Vanessa Martinez
Lubbock,TX
Summary
Efficient professional with 20 years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive.
Overview
20
20
years of professional experience
18
18
Years experience in the Medical Field
2
2
Certifications
Work History
Medical Billing and Medical Data Specialist
MD Billing Services
09.2021 - 05.2023
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Compiled data and reviewed information for accuracy prior to input.
- Posted and adjusted payments from insurance companies.
- Precisely evaluated and verified benefits and eligibility.
- Completed data entry tasks with accuracy and efficiency.
- Trained new employees on multiple medical billing programs and data entry software.
- Entered numerical data into databases with speed and accuracy using 10-key pad.
- Managed workflow scheduling, data entry and accuracy verification for large data projects.
- Scanned documents and saved in database to keep records of essential organizational information.
- Corrected data entry errors to prevent later issues such as duplication or data degradation.
- Evaluated source documents to locate information needed for each data entry field.
Assistant Manager
Nothing Butt Smokes
03.2020 - 08.2021
- Managed opening and closing procedures and recommended changes to enhance efficiency of daily activities.
- Responded to customer concerns, working with manager to significantly raise customer satisfaction ratings.
- Maintained positive customer relationships by responding quickly to customer service inquiries.
- Supervised and evaluated staff, enabling them to improve skills, achieve daily objectives and attain advancement.
- Rotated merchandise and displays to feature new products and promotions.
- Processed payments for credit and debit cards and returned proper change for cash transactions.
- Reconciled daily sales transactions to balance and log day-to-day revenue.
- Verified inventory counts remained within monthly tolerance levels and compiled financial data in compliance with budget.
Referral Coordinator
University Medical Center
10.2019 - 03.2020
- Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
- Scheduled appointments with specialists on behalf of clients.
- Called insurance companies to get precertification and other benefits information on behalf of patients.
- Weighed patient need, provider availability and insurance coverage to determine optimal scheduling.
- Coordinated with medical staff and patients to find cost-effective options for services.
Assistant Healthcare Administrator
Dr. Salman Ahmad
04.2016 - 08.2019
- Communicated with doctors, nurses, patients and other employees to identify and resolve healthcare needs.
- Maintained up-to-date information in electronic medical records software.
- Maintained current and accurate medical records for patients.
- Conducted insurance verification and pre-authorizations and managed patient charts.
- Verified insurance coverage to prepare for upcoming patient appointments.
- Supported office staff and operational requirements with administrative tasks.
- Worked with upper management to complete complex projects on tight budgets within specific timelines.
- Monitored and tracked performance of employees, identifying and targeting areas in need of improvement and further training.
- Led training sessions, answered questions and assisted employees with troubleshooting during software migrations.
- Trained new employees on administrative procedures, company policies and performance standards.
- Evaluated office documentation to check accuracy and complete missing pieces, avoiding delays and maximizing team productivity.
- Interacted with customers by phone, email or in-person to provide information.
- Kept detailed records of supplies and office equipment use to budget and make orders for new supplies.
- Carried out front office duties utilizing data entry skills in framework of medical database.
- Located, checked in and pulled medical records for patient appointments and incomplete charts.
- Developed and managed accurate and confidential patient records.
- Converted paper charts into digital files and uploaded to EMR system.
- Completed billing and coding duties to handle submitted claims.
- Provided educational documents and pamphlets to patients.
- Communicated with patients regarding payments on outstanding accounts.
- Contacted patients regarding unpaid and underpaid accounts to resolve issues.
- Advocated for patients through conversations with insurance representatives.
- Audited customer files to verify medical necessity and satisfaction of coverage criteria.
- Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability.
- Coordinated with other healthcare providers concerning treatment plans for patients.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Communicated with patients, ensuring that medical information was kept private.
- Enhanced office productivity by handling high volume of callers per day.
- Researched medical and legal issues to support ongoing cases regarding personal injury and workman's compensation
Waitress
Super Salad
01.2014 - 01.2016
- Serving customers
- Opening and closing tasks
- Cashier
- Participated in dining room sidework such as refilling condiment bottles, preparing menus and arranging silverware packages.
- Performed dining room sanitation tasks such as spill cleanup, table sterilization and removal of apparent waste or refuse.
- Sustained calm and congenial manners during communications with angry guests, directing disgruntled clients to appropriate managers.
- Completed credit payments via card processing systems.
- Cultivated warm relationships with regular customers.
- Explained menu items and suggested appropriate options for food allergy concerns.
- Bussed and reset tables to keep dining room and work areas clean.
- Replenished food items, paper products and canned goods to keep pantry well-stocked during busy periods.
- Kept register accurate through correct billing, payment processing and cash management practices.
- Used slow periods to restock supplies, ice, trays and delivery bags.
Education
No Degree - Medical Coding And Billing
Kaplan College
Lubbock, TXAssociate of Applied Science - Medical Billing And Coding
Penn Foster College
Scottsdale, AZ02.2024
Skills
- ICD 9 and 10
- CPT Code Modifiers
- Diagnostic Codes
- Coding Appeals
- Confidential Records Management
- Information Updates
- Medical Terminology
- Problem Resolution
- Data Security Procedures
- Data Entry and Verification
- Patient Data Identification and Compilation
- Accounts Payable and Accounts Receivable
- Windows 10
- Microsoft Word, Excel, and Office
- EMR Systems
- Medical Records
- Insurance verification
- Data Analysis
- Collection Calls
- Critical Thinking
- Account Management
- Customer Service
- Client Inquiries
- Medical office experience
- Medical coding and billing
- Supervising Experience
- Anatomy Knowledge
- Experience Administering Injections
- HIPAA trained and certified
- Medicare and Medicaid Processes
- Protected Health Information
- Correspondence Writing
- Paperwork and Documentation
- Electronic Filing System Organization
- Document Management
- Intake Interview
- Variance Reviewing
- Demographics Information
- Call Transfers
- Error Reporting
- Compensation Research
- Accounting
- Phone Etiquette
- Quality Assurance
- Laboratory Experience
- Food handler certificate
- Patient Vitals and Assessments
- Responding to customer situations with sensitivity - Proficient
- Medical receptionist skills — Proficient
- Managing physician schedules and maintaining accurate patient records
- Pre-authorization requests and referrals
- Chronic care management(case management)
Certification
- Certified On Site Inspector
- Certified Healthcare Compliance Auditor
Timeline
Medical Billing and Medical Data Specialist
MD Billing Services
09.2021 - 05.2023
Assistant Manager
Nothing Butt Smokes
03.2020 - 08.2021
Referral Coordinator
University Medical Center
10.2019 - 03.2020
Assistant Healthcare Administrator
Dr. Salman Ahmad
04.2016 - 08.2019
Waitress
Super Salad
01.2014 - 01.2016
No Degree - Medical Coding And Billing
Kaplan College
Associate of Applied Science - Medical Billing And Coding
Penn Foster College
- Certified On Site Inspector
- Certified Healthcare Compliance Auditor
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