Jacqueline G. Martinez
Redlands,CA
Summary
Professional with strong background in customer interactions and service solutions. Highly skilled in conflict resolution, communication, and problem-solving, ensuring customer satisfaction and loyalty. Effective team collaborator, adaptable to changing needs, and consistently focused on achieving results through efficient and empathetic service. Known for reliability and proactive approach to meeting customer and organizational goals.
Overview
11
11
years of professional experience
Work History
Collector
Loma Linda University Health
07.2024 - 01.2026
- Managed collections on outstanding accounts, ensuring timely follow-up and resolution of billing issues.
- Reviewed and analyzed patient accounts for accuracy, processed adjustments, and prepared accounts for escalation when needed.
- Communicated with insurance companies and patients to resolve payment discrepancies and ensure proper reimbursement.
- Proficient in using phones, copiers, and fax machines for efficient communication and documentation.
- Utilized Epic and multiple payer websites to access account details, verify insurance, and optimize collection processes.
Accounts Receivable
West Coast Dermatology Billing
05.2024 - 07.2024
- All AR responsibilities handling claims.
- Entering new patients to the office records
- Insurance verifications for patients
- Claim status research
- Rebilling patients
- Posting charges to accounts.
- Billing patient visits.
- Working with multiple data sets.
- Insurance knowledge.
- Termed Insurance.
- COB issues.
Billing/Document Coordinator
Arrowhead Evaluation Services, Inc.
02.2022 - 04.2024
- Demonstrates competency and complete understanding of Managed Care insurance billing, collections and contracts.
- Responsible to review EOB’s for correct reimbursement, documents under payments and prepares contractual adjustments.
- Maintains Contracts with appropriate reimbursement information as well as correct payor codes.
- Reviews all Managed Care Capped accounts prior to contractual write off.
- Works effectively with Mid Legal Contracts Management to resolve contract issues.
- Monitors contracts and Explanation of Benefits to ensure proper calculation and payment processing.
- Demonstrates competency when reviewing EOB’s for managed care mid legal evaluations, HCPCS odes and fee schedule reimbursement.
- Knowledge in billing claims thru E-Premis/Relay Clearance systems.
- Responsible to reclassify Managed Care accounts as per EOB’s received.
- Performs all other duties and special projects as assigned in an organized and timely manner.
- Billing patient visits.
- Updating medial records in the system.
- Scheduling appointments.
- Opening and distributing daily mail.
- Managing calendars.
- Preparing cover letters.
- Answering phone calls.
Office Manager
Monarch Hospice Care INC
07.2019 - 11.2021
- All HR responsibility
- Checking patients eligibility
- Answering the phone and faxing
- Inputting patients information
- Ordering medications for doctors
- Medical Records (opening and closing charts)
- HospiceMD
Unit Secretary/Medical Records
Glendora Canyon TC
09.2018 - 07.2019
- Medical records duties include (closing and making new charts)
- Running daily audits (MAR, TAR, IV and CNA)
- Filing signed orders from doctors
- Labs and x-rays orders
- Working closely with Doctors, LVNs, RNs and CNAs
- Helping patients and family members
Chart Coordinator
Emergency Groups Office
09.2016 - 10.2017
- Pulling dictations and missing info for different hospital sites:
- Handling pended and MIAS for 8 datasets
- Emailing doctors and Updating PAT comments
Intern, Medical Biller’s Assistant
California Kidney Specialists
06.2015 - 08.2016
- Assisting main Medical Billers with their daily process, including:
- Entering new patients to the office records
- Insurance verifications for patients
- Claim status research
- Rebilling patients
- Following up on EOB’s
- Posting charges to accounts.
Education
Medical Billing And Coding - Medical Insurance Billing And Coding
North-West College
West Covina, CA01.2016
Skills
- Overview of Health Claims
- Verification of Insurance
- Collections
- EOB
- Excellent Customer Service
- Secretarial Skills
- CPT Coding
- Word/Excel/MediSoft
- Insurance Billing on UB04
- HospiceMD
- PointClickCare
- EPIC
- ICD-10 CM Coding
- Medical Terminology
- Bookkeeping
- Extensive Insurance Terminology
- HMO, PPO, MediCal and MediCare
- Anatomy
- Account Receivable/Payable
- Patient Management System (PMS)
- Insurance Billing on CMS 1500
- Medical Records
- COMPUTER SKILLS: MS Word, Excel and PowerPoint; Patient Management System (PMS), RPM, RCA , PAT Multiple Datasets EPIC
Timeline
Collector
Loma Linda University Health
07.2024 - 01.2026
Accounts Receivable
West Coast Dermatology Billing
05.2024 - 07.2024
Billing/Document Coordinator
Arrowhead Evaluation Services, Inc.
02.2022 - 04.2024
Office Manager
Monarch Hospice Care INC
07.2019 - 11.2021
Unit Secretary/Medical Records
Glendora Canyon TC
09.2018 - 07.2019
Chart Coordinator
Emergency Groups Office
09.2016 - 10.2017
Intern, Medical Biller’s Assistant
California Kidney Specialists
06.2015 - 08.2016
Medical Billing And Coding - Medical Insurance Billing And Coding
North-West College