Natalie MartinezNM
Open to opportunities

Natalie Martinez

@nataliemartinez1

Bilingual Science Major with over 15 years in healthcare.

United States
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What I'm looking for

I am looking for a role that fosters growth, collaboration, and innovation in healthcare.

I am a dedicated healthcare professional with over 15 years of experience in the medical field, currently specializing in the healthcare revenue cycle. My journey has equipped me with a robust understanding of medical terminology, ICD-10 coding, and proficiency in systems like EPIC and Meditech. I pride myself on being a reliable team player, consistently meeting deliverables with minimal oversight.

Throughout my career, I have held various roles that have honed my analytical and leadership skills. As a Revenue Cycle A/R Support Resolution Specialist, I investigate and resolve complex billing issues, ensuring timely payments and maintaining excellent communication with patients and insurance carriers. My previous experience as a Business Analyst allowed me to drive organizational improvements and efficiencies, showcasing my ability to implement strategic solutions that enhance revenue outcomes.

I am passionate about continuous learning and professional development, as evidenced by my certifications and involvement in organizations like AHIMA. I am eager to leverage my skills and experience in a challenging role that allows me to contribute to a dynamic healthcare team.

Experience

Work history, roles, and key accomplishments

HC
Current

A/R Support Resolution Specialist

HBCS Revenue Cycle

Mar 2022 - Present (3 years 4 months)

Investigated and monitored all charity, bankruptcy, and deceased inventory. Conducted initial reviews at the account/patient level to identify or locate missing or misapplied payments, completing transactional requests as required. Identified and located patient, insurance carrier or other third-party that is liable for payment of account and initiated contact to determine reason for non-payment,

PS

Business Analyst

Prime Health Care Services

Mar 2020 - Present (5 years 4 months)

Analyzed Hospital's Revenue cycle data and compiled AD HOC reports. Proactively identified and implemented improvement processes, applying analytical and critical thinking to generate innovative practical solutions. Drove organizational results through increasing revenues and efficiencies, functioning as a Subject Matter Expert (SME) for revenue cycle operations.

PS

Account Resolution

Prime Health Care Services

Oct 2017 - Present (7 years 9 months)

Used the medical EPIC system to work hospital accounts, ensuring timely follow-up of Managed Care/Commercial hospital accounts. Communicated daily by email/phone efficiently with Health Plans, adjusting off account payments, balances, and credits. Submitted requests for corrected claims, or appealed denials when policy allowed, maintaining productivity of at least 100 accounts a day.

LS

Paralegal

Law Office of Daniel Santos

Jul 2014 - Present (11 years)

Handled all new clients and performed all intake procedures, setting clients up for therapy and taking care of vehicle inspections. Communicated with Adjusters, Attorneys, and other paralegals daily, negotiating settlements to prepare cases for closure. Assisted Attorney in preparing petitions and filing motions in court, requesting and gathering all medical bills, and preparing settlement demands

MA

ES Quality Control Specialist

MAXIMUS-Edinburg

Sep 2011 - Present (13 years 10 months)

Completed daily/weekly audits and made determinations on CSR performance, evaluating if correct action was taken on each call. Entered weekly scores in Supervisors' Excel spreadsheets and reported findings on calls with errors. Provided effective/objective feedback from audits completed and identified strengths/weaknesses on an individual basis as well as for the team.

FI

Adjuster

Fred Loya Insurance

Aug 2009 - Present (15 years 11 months)

Investigated and analyzed liability on auto accident claims to help pay victim(s) of accidents. Mentored new adjusters and helped them learn the system used to start investigations on new auto claims. Requested and obtained photos and estimates of damages to vehicles, attending weekly roundtables to discuss difficult cases and help with closure of files.

VC

Office Manager

Valley AIDS Council

May 2007 - Present (18 years 2 months)

Provided blood tests to individuals who felt they were high risk and performed weekly outreach to the community. Responsible for turning in monthly reports to grant providers and reviewing timesheets. Evaluated employee's performance during presentations, outreach, and counseling sessions, helping with organizing annual conferences.

Education

Degrees, certifications, and relevant coursework

BP

Basic Life Support Provider Program

Certification, Basic Life Support

Obtained current certification as a Basic Life Support Provider, covering CPR and AED programs.

WS

Weslaco High School

GED, General Studies

Completed high school education and obtained a General Education Development (GED) credential.

VI

Valley Grande Institute

Certification, Patient Care

Completed a program to become a Patient Care Technician, gaining certifications in Phlebotomy, Certified Nurse Assistant, and Electrocardiograph Technician.

Texas State Technical College logoTC

Texas State Technical College

Associate of Science, Science

Activities and societies: Part of Texas State, Student Government Association (S.G.A). Affiliated with AHIMA (American Health Information Management Association).

Pursued a Science Major with coursework in Medical Terminology, Nutrition, Microbiology, and Anatomy 1&2. Also completed a Minor in Billing and Coding certification.

Tech stack

Software and tools used professionally

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Natalie Martinez - A/R Support Resolution Specialist - HBCS Revenue Cycle | Himalayas