Summary
Overview
Work History
Skills
LANGUAGES
Timeline
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Vanessa Martinez

Victorville,CA

Summary

Experienced professional with a background in collections and auditing in transportation, insurance, and medical industries. Skilled in accounts receivables, financial and account analysis/review, documentation, payment processing, and data entry. Highly organized with a talent for problem-solving and communication. Collaborates effectively with customers, coworkers, and management at all levels within the organization.

Overview

26
26
years of professional experience

Work History

ACCOUNTING & ELIGIBILITY CLERK, DELINQUENCY CLERK, NEW & CLOSED ACCOUNTS SPECIALIST

NORTHWEST ADMINISTRATORS
Pasadena, California
04.2019 - Current
  • Reconciling and balancing all transmittals within established guidelines
  • Insurance, eligibility and termination updates for members
  • Developed strong relationships with customers to foster timely payments and account resolution
  • Researching and resolving overages, shortages, bank suspensions
  • Providing notes and follow-up on unbalanced transmittals
  • Maintaining correspondence logs and generating required overage and shortage letters
  • Responded to customer inquiries and provided detailed account information
  • Increased recovery percentages with timely follow-up actions on delinquent accounts and negotiating favorable payment arrangements
  • Streamlined the collections process for increased efficiency through regular monitoring and reporting of delinquent accounts
  • Communicated effectively with employers, business agents, attorneys and other external parties regarding legal proceedings related to debt collections matters
  • Review of collective bargaining agreements for new account set ups and renewals
  • Managing reports for new and closed account maintenance.

CREDIT & COLLECTIONS ANALYST

CONCENTRA
Ontario, California
11.2015 - 04.2019
  • Responsible for managing and maintaining assigned accounts, account resolution, incoming customer service calls, processing correspondence, submitting employer profile updates
  • Generating rebills for outstanding A/R, managing aging reports, adjustments/corrections of bills, verification of billing charges, updating insurance information, and redirecting bills to appropriate payers
  • Outgoing calls to insurance companies, employers, patients
  • Enhanced cash flow by analyzing and resolving outstanding account balances
  • Reviewed files to select delinquent accounts for collection efforts.
  • Created and maintained databases on activity conducted in accounts.
  • Collaborated with cross-functional teams to resolve billing discrepancies and improve customer satisfaction.
  • Developed and implemented strategies for reducing delinquent accounts and enhancing cash flow.

CREDIT & COLLECTIONS ANALYST

HUB GROUP, INC.
Brea, California
05.2013 - 10.2015
  • Created and maintained databases on activity conducted in accounts
  • Streamlined collections processes for increased efficiency and productivity
  • Reviewed files to select delinquent accounts for collection efforts
  • Researched accounts and completed due diligence to resolve collection problems
  • Prepared reports on current findings and actions taken for accounts under investigation
  • Developed strong working relationships with customers that facilitated open communication channels during sensitive financial negotiations
  • Regularly reviewed existing accounts to ensure up-to-date knowledge on client financial standings, enabling proactive adjustments to credit limits and terms as needed
  • Responded to customer inquiries and provided detailed account information.

AUDIT REVIEWER I

EMPLOYERS COMPENSATION INSURANCE
Glendale, California
01.2011 - 01.2012
  • Responsible for reviewing and reconciling payroll and premium documentation, applying rules to enter and process final audits, notifying other departments of discrepancies, and researching and investigating differences in payroll, classifications, and reporting discrepancies
  • Conducted in-depth research to strengthen the overall quality and credibility of each review.

UNDERWRITING ASSISTANT

EMPLOYERS COMPENSATION INSURANCE
Glendale, California
01.2008 - 01.2012
  • Responsible for reviewing new business submissions, processing endorsements, cancellations, reinstatements, experienced modifications, certificates of insurance, and collecting additional information for policy issuance
  • Supported underwriters with thorough research and documentation, enabling informed decisions on coverage limits and premium pricing
  • Responded to customer requests via telephone and email and effectively answered questions and inquiries
  • Improved customer satisfaction by quickly addressing and resolving queries related to underwriting processes.

COLLECTOR II

EMPLOYERS COMPENSATION INSURANCE
Glendale, California
01.2008 - 01.2011
  • Processing of daily deposits and posting payments to accounts
  • Increased recovery rates with consistent follow-up on overdue accounts, including billing discrepancies, researching of balances, cancellations due to non-payment, and reinstatements on policies and health coverage
  • Improved customer satisfaction by effectively resolving delinquent accounts through negotiation and payment plans
  • Working closely with underwriting and audit departments for end of year reporting and billing
  • Developed strong relationships with clients, fostering trust and facilitating successful account inquiries and resolutions
  • Performing account maintenance such as updates on contact information, billing addresses, and rate updates
  • Handling calls and emails from insured, agents, and internal customers.

COLLECTOR

ROADWAY EXPRESS
Commerce, California
01.2007 - 01.2008
  • Evaluated, researched, and performed detailed account audits to identify discrepancies or inconsistencies such as rejected invoices for billing discrepancies and billing corrections
  • Responsible for performing collections activities to employers and third payors consisting of calls, emails, and letters
  • Working with sales representatives for account resolution
  • Responded to customer inquiries and provided detailed account information.

COLLECTOR

TEMPLE MEDICAL CENTER
Los Angeles, California
01.2000 - 01.2007
  • Responsible for performing all aspects of collections activities, including monitoring productivity, appeals/denial management to third party payors including insurance companies, employers, and attorneys
  • Processing of daily deposits, applying incoming payments, and resubmissions of claims for additional payment consideration
  • Managing and maintaining aging reports
  • Maintained accurate records of all collection activities, ensuring compliance with industry standards and regulations.

Skills

  • Knowledgeable in Microsoft - Works, Word, Excel, Power Point, Windows - DOS, Internet
  • Data entry proficiency
  • Remote Communication (Zoom, Teams, Email), Social Media
  • Policy Knowledge
  • Organizational abilities
  • 10 key
  • Telephone Etiquette
  • Benefits Administration
  • Teamwork orientation
  • Organizational growth
  • Application processing

LANGUAGES

Spanish
Native or Bilingual

Timeline

ACCOUNTING & ELIGIBILITY CLERK, DELINQUENCY CLERK, NEW & CLOSED ACCOUNTS SPECIALIST

NORTHWEST ADMINISTRATORS
04.2019 - Current

CREDIT & COLLECTIONS ANALYST

CONCENTRA
11.2015 - 04.2019

CREDIT & COLLECTIONS ANALYST

HUB GROUP, INC.
05.2013 - 10.2015

AUDIT REVIEWER I

EMPLOYERS COMPENSATION INSURANCE
01.2011 - 01.2012

UNDERWRITING ASSISTANT

EMPLOYERS COMPENSATION INSURANCE
01.2008 - 01.2012

COLLECTOR II

EMPLOYERS COMPENSATION INSURANCE
01.2008 - 01.2011

COLLECTOR

ROADWAY EXPRESS
01.2007 - 01.2008

COLLECTOR

TEMPLE MEDICAL CENTER
01.2000 - 01.2007
Vanessa Martinez