Summary
Overview
Work History
Education
Skills
Languages
Interests
Timeline
Generic

Veronica Martinez

San Pablo,CA

Summary

Knowledgeable Patient Care Coordinator with background in Medical and Dental Billing and track record of optimizing patient flow and satisfaction. Successfully managed patient schedules and facilitated communication between healthcare providers and patients. Demonstrated ability to handle administrative duties and patient inquiries with empathy and efficiency.

Diligent Demonstrates strong analytical skills in claim submissions, follow-ups, and resolving billing discrepancies. With keen ability to navigate complex insurance claims and ensure accurate processing. Successfully resolved numerous discrepancies and reduced claim rejections. Demonstrated effective communication and problem-solving skills in fast-paced dental environments. With hands-on experience to deliver impactful solutions and enhance organizational performance.

Overview

11
11
years of professional experience

Work History

Patient Care Coordinator

Dr Julie Young
01.2025 - Current
  • Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
  • Provided exceptional customer service by addressing concerns, answering questions, and ensuring patient satisfaction with their care experience at the clinic.
  • Enhanced patient satisfaction by efficiently scheduling appointments and managing patient flow.
  • Streamlined communication between patients and healthcare providers, ensuring timely responses to inquiries and concerns.
  • Trained new staff members on office procedures and protocols, ensuring consistency in patient care delivery.
  • Communicated with insurance companies to verify coverage and obtain authorizations for dental treatments and procedures.
  • Coordinated with insurance companies for accurate billing and claim processing, reducing errors and financial discrepancies.
  • Fostered strong relationships with referral sources for increased network connections, benefiting both the clinic and its patients through expanded resources.
  • Acted as a knowledgeable resource for patients seeking information about community resources and support services available to them in their healthcare journey.
  • Reduced wait times by implementing an effective appointment reminder system (practice mojo) for patients, minimizing no-shows and late arrivals.
  • Implemented a more efficient system for managing medical records, resulting in faster access to crucial information during patient visits.
  • Ensured compliance with healthcare regulations and patient privacy laws, maintaining safe and confidential environment.
  • Resolved patient concerns and complaints with empathy and professionalism, restoring trust in healthcare services.
  • Answered incoming calls, scheduled appointments and filed medical records.
  • Verified patient insurance eligibility and entered patient information into system.
  • Processed payments using cash and credit cards, maintaining accurate records of transactions.
  • Greeted and assisted patients with check-in procedures.
  • Applied administrative knowledge and courtesy to explain procedures and services to patients.
  • Achieved greater office efficiency by updating electronic health record systems with pertinent patient coverage details.
  • Minimized billing errors through regular auditing of patient records, identifying inaccuracies, and implementing corrective measures promptly.
  • Enhanced claim processing efficiency by streamlining dental insurance billing procedures.
  • Improved cash flow for the dental practice by expediting submission of clean claims to insurance carriers.
  • Generated monthly billing and posting reports for management review.

Medical Insurance Biller

University of California, Berkeley
09.2024 - 01.2025
  • Boosted customer satisfaction through professional handling of patient inquiries regarding billing matters and insurance coverage.
  • Contributed to company growth by accurately analyzing trends in denial rates, payer mix, and other key performance indicators relevant to revenue cycle management.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Ensured timely reimbursement for services by submitting clean claims to insurance carriers promptly.
  • Optimized the use of practice management software systems for more efficient claim generation and submission processes.
  • Reduced claim denials by effectively communicating with healthcare providers to obtain necessary documentation and information.
  • Improved patient billing accuracy by diligently reviewing and editing medical insurance claims.
  • Collected payments and applied to patient accounts.
  • Posted payments and collections on regular basis.
  • Verified insurance of patients to determine eligibility.
  • Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
  • Reviewed patient diagnosis codes to verify accuracy and completeness.
  • Responded to customer concerns and questions on daily basis.
  • Processed payment via telephone and in person with focus on accuracy and efficiency.
  • Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
  • Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
  • Verified accuracy of accounts payable payments, resulting in 70% reduction in payment errors and check reissues.

