MICHAEL MARTINEZ
Rancho Cucamonga,CA
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
8
8
years of professional experience
Work History
SUPPORT ANALYST
NORDSTROM
01.2023 - 09.2023
- Support duties include verification of supplier sensitive data through research and direct phone calls to ensure compliance criteria is met
- Timely management and prioritization of SharePoint requests
- Supporting bank and address change verifications and ad hoc projects (i.e., resale certificates)
- Processing EFT employee payouts and EMT checklists
- Providing daily reports of calls and verifications for suppliers
- Processing factor changes, address changes, ACH account changes
- New vendor supplier setups within AP system
- Assisting and working with workday and their systems
- Answering calls and email via outlook and CRM assisting customers and vendors with any help and needs
EXECUTIVE ASSISTANT/CUSTOMER SERVICE MANAGER
ASTRO PAPER, SAP
01.2022 - 12.2022
- Processing sales orders and leads for clients and customers
- Handling shipping, receiving and freight
- Data entry and daily stock checks with delivery and warehouse inventory
- Inputting and processing invoices in
- Managing inbound, outbound calls and emails daily from customers and clients
- Assisting customer with orders, complaints and returns
- Administrative assistant work for the CEO and GM such as daily invoicing, scheduling travel and organizing daily documents
- Scheduling meetings and handling managerial requests forwarding to correct department
- Directing and managing sales, leads and orders for distributors, consumers and wholesalers
- Applying sales records to data base and managing accounts with high priority.
LIFEWAVE, CUSTOMER SERVICE LEAD
01.2020 - 01.2022
- Answer inbound and process outbound calls for customers and clients
- Create spreadsheets and projects for management for distribution and presentation
- Creating schedules for webinars, video meetings and training deadlines for new hires
- Leading training for new hires and other customer service representatives
- Process refunds, returns and complaints for customers in Quality Assurance
- Document calls in a tracking system and report daily numbers to managerial team
- Assisting the Lifewave Team and executive members for new products or promotions
- Answer customer service-related questions in emails an live chat
- Helping arrange travel arrangements for traveling executive and managerial members
CREDENTIALING SPECIALIST
AYA HEALTHCARE
08.2021 - 12.2021
- Reviews and screens initial and reappointment credentialing applications for completeness, accuracy, and compliance with federal, state, local and University regulations, guidelines, policies, and standards
- Monitors files to ensure completeness and accuracy; reviews all file documentation for compliance with quality standards, accreditation requirements, and all other relevant policies; prepares and provides information to internal and external customers as appropriate
- Enters, updates and maintains data from provider applications into credentialing database, focusing on accuracy and interpreting or adapting data to conform to defined data field uses, and in accordance with internal policies and procedures
- Prepares, issues, electronically tracks and follows-up on appropriate verifications for efficient, high-volume processing of individual applications in accordance with applicable credentialing standards, established procedural guidelines, and strict timelines
- Participates in the development and implementation of process improvements for the system-wide credentialing process; prepares reports and scoring required by regulatory and accrediting agencies, policies and standards
- Ongoing written and verbal communication with case managers regarding authorization, re- authorization, and retro-authorization of visits
- Working knowledge of specific contracts between the agency and various payers
- Create and update NPI application for all physicians and APPs to include all provider numbers, if applicable
- Assist Credentialing Manager with obtaining timely hospital privileges
- Notifies Lifespan Risk Services, RIH/TMH, MSO, Human Resources, Provider Support
- Team, and Brown EM’s Billing and Coding Departments of Provider’s credentialing status
- Track licenses and DEAs for approvals and expirations
- Send monthly reminders for any expiring licenses or DEAs
- Track ACLS/PALS certifications and inform providers when recertification is necessary
- Track influenza vaccinations to ensure compliance with Lifespan’s policies
- Track and pull CMEs for physicians requiring reappointment
SERVER/BARTENDER
ROCKIN BAJA
01.2018 - 12.2019
- Serving and waiting tables
- Serving drinks to customers
- Bar back and bartending
- Cleaning and bussing tables
- Helping open and close restaurant
- Cash handling and closing/opening restaurant
COVANCE, PROGRAM CREDENTIALING SPECIALIST
10.2017 - 12.2019
- Documenting calls in tracking systems and handle/escalate calls per established procedures
- Conduct insurance verifications to understand if patient’s prescribed therapy is eligible
- Coordinate prior authorizations; investigate insurance coverage, other funding sources on behalf of the patients per the program specifications
- Process patient and provider applications of various complexities follow the programs specifications to determine their eligibility
- Place follow up calls to respond to patients or healthcare providers
- Ensure new clinical staff are aware of their orientation schedule, and have completed all required onboarding tasks, new hire paperwork, and regulatory, policy & health compliance requirements to successfully meet their identified start date
- Effectively document and report the status of each candidate during the hiring process
- Escalate any issues to ensure deadlines are met
- Serve as the main point of contact for the provider and answering, in a timely manner, any questions about the onboarding process
- Prepare any orientation materials as needed to assist in Human Resources orientation
- Request and submit necessary credentialing applications and information to attain hospital privileges or affiliations
EXECUTIVE ASSISTANT
LAW OFFICES OF SHERRIE DAVIDSON
08.2015 - 08.2017
- Filing important documents at courthouses and servicing subpoenas
- Executive assistant duties such as scheduling and Maintaining deadlines and requests
- Processing billing and invoices for services
- Scheduling appointments and meetings for attorney
- Processing payments for consultations and services
- Direct personal assistant for attorney
- Managing timetables, schedule books and travel arrangements
- Coordinating office services and inputting important data for the Owner/Lawyer
- Greeting guests and clients and assisting with front office duties.
Education
HIGH SCHOOL DIPLOMA -
LOS OSOS HIGH SCHOOL
08.2015
Skills
- Microsoft PowerPoint (6 years)
- Microsoft Word (10 years)
- Data Entry (8 years)
- SAP (1 year)
- Oracle (3 years)
- Travel Planning (2 years)
- Microsoft Excel (6 years)
- Customer Service (8 years)
- Outlook (8 years)
- Management/Training (2 years)
- Executive & Administrative Assistance (4 years)
- Restaurant Experience (4 Years)
Languages
English
Native or Bilingual
Spanish
Limited Working
Timeline
SUPPORT ANALYST
NORDSTROM
01.2023 - 09.2023
EXECUTIVE ASSISTANT/CUSTOMER SERVICE MANAGER
ASTRO PAPER, SAP
01.2022 - 12.2022
CREDENTIALING SPECIALIST
AYA HEALTHCARE
08.2021 - 12.2021
LIFEWAVE, CUSTOMER SERVICE LEAD
01.2020 - 01.2022
SERVER/BARTENDER
ROCKIN BAJA
01.2018 - 12.2019
COVANCE, PROGRAM CREDENTIALING SPECIALIST
10.2017 - 12.2019
EXECUTIVE ASSISTANT
LAW OFFICES OF SHERRIE DAVIDSON
08.2015 - 08.2017
HIGH SCHOOL DIPLOMA -
LOS OSOS HIGH SCHOOL