Martin Yazzie
Laguna Niguel,USA
Summary
Dynamic billing and medical records professional with extensive experience at PreludeDX, adept in optimizing billing procedures and ensuring data accuracy. Proficient in Epic Hyperspace and Microsoft Excel, I excel in team collaboration and problem-solving, consistently enhancing operational efficiency and achieving timely reimbursements.
Overview
22
22
years of professional experience
Work History
Billing Representative /Medical Records Specialist
PreludeDX
Laguna Hills, California
01.2023 - 10.2025
- Uploaded high-volume billing files into LIS with precision and efficiency.
- Created organized billing files by accession number in PDF format for Telcor uploads.
- Conducted thorough verification of NPIs to ensure accurate data uploads.
- Performed pre-billing reviews to validate accuracy of accession information prior to submission.
- Completed final billing processes, confirming correctness of CPT codes and demographics.
- Managed account updates, ensuring correctness of customer information in the system.
- Retrieved preaccessioning files to facilitate seamless billing processes.
- Collaborated with finance team to optimize billing procedures and improve accuracy.
Financial Representative
Aninibu LLC
Hanalei, HI
01.2021 - 01.2023
- Provide updates on financials pertaining to the stock market and current and world events.
- Researched potential financial investments.
- Maintained financial portfolio.
Medical Records Supervisor
Ambry Genetics
Aliso Viejo, CA
11.2013 - 03.2021
- Created the medical records department which involved hiring staff and creating processes and procedures for uploading correspondence and medical records requests.
- Requesting medical records from outside clients and providers, delivery of medical records to collections representatives.
- Supervised staff in the requesting and sending of medical records to insurance companies and subpoenas.
- Assisted manager with projects and specials assignments.
- Prepared monthly quality reviews for staff.
Collection Representative
Ambry Genetics
Aliso Viejo, CA
01.2013 - 01.2016
- Conducted follow-up on insurance claims to ensure timely processing.
- Managed high call volume with insurance companies regarding new and aged claims.
- Submitted appeals for underpayment to secure rightful reimbursements.
- Reviewed correspondences, EOBs, and payor denials for accuracy and resolution.
Collector
MemorialCare Patient Financial Services
Fountain Valley, CA
01.2013 - 01.2016
- Responsibilities included follow-up with insurance companies on new and aged facility claims.
- Provided additional information to insurances as needed, appeal denials and underpayments.
- Made high volume calls to insurance companies and patients.
- Adheres to HIPPA Compliance Plan and the Privacy Standards Confidentiality Agreements.
Supervisor
Retina Institute - St Joseph Surgery Center
Orange, CA
01.2006 - 01.2013
- Supervised the collections and billing team.
- Supervisor and collector responsibilities included follow-up with insurance companies on professional claims and patient collections.
- Maintained strong customer service base with patients and providers.
Chief Claims Officer/Patient Account Representative
01.2005 - 01.2006
- Evaluated insurance claims for accuracy and compliance with company policies.
- Maintained detailed records of claims activities in the company database.
- Calculated compensation payments for approved claims following legal guidelines.
- Assisted in training new staff on claims handling procedures and best practices.
- Communicated with customers throughout the claims process via various methods.
Computer Medical Administration
01.2004 - 01.2005
- Achieved graduation in Medical Administration
Education
Some College (No Degree) - Medical Administration
Career Network Institue
Costa MesaSkills
- Epic Hyperspace
- EVO Communication-Document System
- TelCor Billing System
- Microsoft Excel
- Microsoft Word
- Medical Law and Ethics
- Medical Office Procedures
- Knowledge of UB-04 and HCFA 1500 Forms
- XIFIN
Timeline
Billing Representative /Medical Records Specialist
PreludeDX
01.2023 - 10.2025
Financial Representative
Aninibu LLC
01.2021 - 01.2023
Medical Records Supervisor
Ambry Genetics
11.2013 - 03.2021
Collection Representative
Ambry Genetics
01.2013 - 01.2016
Collector
MemorialCare Patient Financial Services
01.2013 - 01.2016
Supervisor
Retina Institute - St Joseph Surgery Center
01.2006 - 01.2013
Chief Claims Officer/Patient Account Representative
01.2005 - 01.2006
Computer Medical Administration
01.2004 - 01.2005
Some College (No Degree) - Medical Administration
Career Network Institue