Patient Care Coordinator

H2 Dental
10.2023 - 08.2024
  • Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
  • Provided exceptional customer service by addressing concerns, answering questions, and ensuring patient satisfaction with their care experience at the clinic.
  • Enhanced patient satisfaction by efficiently scheduling appointments and managing patient flow.
  • Streamlined communication between patients and healthcare providers, ensuring timely responses to inquiries and concerns.
  • Trained new staff members on office procedures and protocols, ensuring consistency in patient care delivery.
  • Communicated with insurance companies to verify coverage and obtain authorizations for dental treatments and procedures.
  • Coordinated with insurance companies for accurate billing and claim processing, reducing errors and financial discrepancies.
  • Fostered strong relationships with referral sources for increased network connections, benefiting both the clinic and its patients through expanded resources.
  • Acted as a knowledgeable resource for patients seeking information about community resources and support services available to them in their healthcare journey.
  • Reduced wait times by implementing an effective appointment reminder system (practice mojo) for patients, minimizing no-shows and late arrivals.
  • Implemented a more efficient system for managing medical records, resulting in faster access to crucial information during patient visits.
  • Ensured compliance with healthcare regulations and patient privacy laws, maintaining safe and confidential environment.
  • Resolved patient concerns and complaints with empathy and professionalism, restoring trust in healthcare services.
  • Answered incoming calls, scheduled appointments and filed medical records.
  • Verified patient insurance eligibility and entered patient information into system.
  • Processed payments using cash and credit cards, maintaining accurate records of transactions.
  • Greeted and assisted patients with check-in procedures.
  • Applied administrative knowledge and courtesy to explain procedures and services to patients.
  • Achieved greater office efficiency by updating electronic health record systems with pertinent patient coverage details.
  • Minimized billing errors through regular auditing of patient records, identifying inaccuracies, and implementing corrective measures promptly.
  • Enhanced claim processing efficiency by streamlining dental insurance billing procedures.
  • Improved cash flow for the dental practice by expediting submission of clean claims to insurance carriers.
  • Generated monthly billing and posting reports for management review.
  • Increased patient retention rates by providing thorough follow-up communications regarding upcoming appointments or necessary treatments.
  • Conducted efficient end-of-day processes including closing out cash registers, reconciling payment transactions, and preparing daily reports for management review.
  • Assisted in the implementation of new office software systems, leading to improved efficiency in daily tasks and overall workflow management.
  • Communicated with insurance companies to dispute unpaid claims and verify patient coverages.
  • Helped patients complete necessary medical forms and documentation.
  • Greeted visitors and patients to determine needs, check appointments, and direct accordingly.
  • Handled patient complaints quickly and professionally to restore patient confidence and prevent loss of clientele.
  • Obtained payments from patients and scanned identification and insurance cards.

Patient Service Representative

Marin Health
04.2019 - 05.2020
  • Participated in ongoing training programs related to HIPAA compliance, maintaining up-to-date knowledge on regulatory requirements.
  • Verified insurance eligibility and coverage for patients.
  • Handled sensitive patient concerns with professionalism and empathy, fostering an atmosphere of trust within the clinic.
  • Filed and maintained patient records in accordance with HIPAA regulations.
  • Managed patient registration process, confirming data accuracy and completeness.
  • Used Epic to schedule appointments.
  • Assisted patients in filling out check-in and payment paperwork.
  • Facilitated patient registration by accurately entering demographic and insurance information into electronic health record systems.
  • Took copayments and compiled daily financial records.
  • Balanced deposits and credit card payments each day.
  • Built and maintained positive working relationships with patients and staff.
  • Handled complex insurance pre-authorization processes accurately, enabling timely delivery of necessary medical services.
  • Coordinated referrals efficiently between primary care providers and specialists, ensuring a seamless patient experience.
  • Managed waiting room operations effectively, addressing any issues or concerns that arose during peak hours.
  • Reduced no-show rates through consistent appointment reminder calls, leading to improved clinic productivity.
  • Stayed calm under pressure to and successfully dealt with difficult situations.
  • Provided excellent customer service to patients and medical staff.
  • Provided compassionate customer service, addressing patient concerns and answering inquiries regarding MRI procedures.
  • Supported the overall patient experience by assisting in the timely dissemination of educational materials, preparation instructions, and post-procedure care guidelines.
  • Coordinated patient scheduling, check-in, check-out and payments for billing.
  • Managed multi-line phone system and pleasantly greeted patients.
  • Supported office staff and operational requirements with administrative tasks.
  • Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
  • Processed medical insurance claims and payments.
  • Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
  • Assisted with medical coding and billing tasks.
  • Managed office bookkeeping with insurance billing and patient payments.
  • Received and routed laboratory results to correct clinical staff members.
  • Helped patients complete necessary medical forms and documentation.
  • Obtained payments from patients and scanned identification and insurance cards.

