payments records accurately.
- Developed strong relationships with referring physicians, boosting cross-referrals between practices.
- Processed medical insurance claims and payments.
- Conducted regular training sessions for new staff on best practices in insurance verification.
- Assisted with medical coding and billing tasks.
- Assisted in training new employees on best practices for efficient insurance verification processes and procedures.
- Prepared and processed patient referrals and transfer requests.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Assisted patients with understanding personalized insurance coverage and benefits.
- Assisted with medical coding and billing tasks.
Education
Diploma - GED/High School Equivalency
Pennsylvania Department of Education
Wilkes-Barre, PASkills
- Patient scheduling
- Medical documentation
- Claims processing
- Insurance verification
- Medical billing
- HIPAA regulations
- ICD-10 coding
- Medical terminology
- Appointment scheduling
- Patient referrals
- Time management
- Collaboration and teamwork
Certification
Basic Life Support (CPR and AED) program.
Languages
English
Full Professional
Spanish
Full Professional
Timeline
Medical Office Specialist
Texas Cardiac Arrhythmia
08.2024 - Current
Patient Care Specialist
Eyecare Specialist
12.2020 - 08.2024
Diploma - GED/High School Equivalency
Pennsylvania Department of Education
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