Didio Martinez
Odessa,Texas
Summary
"Seasoned healthcare professional with over 18 years of expertise in Patient Access Management, Registration, and Clinical Coordination Analysis within fast-paced hospital and office settings. Proficient in business management and known for an action-oriented, problem-solving approach. A self-motivated and reliable achiever who consistently delivers high performance, even when working independently."
Overview
16
16
years of professional experience
1
1
Certification
Work History
Sr. Patient Access Manager Registration/Scheduling/Pre-Services/Charity/Customer Service/Financial Counselors
GC Health Group (Contractor Medical Center Hospital)
2018.07 - 2023.09
- Assist employees and arranges for the efficient operation of Registration, Scheduling, adjusting staff as needed to maintain departments
- Assist the Patient Access Director in the coordination of the daily monitoring of productivity, recognizing potential problems and offering suggestions for improvement
- Assist personnel with daily activities as needed and ensure Customer Service is delivered by all Staff as a priority
- Helps the planning and conducting of staff meetings for Patient Access
- Interview, Hire new staff for department(s)
- Ensure each new staff member completes hospital orientation and departmental training
- Complete Point of Service Cash Log accurately and timely
- Responsible for verifying the balancing of petty cash from shift to shift
- Actively involved in the review and revision of Policy and Procedures as requested
- Evaluate staff daily/monthly/annually and assists employees in understanding and resolving problems
- Ensure employee time and payroll is complete and entered in Kronos accurately and timely
- Complete Monthly Employee Work Schedule ensuring position responsibilities are being met and Staffing Schedules are being met
- Receives and handles patient complaints and Patient Audits requests
- Review’s hospital admissions to ensure accurate financial and demographic data have been obtained and accurately entered in the hospital system
- Reviews and approves adjustments and refunds as assigned
- Order supplies for all areas of Patient Access
- Assist with working on Team Goals and assist staff on obtaining said goal
- Responsible for overseeing daily deposits are made timely and accurately
- Ensure Point of Service Collections are posted appropriately
- Ensure QA processes are in place and monitored and reported timely
- Actively participate in maintaining all pricing list for Patient Access
- Coordinates the staff in the activities of patient registration, pre-registration, scheduling, order entry, medical necessity, and pre-authorization
- Handle patient, doctor, executive escalations with regards to patient registration and scheduling team
- Facilitated alignment room projects which met weekly to improve metrics in relation to managed departments
- Monitored and Resolved Patient Access work queues
- Approved time and attendance, vacation request.
Patient Care Coordinator
National Institute of Health
2015.11 - 2018.07
- Communicated with new patients and their referring physicians to provide screening and ongoing trial related patient information
- Scheduled and communicated with patients and research team for tests and appointments needed to meet protocol requirements
- Requested, retrieved, and delivery of samples and information from external providers
- Related to research patients, needed for study teams
- Preparation of travel, lodging, and admissions documents for patients
- Requests for films, pathology samples, and phlebotomy information needed by the research team
- Delivery of outside films to the Film Library
- Entry of patient data into relevant Clinical Center systems
- Preparation, distribution, and filing of relevant documentation to research team and in research records and regulatory binders Overall tracking and coordination of study calendar/study status information for all patients on-study for the research team
- Served as a liaison between patients and their families, and the NIDDK for ongoing research studies
- Scheduled patient visits, medical test, and follow up visits
- Collate and maintain patient medical records and patient family contacts in compliance with regulatory standards
- Enter data into the laboratory information system spreadsheets and/or databases
- Process human blood and urine samples; ship or freeze and store blood and urine samples
- Administered Dual Energy X-ray Absorptiometry (DEXA) scans to measure bone mineral density on patients
- Processed blood for DNA extraction and quantification
- Assisted Senior Staff as required, including data entry, teaching new interns in laboratory techniques and overall laboratory procedures
- Translated a research study consent form from English to Spanish with review from Dr
- Jennifer Weil.