Patient Service Representative

Alameda Health Systems
05.2014 - 02.2019
  • Used Epic to schedule appointments.
  • Handled customer service inquiries in person, via telephone and through email.
  • Entered patient demographic and insurance data into electronic medical record system.
  • Assisted with insurance verification tasks, ensuring accurate billing and timely reimbursement for services rendered.
  • Responded to inquiries by directing calls to appropriate personnel.
  • Worked with patients to ascertain issues and make referrals to appropriate specialists.
  • Taught patients and families to use at-home medical equipment.
  • Answered incoming calls, scheduled appointments and filed medical records.
  • Verified patient insurance eligibility and entered patient information into system.
  • Processed payments using cash and credit cards, maintaining accurate records of transactions.
  • Greeted and assisted patients with check-in procedures.
  • Verified insurance eligibility and coverage for patients.
  • Took copayments and compiled daily financial records.
  • Balanced deposits and credit card payments each day.
  • Built and maintained positive working relationships with patients and staff.
  • Handled complex insurance pre-authorization processes accurately, enabling timely delivery of necessary medical services.
  • Coordinated referrals efficiently between primary care providers and specialists, ensuring a seamless patient experience.
  • Managed waiting room operations effectively, addressing any issues or concerns that arose during peak hours.
  • Calculated estimated copay based on current insurance benefits.
  • Facilitated timely renewals of ongoing authorizations by closely monitoring expiration dates and initiating renewal processes proactively.
  • Reviewed authorizations from payer to determine approved or denied items.
  • Submitted for prior authorization with required documentation to appropriate funding source.
  • Maintained consistent follow-up on status of prior authorization requests.
  • Streamlined authorization processes by implementing a centralized tracking system for pending and approved requests.
  • Acted as a resource for clinical staff, providing guidance on insurance requirements and authorization protocols.
  • Participated in regular audits of authorization files, addressing discrepancies and implementing corrective actions as needed.
  • Gathered records pertinent to specific problems, reviewed for completeness and accuracy and attached records to correspondence as necessary.
  • Completed form letters in response to requests or problems identified by correspondence.
  • Read incoming correspondence to ascertain nature of writers' concerns and to determine disposition of correspondence.

Education

High School Diploma -

Vista High
Richmond, CA

Skills

  • Logical reasoning skills
  • Understanding of HIPAA standards
  • Strong organizational abilities
  • Efficient appointment management
  • Bilingual (Spanish) verbal and written

Languages

Spanish

Interests

  • Getting involved in local advocacy groups to promote positive change in the community
  • Advocacy Campaigns
  • Creative Writing

Timeline

Patient Care Coordinator

Dr Julie Young
01.2025 - Current

Medical Insurance Biller

University of California, Berkeley
09.2024 - 01.2025

Patient Care Coordinator

H2 Dental
10.2023 - 08.2024

Patient Service Representative

Marin Health
04.2019 - 05.2020

Patient Service Representative

Alameda Health Systems
05.2014 - 02.2019

High School Diploma -

Vista High

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