Marlene Martinez
Albuquerque,NM
Summary
Combined organizational and communication skills with the ability to independently plan and manage diverse business relationships. Strong time management and problem solving skills with ability to set priorities and manage multiple tasks. I am a very productive, talented, experienced, accomplished & Successful person, Very Committed person.
To obtain a job within my chosen field that will challenge me and allow me to use my education, skills and past experiences in a way that is mutually beneficial to both myself and my employer and allow for future growth and advancement.
Under limited supervision, performs a wide variety of administrative support functions at assigned UNMMG Ambulatory Clinic including but not limited direct service to patients either by phone or in person by scheduling appointments, receptionist duties, verifying demographic and insurance information, obtaining referral and prior authorizations with insurance carriers. Assist with concerns and complaints and serving as a liaison as needed with physicians, other extensive work with faculty providers and insurance companies. Completed the Up and Comers Program course at UNMH. Accepted increasing responsibility demonstrating flexibility and ability to learn quickly. Accustomed to fast-paced, high-pressured positions, demonstrated ability to prioritize multiple tasks, meet deadlines, and provide quality service. Acquired excellent communication and interpersonal skills with the public and coworkers. Adheres to compliance mandates and confidentially at all times. Communicated clearly and respectfully to customers. Skilled in ten-key by touch, Excel, Word, Windows 95, Windows 98, and Datair Software. Performed data entry, report preparation and telephone reception. Worked extensively with spreadsheets. Reviewed data for accuracy. Updated file index utilizing data entry and database skills. Updated databases regularly.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Patient Care Coordinator
University of New Mexico Comprehensive Movement Disorder Clinic
02.2024 - Current
- Coordinated patient appointments, ensuring efficient scheduling and minimal wait times.
- Facilitated communication between patients and healthcare providers to address concerns effectively.
- Managed patient records using electronic health record systems to maintain accuracy and confidentiality.
- Developed patient education materials, enhancing understanding of treatment plans and procedures.
- Streamlined intake processes, improving workflow efficiency for clinic operations.
- Trained new staff on clinic protocols and patient care best practices for consistent service delivery.
- Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
- Provided exceptional customer service by addressing concerns, answering questions, and ensuring patient satisfaction with their care experience at the clinic.
- Enhanced patient satisfaction by efficiently scheduling appointments and managing patient flow.
- Streamlined communication between patients and healthcare providers, ensuring timely responses to inquiries and concerns.
- Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
- Coordinated with insurance companies for accurate billing and claim processing, reducing errors and financial discrepancies.
- Reduced wait times by implementing an effective appointment reminder system for patients, minimizing no-shows and late arrivals.
- Coordinated scheduling of appointments to maximize healthcare providers' availability and patient convenience.
- Delivered support to medical staff in completion of patient paperwork.
- Followed document protocols to safeguard confidentiality of patient records.
- 'Managed approximately 130 incoming calls, emails, Tiger Texts and checking in patients per day for the facilities .'
Host / Food Runner / Busser
Olive Garden
01.2017 - Current
- Responsible for greeting and seating guest and taking phone calls for reservations. Always keeping a positive and friendly attitude. Making sure the guest are happy and satisfied with their visits. Running food to the guest and being the able to help the server with their guess. Bussing tables keeping the dining room clean as we the guess come and go. Being able to meet the quote times for the company.
Outpatient Clerk
University of New Mexico Digestive Disease Center/Endoscopy & Procedures
01.2022 - 01.2023
- Performing Customer services duties: handling internal and external patients providing great quality of service. Assisting pts with Admission and somewhat Discharging. Verifying demographic, insurances eligibility, cashier duties, referrals from ritfax, prior authorizations and financial assessments Scheduling patients for appointments, procedures and test. Entering data for procedures from ADHOC. Taking incoming calls relaying messages to PCO. No patient care
Ambulatory Patient Services Coordinator
University of New Mexico Comprehensive Cancer Center
01.2020 - 01.2022
- Working with all Ambulatory clinics direct care either by phone or in person. Receptionist duties such as scheduling and following up appointments, verifying demographics and insurance information. Answering phone calls checking in and out patients. Collecting co-payments through IDX and billing paperwork. Coordinating with physicians and clinic staff as well as insurance companies. Assist with concerns and complaints. Responsible for clinic receptionist duties including but not limited to: answer incoming phones, patient check in/out, coordinate and facilitate accurate patient appointment scheduling through electronic and/or manual systems, schedule follow-up appointments as ordered by providers, update and ensure accurate patient schedules and appointments in UNMMG computer systems. Registration: Responsible for registration duties including but not limited to: obtaining copy of insurance card, verifying accuracy of patient demographics and insurance information; updating and ensuring accurate information into UNMMG computer systems. Financial/ Cash Management: Responsible for collecting co-pays, collecting upfront payments as well as self-pay patients; generating patient receipts; fiscal competence and financial responsibility; referral of patients to financial counseling for funding options, if necessary. Responsible for daily cash reconciliation of cash collections and receipts; following UNMMG established cash management policies and procedures. Billing: Responsible for generating charge document and other billing paperwork at time of patient's clinic visit to ensure proper billing information is obtained and documented including but not limited to completion of paperwork by provider, written documentation on clinic log, DX and CPT code selection by provider on charge document, prompt submission to UNMMG centralized charge entry. Prior Authorization: Responsible for coordinating and processing all referrals and prior authorizations. Interface with insurance companies to verify coverage and obtain prior authorizations; may coordinate multiple authorizations and coverage; compiles medical documentation necessary to ensure prior authorization is obtained; updates computer systems to ensure final prior authorization is documented in UNMMG computer systems. Maintain ongoing communications and dialog with the centralized UNMMG Practice Coordinator to address staffing issues, ongoing training and support as well as to address problems or issues related to clinic front-end processes and operations. Maintains record keeping and filing systems; gathers, enters and updates data as required. Serves as backup support for other administrative personnel as required; cross trains with other personnel for all administrative, customer service and clerical functions. Performs miscellaneous job-related duties as assigned.
