MARY MARTINDELL

responsible for managing the insurance reimbursement process for patient care. They ensure that claims submitted to third-party payers.

Core Responsibilities

• Claims Follow-Up: Conducting follow-up procedures on unpaid or denied third-party accounts, including accessing payer portals and calling insurance companies.
• Revenue Cycle Management: Analyzing accounts receivable data to identify trends, denials, and issues, and providing solutions to optimize cash flow.
• Documentation & Accuracy: Reviewing and correcting claim inaccuracies to ensure compliance with federal, state, and organizational regulations.
• Collaboration: Acting as a liaison between the follow-up department and external agencies or internal departments (Case Management, Health Information) to resolve billing issues.

• Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
• Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
• Determined patient financial needs and referred eligible patients to proper county, state or federal agencies to obtain financial assistance.
• Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
• Received patient deductibles, co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
• Explained estimated cost for medical treatments and answered patient questions to promote good understanding of proposed services.
• Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
• Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
• Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
• Took copayments and compiled daily financial records.
• Assisted patients in filling out check-in and payment paperwork.
• Compiled and reviewed medical charts.
• Used EpicSystem to schedule appointments.
• Reviewed and corrected claim errors to facilitate smooth processing.

• Produced accurate office files, updated spreadsheets and crafted presentations to support executives and boost team efficiency.
• Prepared and distributed team-based communications to foster collaboration and enhance team morale.
• Communicated with customers via phone and email to confirm deliveries and respond to inquiries.
• Promptly answered multi-line phone system and greeted callers enthusiastically.
• Provided clerical support to company employees by copying, faxing and filing documents.
• Answered multi-line phone system and transferred callers to appropriate department or staff member.
• Scheduled appointments and provided numerous follow-up calls to clients daily.
• Answered telephone calls to field inquiries from clients, vendors and various other callers seeking information.
• Sorted, opened and routed incoming correspondence and deliveries to help senior leaders respond quickly to business and customer requirements.
• Performed office-related support tasks and clerical functions, including appointment making, calling pharmacies, and handling specialist referrals.
• Coordinated with referring facilities to meet standards for follow-up processes.
• Entered patient data into Sorian system and updated customer contacts, demographics and insurance information to keep records current.