Kristie L. Martinez
Grayslake,IL
Summary
Results-driven healthcare leader with over 20 years of experience driving operational excellence, revenue optimization, and strategic growth for multi-site specialty practices. Proven track record of expanding clinical service lines and successfully managing multi-million-dollar real estate and surgery center investments. Expert in leveraging financial analytics, Six Sigma methodologies, and Epic KPI tracking to capture lost revenue, streamline front end processes, and maximize operational efficiency. A strength-based leader dedicated to cultivating high-performing teams, improving employee retention, and achieving top-tier metrics in patient satisfaction and compliance.
Overview
33
33
years of professional experience
1
1
Certification
Work History
Practice Administrator
Illinois Bone & Joint Institute, LLC
Gurnee, IL
12.2007 - Current
- Oversee daily administrative, clinical, and human resources operations for a musculoskeletal specialty practice.
- Successfully managed multiple office buildouts, resulting in the opening of three new locations.
- Facilitated the expansion of new service lines, including Interventional Pain Management, Physical Medicine and Rehabilitation, Rheumatology, DEXA, Infusion Center and Osteoporosis Center of Excellence.
- Manage physicians’ real estate and surgery center investments.
- Spearheaded the merger of 2 Regional Call Centers while implementing standardized operating procedures for alignment and customer service excellence.
- Conduct financial analysis, coding audits, and denial management to recover lost revenue from insurance underpayments and billing errors.
- Collaborate with the corporate team to support strategic initiatives, including EMR workflow enhancements that have positively impacted the organization.
- Develop workflows based on Six Sigma methodology to increase staff productivity and improve accuracy in front-end processes.
- Utilize a strength-based team management approach by identifying individual talents and assigning roles accordingly resulting in improved employee retention.
- Achieved top performance across metrics such as quality of care, patient satisfaction, and Epic KPIs measuring operational efficiency.
- Streamlined Epic documentation workflows to align clinical quality guidelines and examination parameters, accelerating prior authorizations and reducing peer-to-peer reviews.
- Enforced strict compliance with OSHA, risk management, and safety protocols through rigorous weekly and monthly audits.
- Mastered and applied federal and state (Medicare and Medicaid) billing and documentation standards to ensure compliance.
Revenue Management Consultant / Practice Administrator
Drs. Girgis and Associates, S.C.
Hinsdale, IL
05.2006 - 01.2008
- Provided consulting services to enhance operational policies and best practices within the revenue cycle.
- Conducted in-depth coding and billing analysis, offering training and key coding and documentation concepts that increased monthly collections.
- Restructured staffing models and roles based on employee strengths, improving team efficiency.
- Managed daily operations in clinical workflow, patient registration, billing, accounting, payroll, and human resources.
- Led monthly partnership meetings to review financials and align strategy, goals, growth and metrics.
Healthcare Consultant
American Medical Association
Des Plaines, IL
08.2003 - 11.2003
- Collaborated with the American Medical Association to produce key publications on claims management, including resources designed to help physicians prepare and appeal claims effectively.
- These efforts enhanced understanding of the claims process and engaged with private sector advocacy to drive improvements in claims management practices across the United States.
Practice Administrator / Director of Billing Operations and Coding Compliance
Northwestern Nasal & Sinus Associates, S.C.
Chicago, IL
10.1993 - 08.2003
- Managed all administrative, financial, billing, and clinical operations for a high-volume medical practice.
- Enhanced profitability by analyzing reimbursement processes and aggressively challenging insurance underpayments.
- Protected practice revenue by auditing EOBs and renegotiating payer contracts to eliminate financial losses from silent PPOs.
- Improved reimbursement rates and minimized denials through the implementation of rigorous weekly claim audits.
Adjunct Faculty, Department of Health Information Technology
Oakton College
Des Plaines, IL
01.1998 - 09.2000
- Instructed courses on ICD-9-CM and CPT coding tailored for physician practices.
- Developed and taught an advanced course on “Challenging Claim Denials”, emphasizing effective insurance appeals strategies.
- Led a medical office management practicum, enhancing students' practical skills in real-world healthcare settings.
- Designed a creative curriculum for a Medicare billing course, ensuring comprehensive education in both billing procedures and health information technology.
Education
Bachelor of Science Degree - Health Care Management
National Louis University
03-2001
Skills
- Revenue cycle management
- Performance metrics
- Regulatory compliance
- Clinical improvement initiatives
- CPT and ICD-10-CM Coding
- Operations management
- HIPAA compliance
- Policy and procedure development
- Workflow management
- Billing cycle expertise
- Denial resolution
- Financial analysis and reporting
Certification
- EFPM – Executive Fellowship in Practice Management | The American Academy of Medical Management
- CMM – Certified Medical Manager | Professional Association of Health Care Office Management
- CCP – Certified Compliance Professional | The Healthcare Fraud and Abuse Compliance Institute
- CCS-P – Certified Coding Specialist, Physician-Based | American Health Information Management Association
Timeline
Practice Administrator
Illinois Bone & Joint Institute, LLC
12.2007 - Current
Revenue Management Consultant / Practice Administrator
Drs. Girgis and Associates, S.C.
05.2006 - 01.2008
Healthcare Consultant
American Medical Association
08.2003 - 11.2003
Adjunct Faculty, Department of Health Information Technology
Oakton College
01.1998 - 09.2000
Practice Administrator / Director of Billing Operations and Coding Compliance
Northwestern Nasal & Sinus Associates, S.C.
10.1993 - 08.2003
Bachelor of Science Degree - Health Care Management
National Louis University