JANAE MARTINEZ

• Assembles and summarizes data to structure sophisticated reports on financial status.
• Drives process improvement and policy development initiatives that impact the function of the Central Billing Office
• Works with Accounting Department staff to ensure controls and reconciliations are accurate and timely.
• Monitors and analyses adjustment trends, bad debt write-offs, financial reclassifications, and other CBO performance indicators.
• Prepares forecasts based upon these indicators.
• Maintains all source documents for approvals.
• Reconciles transactions by comparing and correcting data and recommending changes in software programming where applicable undertakes special projects as assigned, e.g., budget preparation, audit preparation, staff training, and development of department policies and procedures.

• Prepare daily cash balancing and reconciliation in two systems of records.
• Work collaboratively with Education and Outreach and Government Programs to ensure members needs are met, and refunds and reimbursed in a timely manner.
• Provide guidance and instruction to fellow members of my team daily.
• Respond to escalated member issues and urgent phone calls.
• Administer Medicare line of business pertaining to billing functions such as notifying delinquent members, issuing refunds, reconciling payment from CMS, monthly reconciliation of MPWRD.
• Manage the preparation of monthly invoices for the Administration Services Only groups.
• Conduct testing for new implementations and automation.
• Provide and prepare training materials and documents for new employees.

• Work collaboratively with Education and Outreach and Government Programs to reduce the amount of monthly terminations, and to reinstate members for good cause.
• Provide guidance to customer service regarding urgent member issues and hot phone calls.
• Administer Medicare line of business pertaining to billing functions such as notifying delinquent members, issuing refunds, reconciling payment from CMS, monthly reconciliation of MPWRD.
• Manage the preparation of Invoices for the Administrative Services only line of business.
• Submit correspondence for appeals and grievances for Medicare members.

• Accurately record daily premium payments.
• Provide guidance to customer service regarding urgent member issues.
• Administer Medicare line of business pertaining to billing functions such as notifying delinquent members and preparing refunds.
• Record adjustments into system of records such as discretionary billing items, reapplied funds, and refunds.

· Hire new employees

· Assign and dispatch workers to jobsites.

· Perform Accounts Receivables task to collect payments.

· Conduct week ending procedures including invoicing clients.