Vanessa Martinez

Serves as a first line resource for workflow and technical support

Provides operational training

Encouraged a teamwork environment

Ensured workflow remain uninterrupted

Handles complex resolutions

Reviews and maintains records of aero level, quality accuracy, and productivity

Trained on department policy and procedure manuals

Applied CSS role for all associates who required coverage

Collaborating with other departments to ensure compliance and workflow

• Work collaboratively with home-based providers in six different states/markets
• Key point of contact between all clinical team's, and facilities
• Navigate multiple platforms
• Performed insurance verification/eligibility via Availity
• Documents all activity in chart
• Triage inbound calls and coordinate appropriate tasking/escalated rapid response
• Outbound calls/correspondence
• Schedule new patients, follow up visits, and post hospital appointments
• Coordinate ordering of imaging, labs, home health, and dependable medical equipment
• Fax authorizations, visit notes, and referrals to primary care and/or specialists
• Prepare patient visit packets, verify insurance eligibility, and process all medical record requests plus upload's
• Upload medications, vaccinations, and all documents sent by clinical team
• Contact members of their additional in-home services
• Verify prio authorizations/pre-services
• Attend all HRH team meetings
• Served as an Outreach Specialist
• Served as an Enrollment Specialist
• Served as an Inbound Call Coordinator
• Conducted HEDIS gap closures
• HRA compliance for new patients
• Research referrals with no contact data
• Right Fax management
• Fax visit notes to PCP
• Worked directly with all vendors
• FAL process
• Discharged patients to other care programsDRAFT
• Trained new hires for dedicated market
• Supporting three state markets in three separate time zones simultaneously
• HEDIS gap closures.

• Prepared patients for medical exams and medical procedures
• Clean, sterilize, and sanitize instruments and dispose of contamination daily
• Record, manage, and update patient information and medical histories in accordance to HIPAA regulations
• Prepared injections for Botox, nerve blocks, and migraine injections
• Maintain medical supplies and inventory
• Collect and processed patient payments
• Coordinates appointments for patient services
• Request and gathers medical records.

• Prepared patients for medical exams and medical procedures
• Administer medication as directed by physician
• Sterilize instruments and dispose of contamination
• Collect and record laboratory specimens
• Perform administrative and facilities maintenance duties
• Organize and manage intern training
• Provided patients with diabetic education
• Provided patient wound care
• Authorized prescription refills
• Processed hospice admissions and medication.