Traveling Consultant for Patient Access
Mays Revenue Recovery Consulting Group
2007.06 - 2015.07
- Obtained pre-authorization for all inpatient admission and pre-authorization for all outpatient diagnostic tests and performs an administrative support function
- Analyzed information required to complete pre-certifications and/or authorizations with insurance carriers service area contacts and workman’s compensation carriers
- Adhered to all policies and procedures of the facility as well as insurance carriers
- Verified Insurance Eligibility
- Verified authorizations are accurate and complete upon receipt prior to giving registration for scheduling patient procedures
- Documented in detail pre-authorization numbers and referrals in detail in the system as well as patient notes
- Prioritized add on procedures to ensure authorization completed timely
- Pre-Registered patients remotely and collected patients’ co-pays, deductibles, and coinsurances for quicker check in process on date of scheduled procedure
- Escalated time sensitive pre-authorizations to Leadership if pre-authorizations would not be obtained timely
- Ensured all accounts are noted
- Responsible for setting payment arrangements with patients who had outstanding balances
- Worked on conversion accounts, to ensure patient’s insurance information were converted to a new system
- Contacted patients to obtain insurance information needed to process claims such as COB information, accident details, preexisting questionnaire, etc
- Maintained productivity log
- Ensured the Census was current and removed discharged patients daily and updated the Census
- Entered pertinent information including insurance and demographic patient information correctly at time of check in for clean claim billing
- Collected upfront balances due from patients such as co-pays, deductibles, coinsurance
- Assigned patients to the room
- ER registration with high standards of EMTALA laws
- Assisted with special projects
- Insurance Verification
- Assisted with all forms of Commercial, Medicaid, Workers
- Implemented the department’s goals through efficient management of day-to-day operations of the department
- Troubleshooted operational issues and developed action plans to resolve
- Collaborated with the management team on significant operational issues/barriers
- Assisted manager and/or management team in development, implementation, and evaluation of services, programs, policies and procedures, and performance standards to achieve departmental goals
- Ensured accuracy of the registration process, monitoring reports, and updating information accordingly and addressing staff timely
- Registered, scheduled, and processed patients through the system while ensuring optimal patient flow
- Collaborated with the Manager to ensure efficiency of department processes including reconciliation of daily visits, charge tickets and cash drawer balancing
- Ensured staff are meeting departmental goals including TOS, ACD, Charge Reconciliation, registration quality and first pass denials
- Worked with Manager to ensure the department was meeting budgetary goals
- Worked with Manger to provide monthly reports and identify outcomes and opportunities for improvements.
Education
B.S. Renewable Natural Resources-Wildlife, Watershed & Rangeland Resources -
University of Arizona
Tucson, AZMaricopa County Medical Center- Bilingual Assistant Certification -
Skills
- Inpatient Registration
- Program Development Participation
- Effective Written and Verbal Communication
- New Staff Training
References Available
True
Systems
- Cerner
- Epic
- HBOC
- CUBS
- Meditech
- Athena
- Rycan
- Carevoyant
Certification
Maricopa County Medical Center- Bilingual Assistant Certification
Languages
Spanish
Full Professional
Timeline
Sr. Patient Access Manager Registration/Scheduling/Pre-Services/Charity/Customer Service/Financial Counselors
GC Health Group (Contractor Medical Center Hospital)
2018.07 - 2023.09
Patient Care Coordinator
National Institute of Health
2015.11 - 2018.07
Traveling Consultant for Patient Access
Mays Revenue Recovery Consulting Group
2007.06 - 2015.07
B.S. Renewable Natural Resources-Wildlife, Watershed & Rangeland Resources -
University of Arizona
Maricopa County Medical Center- Bilingual Assistant Certification -
Maricopa County Medical Center- Bilingual Assistant Certification
Similar Profiles
Tanya Baca DNP, CNM, PMHNP-BCTanya Baca DNP, CNM, PMHNP-BC
CNM at ADVENT HEALTH MEDICAL GROUP IN ASSOCIATION WITH ADVENT HEALTH HOSPITALCNM at ADVENT HEALTH MEDICAL GROUP IN ASSOCIATION WITH ADVENT HEALTH HOSPITAL
Jeanine HuffmanJeanine Huffman
Front Office Specialist at Kettering Health Medical Group, Centerville Health CenterFront Office Specialist at Kettering Health Medical Group, Centerville Health Center
Lauren RothmanLauren Rothman
Acute/Rehab Therapy Aide at VALLEY HOSPITAL MEDICAL CENTER/ VALLEY HEALTH SPECIALITY HOSPITALAcute/Rehab Therapy Aide at VALLEY HOSPITAL MEDICAL CENTER/ VALLEY HEALTH SPECIALITY HOSPITAL