Martha Robledo
Houston,TX
Summary
Dynamic Provider Claim Resolution Specialist with a proven track record at One Step Diagnostic, excelling in claims processing and analytical problem-solving. Bilingual in English and Spanish, I enhance customer service and collaboration, driving timely reimbursements and improving patient experiences through effective communication and innovative solutions.
Overview
3
3
years of professional experience
Work History
Provider Claim Resolution Specialist
One Step Diagnostic
Houston, TX
12.2024 - Current
- Resolved complex provider claims to ensure timely reimbursement and compliance with policies.
- Analyzed claim discrepancies, collaborating with providers to clarify and rectify outstanding issues.
- Managed claim appeals process, coordinating documentation and communication between stakeholders.
- Utilized proprietary claims management software to track and document resolution progress efficiently.
- Conducted thorough audits of claim submissions to maintain accuracy and identify trends in denials.
Scheduling Coordinator
One Step Diagnostic
Houston, TX
04.2024 - 11.2024
- Coordinated patient scheduling across multiple departments to optimize resource utilization.
- Managed appointment confirmations and reminders, enhancing patient attendance rates.
- Streamlined communication between patients and healthcare providers to improve service delivery.
- Developed and maintained scheduling templates to ensure consistency and efficiency in operations.
- Assisted in resolving scheduling conflicts promptly, minimizing disruptions to patient care.
Intake Coordinator
One Step Diagnostic
Houston, TX
10.2023 - 04.2024
- Coordinated patient intake processes, ensuring timely and accurate information collection.
- Managed scheduling of diagnostic tests, optimizing resource allocation and reducing wait times.
- Collaborated with healthcare providers to streamline referral processes, enhancing patient experience.
- Developed and maintained electronic health records, ensuring compliance with privacy regulations.
- Trained new staff on intake procedures and software systems, improving team efficiency.
- Analyzed patient feedback to identify areas for service improvement and implement changes.
Education
Associate of Engineering -
Universidad Autónoma De Nuevo Leon
MexicoSkills
Bilingual english / spanish
Claims processing
Analytical problem solving
Billing experience
Claim resolution expertise
Teamwork and collaboration
Customer service
Problem-solving
Excellent communication
Timeline
Provider Claim Resolution Specialist
One Step Diagnostic
12.2024 - Current
Scheduling Coordinator
One Step Diagnostic
04.2024 - 11.2024
Intake Coordinator
One Step Diagnostic
10.2023 - 04.2024
Associate of Engineering -
Universidad Autónoma De Nuevo Leon