Gisselle Martinez
Marina,CA
Summary
Self-motivated senior administrative assistant with experience challenging the status quo when appropriate. Exceptional written and verbal communicator known for concise language and thoughtful conveyance of information between proper channels. Interested in a position where I cancollaborate with a diverse group to ensure best practice is efficiency is brought to our clients and stake holders.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Senior Administrative Assistant
Ohana Center for Child and Adolescent Behavioral Health
11.2022 - Current
- Supported the clinical director and program managers by creating reports, charts, and spreadsheets to better understand productivity opportunities for therapists.
- Curated meeting agendas and organized vital appointments with outside entities to ensure community support and collaboration in supporting clinic patients and families.
- I researched and analyzed data to promote clear work flow and efficiency by initiating better communication, facilitating meetings and collaborating with appropriate executive reports for monthly meetings.
- initiated and supported standardwork for pateint thearpy group creation to ensure and efficient process, and proper follow through from creation to clinic-wide notification.
- Supported clinic meeting calendar to ensure all groups, meetings and large events are scheduled in appropriate rooms, at times assisted in shuffling groups to accommodate last minute changes and spacial needs.
- Acted as backup for admin assistant staff by providing support and adapting to requirements of tasks and patient facing positions.
- Managed patient correspondence regarding discharges to ensure clear communication throughout our clinic and connected hospital staff.
- Supported project teams in achieving their goals through proactive assistance with research, data analysis, and report preparation.
Customer Service Representatives
Coastal TPA- Health Insurance Administrator
09.2021 - 11.2022
- Assisted members over the phone, via fax, and by email with various questions about their benefits and coverage
- Kept clear documentation of each call, ensuring proper updates and final decisions were related to all parties involved
- Practiced patience and empathy with callers during high-volume instances, ensuring callers were clear on the information given
- Responded to all inquiries timely to ensure compliance and good member experience
- Analyzed claims with callers to verify denial, and further follow-up information; at times, sent claims back for payout discrepancies
- Assisted members and providers in accessing the web portal and walked through processes to retrieve claim information, update coordination of benefits information, and other self-help services
- Worked with the team to ensure appropriate phone coverage and cross-training for continuous customer service improvement.
Unit Receptionist
Hospice of the Central Coast
09.2012 - 10.2020
- Intake super user ensuring proper admission information, including billing and ICD 10 information, also suggested new workflows when changes were made due to system upgrades or regulations
- Collected and organized patient demographics data via Epic and Excel for internal and governmental reporting ensuring confidence in reporting
- Scheduled clinical appointments per patient needs and visit frequency orders, ensuring the care plan was followed and updated with visit frequency changes as required
- Supported callers using sound judgment, coordinating care with team members, facilities, pharmacy, and vendors, and reducing return calls or missed interventions
- Organized interdisciplinary meeting agendas occurring twice weekly, assuring Centers for Medicare and Medicaid guidelines were met, and urgent matters were added as needed
- Created a bi-weekly staff schedule for review, ensuring coverage and full-time equivalents were adhered to
- Systematized physician orders and certifications needing signatures, kept organized records, and constant contact with physician's offices associated with patients.
Education
Bachelor of Arts in Sociology -
California State University, Chico
05.2022
Skills
- Microsoft Word
- Excel & Publisher
- Joint Commission survey readiness
- Electronic Health Records
- ICD-10 and CPT code
- Epic Software System
- Customer Service
- Data entry and analysis
- Marketing
- Health benefit insight
- Relationship Building
References
References available upon request
Certification
- Mental Health First Aide Provider, National Council for Mental Wellbeing - effective 1/18/2024 - 1/18/2027
Timeline
Senior Administrative Assistant
Ohana Center for Child and Adolescent Behavioral Health
11.2022 - Current
Customer Service Representatives
Coastal TPA- Health Insurance Administrator
09.2021 - 11.2022
Unit Receptionist
Hospice of the Central Coast
09.2012 - 10.2020
Bachelor of Arts in Sociology -
California State University, Chico
- Mental Health First Aide Provider, National Council for Mental Wellbeing - effective 1/18/2024 - 1/18/2027
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