Summary
Overview
Work History
Education
Skills
Timeline
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Natasha Martinez

Natasha Martinez

Medical Billing Specialist
Tucson,AZ

Summary

Certified Medical Billing Specialist with 12 years of experience in fast-paced, multiple-client medical billing company serving large private practice and outpatient clinic. Researched denied claims and submitted appeals. Proficient in medical insurance billing, verification, collections, data entry and medical records keeping.

Overview

15
15
years of professional experience

Work History

Medical Billing Specialist

Tucson Orthopaedic Institute
04.2012 - Current
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Posted and adjusted payments from insurance companies.
  • Communicated effectively and extensively with other departments to resolve claims issues.
  • Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
  • Located errors and promptly refiled rejected claims.
  • Identified and resolved patient billing and payment issues.
  • Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
  • Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
  • Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
  • Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
  • Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Researched CPT and ICD-10 coding discrepancies for compliance and reimbursement accuracy.
  • Collected payments and applied to patient accounts.
  • Precisely evaluated and verified benefits and eligibility.
  • Provided exceptional customer service to both patients and insurance representatives, resolving inquiries quickly and professionally.
  • Filed and updated patient information and medical records.
  • Coordinated with other departments to address any discrepancies or concerns related to charge capture or data entry accuracy.
  • Served as a subject matter expert on medical billing matters, providing guidance to colleagues on complex cases or unique situations.
  • Streamlined billing processes by implementing efficient workflows and utilizing advanced software tools.
  • Efficiently processed refunds or adjustments for patients when necessary, ensuring accuracy and compliance with company policies.
  • Participated in departmental meetings, sharing insights and ideas for improving overall medical billing efficiency and revenue generation.
  • Monitored changes in payer requirements, adjusting billing practices accordingly to minimize disruptions in the revenue cycle.
  • Conducted regular audits of patient accounts for potential underpayments or overpayments due to incorrect coding or billing practices.
  • Prepared billing correspondence and maintained database to organize billing information.
  • Contributed to overall office organization by maintaining up-to-date records of all billed services and payments received.
  • Collaborated closely with the clinical team to ensure proper documentation was obtained for accurate billing purposes.
  • Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
  • Posted payments and collections on regular basis.
  • Reviewed patient records, identified medical codes, and created invoices for billing purposes.
  • Adhered to established standards to safeguard patients' health information.
  • Reviewed patient diagnosis codes to verify accuracy and completeness.
  • Audited and corrected billing and posting documents for accuracy.
  • Reconciled accounts receivable to general ledger.
  • Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.

Guest Service Representative

Extended Stay America
07.2009 - 01.2011
  • Welcomed guests on arrival, displaying professional and friendly approach.
  • Responded to guest inquiries, complaints and special requests to increase customer satisfaction.
  • Assisted guests with reservation modifications, resolving any issues promptly and professionally.
  • Answered hotel phones with professionalism and directed calls appropriately.
  • Handled payment transactions accurately, maintaining proper cash handling procedures at all times.
  • Took reservations over phone and through email, recording guest information in computer system and verifying details.
  • Developed strong rapport with returning guests to foster loyalty and repeat business.
  • Contributed positively towards creating a welcoming atmosphere by maintaining a clean and organized front desk area at all times.
  • Processed guest check-ins and check-outs following procedures for fast turnover.
  • Collaborated closely with colleagues across departments to enhance overall guest experience throughout their stay.
  • Maintained detailed knowledge of hotel amenities, services, policies, and procedures to provide accurate information to guests.
  • Assisted in emergency situations as required while adhering strictly to safety protocols.
  • Conducted regular inventory audits of guest supplies to ensure adequate stock levels at all times.
  • Oversaw fast-paced front desk operations and guests' needs at busy facility.
  • Collaborated with housekeeping and maintenance teams to ensure timely room readiness for arriving guests.
  • Implemented upselling strategies during check-in process to maximize revenue opportunities without compromising guest satisfaction levels.
  • Inputted daily occupancy, room rate and revenue into property management system for updated recordkeeping and accounting.
  • Maintained neat and orderly front desk and lobby area to uphold hotel standards.
  • Coordinated with sales team to process corporate accounts, group bookings, and other special reservation types effectively.
  • Supported event planning efforts by coordinating group reservations and managing special requests from attendees.
  • Facilitated and coordinated transportation services for guests.

Education

Medical Billing And Coding Certificate - Medical Billing And Coding

Pima Community College
Tucson, AZ
01.2012

Skills

  • HIPAA Compliance
  • Payment posting
  • Claim submission
  • Insurance Verification
  • Patient Billing
  • CPT Knowledge
  • Denial Management
  • ICD-10 Proficiency
  • Medicare and Medicaid process
  • Bill payment
  • Insurance Billing
  • Data Entry
  • Medical Billing
  • Medicaid and Medicare Knowledge
  • ICD-10
  • Medical Terminology
  • Insurance claims processing
  • Critical Thinking
  • Customer Service
  • Teamwork and Collaboration
  • Work Prioritization
  • Multitasking and Organization
  • HIPAA Compliance Certification
  • Records Management
  • Clerical Support
  • Account Management

Timeline

Medical Billing Specialist

Tucson Orthopaedic Institute
04.2012 - Current

Guest Service Representative

Extended Stay America
07.2009 - 01.2011

Medical Billing And Coding Certificate - Medical Billing And Coding

Pima Community College

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Natasha MartinezMedical Billing Specialist