Summary

Overview

Work History

Education

Skills

Certification

Languages

References

Timeline

Karina Martinez

Brooklyn,NY

Summary

Compassionate Patient Access Representative well-versed in performing diverse administrative functions for patient care with high degree of diplomacy and problem-solving acumen. Positive and upbeat team player with good communication and time management abilities. Demonstrated extreme attention to detail with accuracy of medical records. Career-minded and organized professional skillful in maintaining patient accounts, arranging immediate medical care and verifying insurance claims. Familiar with medical and clinical terminology coupled with proficiency in MS Office.

Overview

years of professional experience

Certification

Work History

Patient Access Representative

Geisinger Specialty Clinic

Wilkes-Barre, PA

04.2024 - 09.2024

Greeted patients and visitors in a courteous and professional manner.
Verified insurance coverage for services provided by the facility.
Developed and maintained detailed procedures to ensure compliance with regulatory requirements.
Scheduled patient appointments, verifying accuracy of appointment times with providers.
Answered incoming calls, responding to inquiries from patients and other medical offices.
Prepared charts for new patients, ensuring all necessary forms were completed correctly.
Provided support to clinical staff during patient visits, including rooming patients, collecting vital signs and documenting chief complaints.
Performed data entry tasks related to billing and collections procedures.
Processed referrals for specialist care when requested by physicians or patients.
Scheduled and followed up on patient appointments, collected and processed patient payments and maintained patient files.

HR Assistant

Gupta Gastro Associates

Brooklyn, NY

01.2017 - 10.2023

Assisted in the recruitment and interviewing process by scheduling interviews, coordinating pre-employment testing, and providing administrative support to hiring managers.
Compiled employee records such as personal information, attendance, benefits, performance reviews, and terminations.
Organized and maintained personnel records including new hire paperwork and changes to employment status.
Processed payroll data including hours worked, overtime approval, vacation time tracking, garnishments and deductions.
Managed employee onboarding program for new hires ensuring completion of all required documents.
Coordinated with department heads to ensure compliance with corporate policies and procedures.
Provided advice on HR related topics such as compensation levels, performance reviews and disciplinary actions.
Ensured that employees received proper training on safety regulations and other relevant information necessary for their job duties.
Maintained awareness of current trends in Human Resources management practices.
Assisted in the development of company policies regarding wages, working conditions and equal opportunity employment.
Drafted letters of offer to new hires outlining terms of employment.
Responded to inquiries from employees regarding various human resources issues such as benefits eligibility or policy interpretation.
Handled sensitive and confidential employee information with complete discretion.
Processed onboarding paperwork for new hires and rehires.
Scheduled appointments, meetings and conferences with employees to discuss and mitigate personnel issues.
Answered questions regarding salaries, benefits and other pertinent information.
Processed paperwork related to grievances, performance evaluations, classifications and employee leaves of absence.
Explained company personnel policies, benefits and procedures to employees or job applicants.
Handled confidential information with discretion and integrity.

Medical Receptionist

Gupta Gastro Associates

Brooklyn, NY

01.2017 - 10.2023

Greeted and checked in patients, updating patient information in computer system.
Verified insurance coverage for appointments and collected co-payments as required.
Scheduled patient appointments, verifying accuracy of appointment times with providers.
Answered incoming calls, responding to inquiries from patients and other medical offices.
Prepared charts for new patients, ensuring all necessary forms were completed correctly.
Assisted with filing of medical records and documents, maintaining accurate electronic files.
Provided support to clinical staff during patient visits, including rooming patients, collecting vital signs and documenting chief complaints.
Performed data entry tasks related to billing and collections procedures.
Processed referrals for specialist care when requested by physicians or patients.
Maintained supply inventory for office area, ordering items as needed and stocking shelves.
Checked patients in and out for appointments and collected co-payments.
Scheduled and followed up on patient appointments, collected and processed patient payments and maintained patient files.
Managed office phone lines by checking voicemail, returning calls and directing messages to team members.
Carried out daily tasks by professionally communicating with physicians, nursing staff, technicians and medical assistants.
Called patients to confirm scheduled appointments and obtain additional details.
Entered insurance, demographics and health history into patient database.
Answered multi-line phone system and directed callers to requested personnel and departments.
Delivered high-quality administrative and customer service to sustain patient and work flows.
Protected patients by observing strict HIPAA guidelines.
Retrieved faxes and uploaded documents to patient charts to assist clinical staff.
Took messages from patients and promptly relayed to appropriate staff.
Photocopied insurance cards, documented details and verified patient coverage for upcoming procedures or appointments.
Scheduled appointments, optimizing patient satisfaction, provider time and treatment room utilization.
Processed patient payments and scanned identification and insurance cards.
Informed patients of financial responsibilities prior to rendering services.
Straightened up waiting room to maintain neat and organized space.
Adhered to HIPAA requirements to safeguard patient confidentiality.
Answered telephones and directed calls to appropriate medical or administrative staff.
Scheduled and confirmed patient appointments and consultations.
Communicated with patients with compassion while keeping medical information private.
Managed front office customer service, appointment management, billing and administration tasks to streamline workflow.
Greeted patients, determined purpose of visit and directed to appropriate staff.
Scheduled tests, lab work or x-rays for patients based on physician orders.
Prepared reports, invoices, letters, or medical records using word processing, spreadsheet, or other software applications.

