Martha Silva
San Diego,CA
Summary
Organized team leader builds positive rapport, inspires trust and guides teams toward achievement of organizational goals. Strong facilitator adept at working cross-departmentally with co-management and top-level leadership. Excellent trainer and mentor.
Overview
8
8
years of professional experience
Work History
Team Lead
Rady Children's Physician Management Services
10.2021 - Current
- Trained new team members by relaying information on company procedures and safety requirements.
- Promoted a positive work environment by fostering teamwork, open communication, and employee recognition initiatives.
- Served as a role model for the team by demonstrating commitment to excellence, professionalism, and adherence to company values at all times.
- Coached team members in techniques necessary to complete job tasks.
- Enhanced overall team performance by providing regular coaching, feedback, and skill development opportunities.
- Worked different stations to provide optimal coverage and meet production goals.
- Evaluated employee skills and knowledge regularly, training, and mentoring individuals with lagging skills.
- Established open and professional relationships with team members to achieve quick resolutions for various issues.
- Assisted in recruitment to build team of top performers.
Medical Biller
California Retina Associates
09.2017 - 10.2021
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Collected payments and applied to patient accounts.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
- Liaised between patients, insurance companies, and billing office.
Insurance Verification Specialist
Eye Care Of San Diego
05.2016 - 09.2017
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Updated patient records with accurate, current insurance policy information.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Increased patient satisfaction by promptly addressing concerns regarding insurance coverage or billing issues.
- Demonstrated a high level of professionalism and attention to detail in all aspects of insurance verification specialist role, consistently exceeding performance expectations.
- Achieved insurance pre-authorizations to enable timely patient procedures.
Education
Vocational - Medical Assisting
Kaplan College
Chula Vista, CA02.2014
High School Diploma -
Sweetwater High School
National City, CA05.2012
Skills
- Customer Focus
- Coaching and Mentoring
- Performance monitoring
- Performance Improvement
- Employee Evaluation
- Trend tracking
- Problem-Solving
- Attention to Detail
- Team Supervision
- Staff Training
- Documentation And Reporting
- Multitasking
Languages
English
Full Professional
Spanish
Native or Bilingual
Timeline
Team Lead
Rady Children's Physician Management Services
10.2021 - Current
Medical Biller
California Retina Associates
09.2017 - 10.2021
Insurance Verification Specialist
Eye Care Of San Diego
05.2016 - 09.2017
Vocational - Medical Assisting
Kaplan College
High School Diploma -
Sweetwater High School
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