Summary
Overview
Work History
Education
Skills
Timeline
Generic

Martina Caple

Raleigh,North Carolina

Summary

Methodical Revenue Cycle Specialist with strong attention to detail and in-depth understanding of billing procedures. Excellent planning and problem-solving abilities. Prepared to bring 8 years of related experience to a dynamic position with room for career growth.

Overview

13
13
years of professional experience

Work History

Revenue Cycle Specialist

Pivoth/ Athletico
10.2021 - Current
  • Analyzed account receivables and corrected all problems.
  • Met all productivity and collection goals including dollars collected and accounts handled.
  • Initiated appeals of denial of payment for services.
  • Reduced rates of delinquent accounts.

Patient Care Coordinator

Nuimage Oral Surgery
11.2017 - 05.2018
  • Explained financial responsibilities to patients as well as payment options and potential collection procedures imposed upon patients and other responsible parties.
  • Collected payments and co-pays from customers using large variety of insurance programs, adjusting amounts based on specific plan directives.
  • Visited patients' rooms to collect insurance and financial information required for registrations.
  • Accurately inputted all patient and insurance information into company's computer system using [Software].
  • Distributed informational materials to patients, including necessary forms and important brochures covering hospital procedures and rules.
  • Greeted visitors and initiated triage processes for clients to streamline patient flow.
  • Completed administrative patient intakes with case histories, insurance information and mandated forms.
  • Accurately completed insurance and Medicaid billing and OASIS documentation for patient visits.

Senior Technical Support Consultant

Allscripts
08.2014 - 06.2016

• Perform first and second-level IT support-related activities on issues regarding the use of computer software, including trouble-shooting and assisting the patient in the use of FollowMyHealth™ and any other Allscripts solutions.
• Perform timely escalation of pending support-related issues.
• Creates educational content for patient assistance.
• Maintains a high first touch completion rate for all patient support calls.
• Complete all of other tasks as assigned.

Medical Front Office Coordinator

White Oak Pediatrics
05.2011 - 12.2013

• Greet patients and provide instructions as they come in
• Perform clerical and administrative tasks
• Collect patient demographic data
• Analyze health insurance benefits and verify insurance eligibility
• Obtain and record patients’ vital signs
• Receive telephone calls and provide relevant information
• Schedule and confirm appointments
• Handle incoming and outgoing correspondence
• Process requests for medical records

Education

Medical Coding And Billing - Medical Coding And Billing

Devry University of Chicago
Tempe, AZ
09.2019

Skills

  • Verifying insurance
  • Coordinating documents
  • Revenue cycle analysis
  • Debt collection procedures
  • Workers compensation accounts
  • Verbal and written communication
  • Proficient in Microsoft Word, Excel, and Outlook
  • Handle denials, Compliance, Accuracy
  • Medical Billing
  • Medicare/ Government payors

Timeline

Revenue Cycle Specialist

Pivoth/ Athletico
10.2021 - Current

Patient Care Coordinator

Nuimage Oral Surgery
11.2017 - 05.2018

Senior Technical Support Consultant

Allscripts
08.2014 - 06.2016

Medical Front Office Coordinator

White Oak Pediatrics
05.2011 - 12.2013

Medical Coding And Billing - Medical Coding And Billing

Devry University of Chicago
Martina Caple