Summary
Overview
Work History
Education
Skills
Certification
Timeline
Hi, I’m

Grace G. Martinez

Analyst/Information Tech
Miami,Florida

Summary

Organized and efficient Data Coding Specialist with over five years of experience in data organization, proofreading, and medical billing.

A motivated professional offering proficiency in data entry combined with strong analytical skills. Fast learner and committed to continuous, self-directed learning. Team player works to support group efforts to meet critical deadlines.

Overview

7
years of professional experience
2
years of post-secondary education
5
Certifications
1
Language

Work History

QPS-MRA, LLC
Miami, FL

Associate Data Entry & Quality Control
08.2022 - Current

Job overview

  • Secured and protected data from unauthorized access by complying with security protocols.
  • Resolved discrepancies in data entry activities for accurate, complete jobs.
  • Perform Front End and Back End QC of completed source documents to prevent errors or omissions prior to its submission to the study sponsor.
  • Inform research coordinators and assistants of discrepancies found so as to allow correction prior to submission.
  • Perform QC review of site logs including meal logs, adverse event and concomitant medication logs and any other logs required during course of the study.
  • Ensuring all Clarification Logs are resolved in a timely manner.
  • Review Protocol and oversee the QC of study resources and Source verification.
  • Inform supervisors of any problems that occur to avoid any conflict and find an appropriate solution and resolve discrepancies.

Quality Medical Consultants Group Inc
Miami, FL

Billing Specialist
10.2020 - 12.2021

Job overview

  • Verified patient insurance eligibility and billed subsequent fee for service admissions.
  • Researched and corrected insurance information in our database to ensure billing is processed in a timely manner.
  • Contacted insurance or physician for pending information in order to process or resubmit claims.
  • Prepared, updated, and filed documents including reports and emails.
  • Voided or reprocessed claims for accurate billing and updated whether funds need to be recouped.
  • Processed and verified invoices to secure accuracy of billing information.
  • Developed and maintained billing procedures to make timely payments.
  • Provided excellent customer service, developing and maintaining client relationships.
  • Generated monthly invoices for customers in multiple formats to provide transparency.
  • Researched and resolved billing discrepancies to enable accurate billing.
  • Prepared and submitted monthly billing reports to management for financial overview.
  • Maintained accurate records of customer payments.
  • Responded to customer concerns and questions on daily basis.
  • Used data entry skills to accurately document and input statements.
  • Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
  • Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
  • Processed patient payments and notified Collections Agency.

Quality Medical Consultants Group Inc
Miami, FL

Data Entry Specialist
07.2020 - 09.2020

Job overview

  • Scanned documents and saved in database to keep records of essential organizational information.
  • Completed data entry tasks with accuracy and efficiency.
  • Managed workflow scheduling, data entry, and accuracy verification for large data projects.
  • Reviewed and updated client correspondence files and database information to maintain accurate records.
  • Searched, extracted and interpreted information to determine correct input procedure.
  • Coded and processed applications into required electronic formats.
  • Organized, sorted, and checked input data against original documents.
  • Created and maintained data entry logs to track data entry activities.
  • Compiled data and reviewed information for accuracy prior to input.
  • Corrected data entry errors to prevent later issues such as duplication or data degradation.
  • Identified data entry errors and reported to necessary departments.
  • Checked insurance eligibility for patients to enter admissions daily into database
  • Analyzed, tracked and recorded qualitative data on patients admitted, discharged or transferred to any assigned facility.
  • Confirmed all information in database was up-to-date, accurate and reflected patients current status.
  • Maintain daily contact with site coordinators, physicians and facility to ensure we are collecting all information needed to bill all admissions correctly.

Miami Beach Community Health Center
Miami, FL

Financial Coordinator
11.2015 - 10.2019

Job overview

  • Data Entry- Drop procedure codes into patient accounts and bill insurances while applying money.
  • Answer the phone; collect payments, refund checks, and work with insurance corrections.
  • Contacted insurance carriers to discuss policies and individual patient benefits.
  • Explained insurance benefits, fees and procedures to patients.
  • Submitted claims to insurance companies on same day as patient treatment.
  • Followed up with delinquent accounts to obtain funds and reduce aging balances.
  • Accurately completed financial statement audits and thoroughly reviewed results.
  • Optimized organizational systems for payment collections, AP/AR, deposits, and recordkeeping.
  • Provided backup to front desk to step in to assist with various tasks whenever employee was absent or at lunch.
  • Kept high average of performance evaluations.
  • Monitored customer accounts to identify and rectify billing issues.

Education

Miami Dade College
Miami, FL

Bachelor’s from Data Analytics / Coding
01.2021 - Current

University Overview

Part Time Student

Miami Dade College
Miami, FL

Associate from Architecture, Arts

Ironhack
Miami, FL

Coding Certificate from Data Analytics
05.2001

Skills

    MS Office

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Certification

CITI Program -GCP Course for Clinical Trials Involving Investigational Drugs

Timeline

OSHA-DOH Compliance

04-2023

AHA -CPR

11-2022

Associate Data Entry & Quality Control

QPS-MRA, LLC
08.2022 - Current

CITI Program -GCP Course for Clinical Trials Involving Investigational Drugs

08-2022

CITI Program -Health Information Privacy and Security

08-2022

CITI Program -Revised Common Rule

08-2022

Miami Dade College

Bachelor’s from Data Analytics / Coding
01.2021 - Current

Billing Specialist

Quality Medical Consultants Group Inc
10.2020 - 12.2021

Data Entry Specialist

Quality Medical Consultants Group Inc
07.2020 - 09.2020

Financial Coordinator

Miami Beach Community Health Center
11.2015 - 10.2019

Ironhack

Coding Certificate from Data Analytics
05.2001

Miami Dade College

Associate from Architecture, Arts
Grace G. MartinezAnalyst/Information Tech