Admitting Registration and Eligibility Specialist / Administration / Nurse Technician
University of New Mexico Hospital
01.2010 - 01.2020
- Help out with Safe Audits and transfer Valuables from the ER to Admitting Safe. Verify insurance coverage and benefits on patients needing an Authorizations; provide notification of admission and obtain authorizations for emergency admits; obtain authorizations for inpatient surgery, direct admits and any other pre scheduled stays or procedures. Print reports from Surginet for OR Schedule, and clearing cases with the Task list in Surginet. Provide all pertinent medical history/documentation for insurance companies and other payers in order to obtain authorizations; document Cerner with correct information; collect down payments for and co pays for procedures. Working on Self pay surgery when patients paying out of pocket. Create Pre-Admits in Cerner as appropriate. Answer phones at front desk and assist walk-in patients as needed. Provide after-hours/weekend information desk coverage for the hospital. Re-identify patients for Blood Bank and Health Information Management Department. Organize folders for floor visits to patients. Admit surgical patients and direct admits that present to the Admitting office. Input all pre-admits for PALS and direct admissions as appropriate. Log all admissions in the Admitting logs.
- Provide basic patient care to include tube insertion, wound care and phlebotomy. Assist in planning, organizing, implementing and evaluating the activities occurring in the nursing station by performing clerical and receptionist duties and maintaining the physical environment of the area. Ensure adherence to Hospitals and departmental policies and procedures. Patient care assignment may include Neonate, Pediatric, Adolescent, Adult and Geriatric age groups.
Direct Staff
Providence Support Services Inc
01.2008 - 01.2010
- Provide quality care for the group home of four individuals. Assisting with teaching proper personal hygiene, able to take the individuals on activities and exercising to ensure a healthier safety life. Promoting an effective learning environment. Maintained cleanliness followed proper safety and sanitation procedures.
Restaurant General Manager
Palo Alto Inc. (Pizza Hut)
01.2003 - 01.2008
- Oversee employees work in the front and back of store to ensure compliance with company policies, regulations, and food safety guidelines. Perform facility walk-throughs to assure cleanliness and preparedness at the beginning and at the end of each shifts. Complete store openings and closings procedures and manage deposits and invoices. Obtain monthly reports details of the sales trends and forecasts. Was able to consistently exceed daily, weekly and monthly sales targets while maintaining costs low and able to keep employee turnover low.
Education
Medical Billing and Coding
Carrington College
Albuquerque, New Mexico01.2015
Certified Nurse Assistant - undefined
Central New Mexico Community College
Albuquerque, New Mexico01.2009
Health Unit Coordinator - undefined
Central New Mexico Community College
Albuquerque, New Mexico01.2008
Skills
- Customer Service
- Bilingual: English and Spanish
- Strong Communication skills
- Public Speaking
- Resourcefulness
- Notary
- Flexibility
- Data Entry
- Dispatching
- Document Creation and Maintenance
- Organization
- Entering orders to Cerner
- Growth mindset
- Master Scheduling
- Administration Management
- Internet Explorer
- MS Excel
- Word Perfect (all recent versions)
- Internet Research
- ICD-10 & ICD-9, CPT Codes
- Financial Assistant & EMSA
- Mosaqi
Certification
- CPR/BLS Certifications
- First Aide
Languages
English
Full Professional
Timeline
Patient Care Coordinator
University of New Mexico Comprehensive Movement Disorder Clinic
02.2024 - Current
Outpatient Clerk
University of New Mexico Digestive Disease Center/Endoscopy & Procedures
01.2022 - 01.2023
Ambulatory Patient Services Coordinator
University of New Mexico Comprehensive Cancer Center
01.2020 - 01.2022
Host / Food Runner / Busser
Olive Garden
01.2017 - Current
Admitting Registration and Eligibility Specialist / Administration / Nurse Technician
University of New Mexico Hospital
01.2010 - 01.2020
Direct Staff
Providence Support Services Inc
01.2008 - 01.2010
Restaurant General Manager
Palo Alto Inc. (Pizza Hut)
01.2003 - 01.2008
Certified Nurse Assistant - undefined
Central New Mexico Community College
Health Unit Coordinator - undefined
Central New Mexico Community College
Medical Billing and Coding
Carrington College