Martha M. Rocha
San Antonio,TX
Summary
Highly skilled and enthusiastic professional with more than 18 years of experience in patient-centric medical offices. Successfully oversee human resources, budgeting, supply management and patient services. Develop and lead productive and efficient office staff. Contribute to high-volume medical practices by providing exceptional customer service.
Overview
10
10
years of professional experience
Work History
Physician Practice Manager
Arrhythmia Associates Of South Texas
06.2023 - Current
- Managed daily practice operations to optimize appointment scheduling, patient records management and billing functions.
- Prepared the Monthly Operating Report (MOR), compiling data, and creating presentations highlight Key Performance Indicators for the Electrophysiology Service Line.
- Support the day-to-day operations of 4 Electrophysiology Clinics, with a total of 7 Providers.
- Responsible for the ongoing management and maintenance of Credentialing processes for all 7 providers.
- Consulted with healthcare professionals on business decisions.
- Enhanced revenue generation with effective billing, coding, and collection practices for the practice.
- Optimized financial performance by developing annual budgets, monitoring expenses, and identifying cost-saving opportunities.
- Reduced overhead costs through diligent vendor negotiation, inventory control, and expense tracking measures.
- Ensured compliance with all relevant regulatory requirements through meticulous documentation, recordkeeping, and reporting practices.
- Managed human resource functions such as recruitment, new provider onboarding, performance evaluation, conflict resolution, payroll processing, benefits administration for both clinical and non-clinical staff members.
- Streamlined office operations by evaluating and optimizing administrative procedures and staff utilization.
- Improved patient satisfaction by implementing efficient scheduling and appointment management systems.
- Established new referral networks with local healthcare providers to increase patient volume while maintaining high-quality care standards across services offered.
- Administered patient satisfaction surveys, used feedback to implement procedural changes that increased overall patient experience scores.
- Ordered all office supplies and kept check on inventory levels.
Physician Practice Supervisor
Arrhythmia Associates Of South Texas
02.2022 - 06.2023
- Delivered effective onboarding and training to new and existing employees and cross-trained staff members in other job roles to maximize coverage.
- Delegated tasks to staff members, monitored completion of all duties and provided support to enhance performance.
- Managed daily operations of 16-person clinic supporting approximately 120 patients per week.
- Hired, trained and supervised employees to maintain team of high performers.
- Maintained clinic's records and files, utilizing proper techniques to keep patient data confidential.
- Monitored duties assigned to personnel to promote high levels of patient care and job efficiency.
- Leveraged patient feedback and performed continuous process improvements to streamline day-to-day business operations and patient satisfaction.
- Created and implemented policies to improve operational efficiency and patient care quality.
- Maintain the operational budget to ensure that the practice stays within the allotted budget
- Attended regular meetings with hospital administrators to discuss clinic operations and policies.
- Liaised with health insurance companies to process insurance claims and maximize reimbursements.
Medical Billing Specialist
Arrhythmia Associates Of South Texas
04.2016 - 02.2022
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Located errors and promptly refiled rejected claims.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Identified and resolved patient billing and payment issues.
- Researched CPT and ICD-10 coding discrepancies for compliance and reimbursement accuracy.
- Prepared billing correspondence and maintained database to organize billing information.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Liaised between patients, insurance companies, and billing office.
- Evaluated patients' financial status and established appropriate payment plans.
- Precisely completed appropriate claims paperwork, documentation and system entry.
Reimbursement Specialist/ Team Lead
Universal Physicians Management Services
08.2013 - 04.2016
- Trained department employees in proper billing and accounting procedures.
- Compiled department-specific reports to help senior managers identify trends and improve progress.
- Followed up on denied and unpaid claims to resolve problems and obtain payments.
- Guided office staff on how to effectively complete prior authorization forms and appeals documentation to achieve positive results.
- Prevented delays and claim denials by correcting information prior to submission.
- Created documents in accordance with payer guidelines and submitted to appropriate parties.
- Used data entry skills to accurately document and input statements.
- Audited and corrected billing and posting documents for accuracy.
- Generated accounts payable reports for management review to aid in financial and business decision making.
Education
High School Diploma -
Sidney Lanier High School
San Antonio, TXBachelor of Science - Health Care Administration
University of The Incarnate Word
San Antonio, TX05.2025
Skills
- Referral Verification
- Patient Flow
- Staff Supervision
- Office Supplies and Inventory
- Continuous Improvement Planning
- Administrative Leadership
- Orientation and Training
- Clinical Staff Management
- Addressing Questions and Concerns
- Resource Monitoring
- HIPAA Guidelines
- Practice Marketing
- Physician Relations
- Budgeting and Forecasting
- Performance Improvement
- Revenue Cycle Management
- Performance Metrics
Timeline
Physician Practice Manager
Arrhythmia Associates Of South Texas
06.2023 - Current
Physician Practice Supervisor
Arrhythmia Associates Of South Texas
02.2022 - 06.2023
Medical Billing Specialist
Arrhythmia Associates Of South Texas
04.2016 - 02.2022
Reimbursement Specialist/ Team Lead
Universal Physicians Management Services
08.2013 - 04.2016
High School Diploma -
Sidney Lanier High School
Bachelor of Science - Health Care Administration
University of The Incarnate Word
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