Summary
Overview
Work History
Education
Skills
Additional Information
Timeline
Generic

Xenia L. Martinez

Hoffman Estates,IL

Summary

To Whom it may Concern, 

I describe myself as a properly self motivated individual who awaits a challenge and is always willing to surpass expectations and create success for myself, my company, and department. I try to proactively produce a better quality of social service to customers, patients, or constituents. I hold capabilities of better understanding procedures and surpassing goals and expectations to better improve work environment and productivity. While meeting challenges not only for myself or my company, I learn through the process and improve my understanding into becoming a more efficient partner and team player for more improved outcomes/solutions. I am capable to learn and master any trade that is placed in my path and improve S.O. P's. I am well educated and always interested in learning more. I am well versed individual who works great with clients and meeting their needs. I greatly appreciate your time and the opportunity we can share in the future. 

Sincerely, 

Xenia Lee Martinez

Overview

17
17
years of professional experience

Work History

Account Manager/Reimbursement Specialist

Spectrum Billing Solutions
Niles , IL
11.2018 - Current
  • Training new collectors in office and offshore.
  • Created training manuals and videos.
  • Managed multiple accounts/facilities.
  • Overseeing other collectors to make sure procedures are being followed and completed accurately.
  • Checking eligibility and benefits verification for treatments and procedures.
  • Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
  • Following up on unpaid claims within standard billing cycle time frame.
  • Checking insurance payments to verify if claims paid at correct quoted rate.
  • Calling insurance companies regarding discrepancy in payments.
  • Researching and appealing denied and underpaid claims.
  • Negotiating payments through third party payers such as Viant, Multiplan, and Data Isight.

Insurance Reimbursement Specialist, Financial Advisor

Health Information Services
Park Ridge, IL
05.2011 - 11.2018
  • Checking patient  eligibility and verifying benefits. 
  • Preparing, reviewing, and transmitting claims using billing software.
  • Following up on unpaid claims within standard billing cycle time frame. 
  • Retrieving EOB's to verify if claims paid according to contract.
  • Calling insurance companies regarding discrepancy in payments and denials. 
  • Creating paper and online appeals to insurance carriers.
  • Answering inbound calls and making outbound calls.
  • Following HIPPA/OSHA regulation when handling patient accounts.
  • Entering pertinent data pertaining to patient account's
  • Solving system, billing and/or financial problems with doctor visits and their charges.
  • Collections for late or updated account alterations and pay ability.

Agents Licensed Staff Member

State Farm
Chicago, IL
01.2009 - 05.2011
  • Customer service.
  • Insuring for home insurance.
  • Insuring for auto insurance.
  • Insuring for life and health insurance.
  • Skillful with Microsoft word, excel, power point, and NECHO system.
  • Retrieve estimates of housing and vehicle worth Outcome: gained experience in a professional office environment, enhanced my computer skills, and earned a legal Illinois insurance license.

Social Work Internship

Safe Families for Children
Chicago, IL
01.2016 - 01.2018
  • Intake
  • Inbound & outbound calls
  • Assess client situations
  • Provide resources
  • Case notes
  • Family Coaching
  • Organization and distribution of donations 

Education

Bachelors - Social Work

Northeastern Illinois University
2018

Associate in Arts Degree - undefined

Wilbur Wright College
2012

Skills

  • Excellent communication skills
  • Great customer service
  • Always on time
  • Open to learn new things, and meet new people
  • Skilled in computer software Excel, Word, Power point
  • Extremely organized
  • Powerful negotiator
  • Self-motivated

Additional Information

References upon request

Timeline

Account Manager/Reimbursement Specialist

Spectrum Billing Solutions
11.2018 - Current

Social Work Internship

Safe Families for Children
01.2016 - 01.2018

Insurance Reimbursement Specialist, Financial Advisor

Health Information Services
05.2011 - 11.2018

Agents Licensed Staff Member

State Farm
01.2009 - 05.2011

Bachelors - Social Work

Northeastern Illinois University

Associate in Arts Degree - undefined

Wilbur Wright College
Xenia L. Martinez