SAMMIE MARTIN
Fresno,CA
Summary
Accounts Receivable Specialist with experience in insurance-focused collections, denial resolution, and reimbursement follow-up. Proven ability to ensure accurate payments from primary and secondary payers, resolve contracted and non-contracted claims, and maintain accurate accounts receivable reporting. Thrives in fast-paced healthcare and government environments requiring attention to detail, accountability, and cross-functional collaboration.
Overview
2
2
years of professional experience
Work History
Accounts Receivable Specialist
Vituity
Modesto, CA
10.2024 - Current
- Conduct thorough and timely follow-up on patient accounts to ensure accurate accounts receivable reporting.
- Ensure accurate payment from primary and secondary insurance payers by identifying discrepancies and initiating resolution.
- Independently resolve second-level reimbursement issues, including contracted and non-contracted denials.
- Work all denials and corrected claims in collaboration with billers, management, insurance payers, and patients on past-due accounts.
- Manage credit balances, insurance balance resolution, and patient balance follow-up.
- Meet and maintain cash collection metrics and performance goals.
- Contact insurance companies via phone
- Research and resolve billing discrepancies to support timely revenue recovery.
- Manage a high-volume A/R workload while maintaining accuracy, professionalism, and attention to detail.
- Collaborate closely with internal departments to ensure proper billing and payer compliance.
Tax Examining Technician/Collections Rep
Internal Revenue Service
Fresno, CA
01.2024 - 09.2025
- Reviewed financial accounts for accuracy, discrepancies, and regulatory compliance.
- Conducted investigative research on accounts requiring correction or follow-up.
- Managed assigned caseloads to ensure timely resolution of outstanding balances.
- Collaborated with internal teams to correct errors and improve reporting accuracy.
- Maintained detailed documentation to support audit readiness and compliance.
- Collected outstanding balances through high-volume inbound and outbound calls.
- Negotiated repayment solutions while maintaining compliance with federal regulations.
- Resolved delinquent accounts using investigative questioning and documentation review.
- Met productivity and collection performance metrics in a fast-paced environment.
- Maintained professionalism and empathy when handling sensitive financial matters.
Customer Service Representative
Qualfon / Delta Dental
11.2023 - 01.2024
- Verified insurance coverage, benefits, and billing accuracy for dental services.
- Handled escalated insurance and billing inquiries with timely resolution.
- Explained procedures, coverage, and financial responsibility to patients.
- Maintained strict HIPAA compliance while managing patient financial data.
- Served as a liaison between patients and insurance carriers to resolve payment issues.
Education
Bachelor of Science - Health and Human Services
California State University, Fresno
Fresno, CA05.2021
Skills
Insurance Accounts Receivable (A/R)
Primary & Secondary Payer Follow-Up
Denial Management & Corrected Claims
Contracted & Non-Contracted Reimbursement
Credit Balance Management
Cash Collection Metrics & Goals
Claims Resolution & Appeals
HMO, PPO, EPO, POS Plans
Workers’ Compensation & Third-Party Payers
Patient & Insurance Balance Resolution
Payer Relations & Provider Communications
HIPAA Compliance
Attention to Detail & Time Management
Timeline
Accounts Receivable Specialist
Vituity
10.2024 - Current
Tax Examining Technician/Collections Rep
Internal Revenue Service
01.2024 - 09.2025
Customer Service Representative
Qualfon / Delta Dental
11.2023 - 01.2024
Bachelor of Science - Health and Human Services
California State University, Fresno