Summary
Overview
Work History
Education
Skills
Timeline
Generic

Gregory Martinez

San Antonio,TX

Summary

Objectives I am a dedicated and loyal individual with a decade, plus years of experience in customer service, sales, and health claims processing. Including over 3 years of leadership experience. I have excellent problem solving skills, issue resolution skills, great analytical skills, as well as verbal and interpersonal skills. I am great at multi-tasking while keeping a friendly positive attitude and get along well with others while working efficiently as a teammate and independently. I am seeking a position that encompasses my attributes and skills.

Overview

9
9
years of professional experience

Work History

Senior Sales Manager

Alorica
02.2014 - 09.2015
  • Acted as Lead in leading team training, assisted in acclimating new-hire agents during transition period, assisted in workforce management for team.
  • Assisted members/providers with medical/dental/vision/prescription insurance benefits/eligibility/claims/appeals information/Medicare
  • Resolved issues as a one-call resolution policy, assisted in claims interpretation and adjudication, as part of the one-call resolution policy
  • Data entry experience with receiving and process inbound faxes/e-fax/e-requests
  • Reviewed medical record documentation to send for processing
  • Reviewed appeals and authorizations data for resolution and processing
  • Assisted in leading team training, assisted in acclimating new-hire agents during transition period, Assisted in workforce management for team.

Customer Service Specialist

Last Brand/ Quince (merged)
11.2021 - Current
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
  • Addressed customer complaints and mitigated dissatisfaction by employing timely and on-point solutions.
  • Achieved high satisfaction rating through proactive one-call resolutions of customer issues.
  • Developed customer service improvement initiatives to decrease customer wait times.
  • Clarified customer issues and determined root cause of problems to resolve product or service complaints.
  • Analyzed customer service trends to discover areas of opportunity and provide feedback to management.

Accounts Receivable and Cash Management Specialist

Quick Med Claims, LLC
03.2019 - 11.2021
  • Prepared and mailed invoices to customers, processed payments, and documented account updates.
  • Followed up overdue payments and payment plans from clients to establish good cash flow.
  • Submitted cash and check deposits and generated cash receipts to record money received.
  • Monitored accounts to verify compliance with payment terms and schedules.
  • Developed and maintained positive relationships with clients to maximize collections.
  • Reconciled accounts receivable ledger to verify payments and resolve variances.
  • Effectively communicated with clients about payment needs and kept updated, detailed and accurate ledgers.

Customer Service Representative

Caprock Health Group
05.2018 - 03.2019
  • Handled customer inquiries and suggestions courteously and professionally.
  • Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
  • Answered constant flow of customer calls with minimal wait times.
  • Resolved escalated customer service inquiries and complaints to maintain satisfaction.
  • Coached and mentored service representatives to deliver polite, professional customer interactions.
  • Built positive rapport and relationships for high levels of customer satisfaction.

Customer Service Representative/Senior Health Advocate

UnitedHealth Group
09.2015 - 05.2018


  • Senior level agent in Medical/dental, prescription/vision eligibility/benefits/claims adjustments, etc;
  • Assisted Tier 1 agents with Small and medium-sized enterprises/escalations/authorizations policy and standard operating procedures.
  • Reviewed medical records, appeals, and authorization data documentation to send for processing
  • Inbound customer service – reviewed information with providers/members regarding medical/dental/prescription benefits/claims/adjustments/etc
  • Assisted provider relations/credentialing/tax form preparation/acquisition and data entry experience with receiving and process inbound faxes/e-fax/e-requests
  • Claims adjuster/reconsideration with medical, dental,vision, prescription for over 3 years.

Education

No Degree -

University of North Texas
Denton, TX

Associate of Applied Science - Nursing

Texas State University
San Marcos, TX
05.2011

High School Diploma -

Antonian College Preparatory
San Antonio, TX
06.2007

Skills

  • Database Maintenance
  • Conduct Orientations and Training
  • Analytical and Critical Thinking
  • Training Development and Execution
  • Special Assignments
  • Retention Program Development
  • Excellent in time management / communication / adaptability
  • Leadership experience 3 years/training new hires/OTJ training / Ability to mentor/coach to metrics and policies
  • Soft skills / Critical thinking/resolution / Sales (retail – customer service – cold call – retention – acquisition)
  • Proficient in Microsoft Word, Microsoft Office/Excel, PowerPoint, Internet Explorer, Mozilla Firefox
  • Typing of 90 WPM

Timeline

Customer Service Specialist

Last Brand/ Quince (merged)
11.2021 - Current

Accounts Receivable and Cash Management Specialist

Quick Med Claims, LLC
03.2019 - 11.2021

Customer Service Representative

Caprock Health Group
05.2018 - 03.2019

Customer Service Representative/Senior Health Advocate

UnitedHealth Group
09.2015 - 05.2018

Senior Sales Manager

Alorica
02.2014 - 09.2015

No Degree -

University of North Texas

Associate of Applied Science - Nursing

Texas State University

High School Diploma -

Antonian College Preparatory

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