Job Search Status
Open to workDesired start date: Immediately
Open To Work
Martina Caple
Raleigh
Work Preference
Summary
Dynamic accounts receivable specialist with over 11 years of experience in the healthcare industry, dedicated to delivering precise and efficient services to patients and providers. Expertise includes medical terminology, insurance payer guidelines, and internal collection policies, along with proficiency in various electronic health record (EHR) systems. A strong commitment to maintaining confidentiality, quality, and compliance drives the pursuit of excellence in every task. Thrives in collaborative environments, enhancing organizational missions by improving patient care and outcomes through effective communication and problem-solving skills.
Overview
17
17
years of professional experience
Work History
Accounts Receivable Specialist
Pivot Physical Therapy
10.2021 - Current
- Accurately and efficiently post payments, adjustments, and post collection payments received from insurance carriers, patients, and collection agencies while utilizing the appropriate fee schedule/policy.
- Review and interpret explanation of benefits (EOB) from insurance carriers to post appropriate payment and denial codes.
- Demonstrate knowledge of insurance payer guidelines and internal collection guidelines.
- Identify incomplete information necessary to post remittance and take the necessary steps to resolve questions, inconsistencies, or missing data.
- Maintain the confidentiality of patient information in accordance with posting guidelines, company policy & procedure, and HIPAA regulations.
- Run and analyze balancing report to insure accurate posting.
- Ensure all pending and variance items are resolved within designated time frames
Patient Care Coordinator
Nu Image Surgical & Dental Implant Center
11.2017 - 05.2019
- Achieved efficient scheduling for five doctors, resulting in improved patient satisfaction. Delivered streamlined check-in and check-out processes, enhancing operational efficiency. Facilitated timely referral management and payment collection, contributing to overall practice success.
Technical Support Consultant
Allscripts
08.2014 - 07.2016
- 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 Desk Receptionist
White Oak Pediatrics
03.2011 - 12.2012
- 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
Chiropractor Assistant
HealthSource Chiropractic Progressive Rehab & Wellness
01.2010 - 03.2011
- Greet and assist patients in taking treatments Writing case history details of patients and carry out physical examinations and take X-rays Assist in providing services that help to improve relieve pain, improve mobility and prevent physical disabilities.
- Responsible for other duties such as exercising patients, providing electrical stimulation massage, place hot and cold packs on painful body part, help patients take paraffin baths, take ultrasound images Give advice on health matters to patients Take vital signs and record the findings Prepare medical billings and coding Manage patient flow and schedule appointments
Treatment Coordinator
Leo Dental Lab
08.2006 - 12.2007
- Nearly four years of experience in long-term and acute care
- Demonstrated ability to provide ancillary services to coordinate activities between patients and clinic areas
- In depth knowledge of scheduling surgeries and other procedures within a healthcare setting
- Hands on experience in nurturing patient relationships to encourage patient retention
Education
Certificate - Medical Insurance Coding Specialist/Coder
DeVry University
01-2019
Diploma -
Hampton High School
06-2004
Skills
- Medical Terminology
- Microsoft Word
- Management
- Nextgen
- Epic
- Waystar
- Availity Portal
- Dentrix, Eagle Soft
LANGUAGES
English
Timeline
Accounts Receivable Specialist
Pivot Physical Therapy
10.2021 - Current
Patient Care Coordinator
Nu Image Surgical & Dental Implant Center
11.2017 - 05.2019
Technical Support Consultant
Allscripts
08.2014 - 07.2016
Medical Front Desk Receptionist
White Oak Pediatrics
03.2011 - 12.2012
Chiropractor Assistant
HealthSource Chiropractic Progressive Rehab & Wellness
01.2010 - 03.2011
Treatment Coordinator
Leo Dental Lab
08.2006 - 12.2007
Certificate - Medical Insurance Coding Specialist/Coder
DeVry University
Diploma -
Hampton High School