Insurance Verification Specialist

Gupta Gastro Associates

Brooklyn, NY

01.2017 - 10.2023

Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
Maintained accurate documentation on all pre-authorization requests, denials and appeals.
Monitored changes in government regulations affecting healthcare reimbursement systems.
Updated patient and insurance data and input changes into company computer system.
Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
Contacted patients to confirm demographic information and communicate financial responsibilities.
Entered data in EMR database to record payer, authorization requirements and coverage limitations.
Conducted follow-ups with insurance companies to expedite verification processes.
Educated patients on their insurance benefits and coverage limitations.
Verified patient insurance coverage, benefits, and eligibility for services across multiple insurance platforms.
Utilized electronic medical records (EMR) systems for documenting verification processes.
Answered telephones and directed calls to appropriate medical or adminstrative staff.
Scheduled and confirmed patient appointments and consultations.
Greeted patients, determined purpose of visit and directed to appropriate staff.
Scheduled tests, lab work or x-rays for patients based on physician orders.

Authorization Specialist

Gupta Gastro Associates

Brooklyn, NY

01.2017 - 10.2023

Reviewed authorization requests for accuracy and completeness.
Researched patient eligibility, coverage information, and benefit levels.
Verified insurance authorizations with payers via telephone or web-based systems.
Processed prior authorization requests in accordance with departmental guidelines.
Coordinated communication between providers, patients, payers, and other departments as needed.
Contacted customers to notify of delinquent payments and resolve.
Verified insurance eligibility for patients and entered information into the system.
Ensured accurate data entry of patient demographics, insurance details, and authorization numbers.
Provided guidance to front desk staff on how to obtain proper authorizations from insurers.
Scheduled peer to peer reviews for physicians to discuss medical necessity with insurance providers.

Sales Lead

Alexa's Food Corp.

Brooklyn, NY

08.2014 - 04.2016

Assisted in developing promotional materials such as brochures, flyers.
Maintained relationships with existing clients by providing product updates and information.
Resolved customer complaints in an efficient manner while maintaining quality standards.
Provided training sessions for new employees on sales techniques, procedures.
Identified opportunities to improve processes related to the sale of products or services.
Analyzed customer feedback to identify areas for improvement in products and services.
Managed cash register operations using POS system and processed sales and returns.
Monitored sales floor to identify customers in need of assistance and merchandise requiring replenishment.
Greeted and assisted customers to foster positive experiences.
Operated register, handled cash and processed credit card transactions.

Sales Associate

Alexa's Food Corp.

Brooklyn, NY

05.2008 - 07.2014

Greeted customers and provided exceptional customer service.
Processed transactions using a point-of-sale system.
Maintained up-to-date knowledge of store merchandise and policies.
Built relationships with customers to encourage repeat business.
Organized stockroom shelves according to size, color or style.
Restocked shelves as needed to ensure sufficient inventory levels.
Handled customer complaints in a professional manner.
Performed cashier duties such as accepting payments, issuing receipts and counting money back change.
Ensured compliance with all safety regulations while handling hazardous materials.
Helped customers find specific products, answered questions, and offered product advice.
Engaged customers in friendly, professional dialogue to determine needs.
Answered incoming telephone calls to provide store, products and services information.
Collected payments and provided accurate change.
Worked with fellow sales team members to achieve group targets.
Trained new team members in cash register operation, stock procedures, and customer services.
Cleaned shelves, counters and tables to maintain organized store.
Answered store and merchandise questions and led customers to wanted items.
Stocked shelves and supplies and organized displays to focus customer attention on specific items.

Teaching Aide

ACE Childhood Center

Brooklyn, NY

06.2006 - 08.2006

Assisted teachers with classroom activities and instruction.
Organized materials for the teacher's use in the classroom.
Conducted small group activities to reinforce learning objectives.
Created positive relationships with students through active listening and positive reinforcement of behavior expectations.
Maintained accurate records of student progress, behaviors, and attendance.
Monitored student safety while on school grounds or during field trips.

Education

High School Diploma -

John Dewey High School

Brooklyn, NY

06-2008

Skills

Quality Assurance
Financial Procedures Adherence
Pre-Admission Requests
Insurance Verification
HIPAA Compliance
Problem-Solving
Patient identity verification
Registration management
Registration and Admissions
Scheduling Diagnostic Procedures
Customer Service
Patient check-in
Appointment Scheduling
Insurance company knowledgeable
Medical Terminology
Fluent in English Language
Fluent in Spanish Language
Letter preparation
Payment Collection
Billing support
Referral Verification
Outpatient Care
Telephone Etiquette
EMR / EHR

HIPAA Guidelines
Patient Registration
Patient callbacks
Insurance verifications
Patient Scheduling
File Maintenance
Onboarding support
Human resources records
New employee onboarding
Clerical Support
Payroll Administration
Employee Relations
Provider Relations
Conflict resolution abilities
Medical terminology proficiency
Documentation Management
Active listening abilities
Effective communication skills
Authorizations
Patient Referrals
Outpatient surgery coding
Data Entry
EPIC EMR Software
Practice Fusion Software

Certification

MedCerts Medical Billing and Coding Essentials
MedCerts Medical Billing and Coding Fundamentals Specialization
MedCerts Medical Terminology and the Human Body Fundamentals
MedCerts Professionalism in Allied Health

Languages

English

Full Professional

John Dewey High School

Karina Martinez

Summary

Overview

Work History

Patient Access Representative

HR Assistant

Medical Receptionist

Insurance Verification Specialist

Authorization Specialist

Sales Lead

Sales Associate

Teaching Aide

Education

High School Diploma -

Skills

Certification

Languages

References

Timeline

Patient Access Representative

HR Assistant

Medical Receptionist

Insurance Verification Specialist

Authorization Specialist

Sales Lead

Sales Associate

Teaching Aide

High School Diploma -

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