Lovella Martinez

• Executed data entry and office support to optimize operational efficiency.
  Managed correspondence via email and mail to facilitate effective communication.
  Compiled monthly reports to ensure accurate record-keeping.
  Assisted staff with project tasks, ensuring timely completion of deliverables.
  Handled sensitive information with discretion to uphold confidentiality standards.
  Maintained organized workspace to enhance productivity and professionalism.

• Provided comprehensive administrative support through routine correspondence and weekly report preparation.

Executed payroll functions by maintaining timekeeping records and conducting weekly audits.

Processed payroll, managed personnel files, and performed background checks.

• Conducted reviews of NM Sex Offender list to ensure compliance with regulations.
• Maintained personnel and applicant files according to Good Samaritan Society standards.
• Performed data entry tasks for accurate record keeping and efficient information retrieval.
• Assisted staff with various projects to ensure timely task completion.
• Handled sensitive information with discretion to uphold confidentiality standards.

• Answered member inquiries via telephone, email, and fax while delivering exceptional service.
  Supported credit union's mission, vision, and strategic goals through quality service.
  Provided comprehensive technical support for online banking, bill payment, and web applications.
  Assisted members with onboarding and cross-selling of deposit and loan products.
  Executed accurate transactions including loan payments, wires, transfers, and online support.
  Promoted teamwork within department to enhance overall member satisfaction.
  Documented processes to support continuous quality improvement initiatives.
  Responded promptly to member questions regarding statements and marketing materials.

• Processed hospital and medical claims across multiple lines of business, meeting production standards.
  Maintained quality standards for all research and adjustment functions.
  Researched and adjusted claim payments based on requests from various departments.
  Handled inquiries from providers, members, and insurance carriers regarding coordination of benefits.
  Acted as liaison for special claims requiring coordination of benefits.
  Utilized resources to verify existence of other coverage and resolved duplicate coverage inquiries.
  Identified patterns in resubmitted claims, proposing revisions to claim guidelines.
  Participated in process improvement initiatives while completing compliance training.

• Ensured accurate processing of inpatient and outpatient medical claims in accordance with quality standards.
  Pended claims based on departmental guidelines, following up promptly for resolution.
  Achieved quality and productivity goals in all research activities.
  Investigated claim payment inquiries from other departments thoroughly.
  Analyzed resubmitted claims to identify trends and improve accuracy.
  Flagged errors necessitating adjustments to claim protocols or system enhancements.
  Processed specialized cases requiring unique handling, including Transplants and Negotiations.
  Managed coordination of benefits claims (COB) efficiently.

• Facilitated communication by managing phone calls, relaying messages, and screening visitors.
• Ensured compliance with physician orders in collaboration with physician’s office following PHS and HCFA guidelines.
• Complied with departmental policies while upholding quality assurance and safety standards.
• Registered outpatients, confirming insurance details, and obtaining necessary signatures on forms.
• Handled patient payments, issued receipts, and performed daily cash reconciliation.
• Rotated among departments including ER, DSU, GI Lab, Inpatient Admitting, Lab, and Albuquerque Ambulance for coverage.
• Performed various other functions as required to maintain operational efficiency.

• Provided immediate and ongoing developmental feedback to enhance employee performance.
  Conducted research to verify contracts and identify claim errors.
  Determined corrective actions for accurate claims adjustments.
  Managed all correspondence related to claim adjustments.
  Investigated contracts and payments based on member payment history.
  Performed bulk recovery for overpayments or underpayments to providers or members.
  Adjusted claims for discrepancies in hospital or physician payments.