Manager Medical Billing
Resume:
JEAN M MARTINEZ
Gurnee, IL 60031
Cell Phone# 847-***-****
Email address: *************@*****.***
Summary Over 20 years of professional business experience specializing in medical accounts receivable management and analysis. Possess a strong work ethic with multi task orientation and customer focus.
Work Experience June 2003 to present Biotel Heart Company formerly Lifewatch Services Inc. Rosemont, IL
Reimbursement Team Lead
Collections of accounts receivables of assigned payers.
Analysis, research and reporting of payer issues
Follow up and resolution of payer issues
Working special projects as assigned by A/R manager.
Meeting daily and monthly collection targets
Daily interaction with insurance companies, internal staff, fields Sales Representatives and clinics/doctor’s offices.
Assist in interviewing potential candidates, training new hires and audit their performance
Collaborate with manager on employee performance reviews.
Run daily productivity and monthly collection reports to measure team performance.
Work with managers in other departments on training issues related to reimbursement.
2001 – May 2003 Akorn, Inc, Buffalo Grove, IL
Accounts Receivable Analyst
Analyzed aging reports and all account transactions such as credits, debits, invoices, receivables, chargebacks, discounts, etc to prioritize course of action
Did collections by making outbound calls, faxes and or by mail.
Reviewed and improved internal collections controls.
As team lead, addressed issues and concerns of staff when manager is out of office. Trained new employees on new system and familiarize them on company policies and procedures.
2000-2001 Strategic Business Concepts, Oakbrook IL
Reimbursement Specialist
Worked in client setting doing collections on old receivables.
Appealed denails to commercial payers for denied and underpaid claims.
Track incoming payment for customer invoicing.
1998-2000 CM Healthcare Resources, Northbrook, IL
Senior Reimbursement Specialist
Part of the Task Force team that established the home infusion billing department that chose the appropriate software for Intake, Pharmacy Dispensing and Billing functions.
Did active billing and collections for all commercial healthcare and Government payers (Medicare/Medicaid).
Completed month end closing and coordinated with the Accounting Department to ensure accuracy of numbers. Ran reports and distributed to appropriate departments.
Assigned appropriate billing codes to maximize reimbursement from managed care payers.
Supported the Director of Reimbursement with special projects.
1996 – 1998 Option Care, Bannockburn, IL
Reimbursement Specialist
Successfully reduced the accounts receivable on one franchise from $500,000.00 to $180,000.00
Skilled at collection of seriously delinquent Medicare/Medicaid and third party payers.
Reduced the DSO on a franchise account by 30 days and increased the cash collections by 35%.
Provided reimbursement support to other Option Care offices.
1995 – 1996 Coram Healthcare, Mt Prospect, IL
Reimbursement Specialist
Successfully managed an A/R portfolio of over $1,000,000.00
Met monthly cash collections goals of over $200,000.00
Reviewed all claims to ensure correct pricing before submission to payers.
Analysis of outstanding accounts receivable and resolution through collection efforts, credit memos, write-offs, refunds etc.
Prepared month end reports.
Organized patient charts to be in compliance with company policies and procedures.
1994-1995 Caremark, Inc Northbrook, IL
Cash Application Specialist
Cash payment analysis.
Processed application to patient account level.
Processed company- wide refund requests.
Assisted branches and payers with refund request questions.
Addressed cash application questions from branches.
Education University of San Carlos, Cebu City, Philippines
Bachelor of Arts Major in History, Minor in English Literature
References Alma Naranjo, Manager, Davita
Cell phone# 224-***-****
Mike Turchi former VP of Finance, Lifewatch Services Inc
Cell phone# 847-***-****
Dr Danilo Alesna Lake County Pediatrics
P# 847-***-****
Contact this candidate