Customer Service Medical

N O R M A M A RT I N E Z - B U M P U S, C P C

**** ******** **. *****: 216-***-****

Twinsburg, OH 44087 Email: ************@*****.***

C AREER PROFILE

A dedicated health care industry worker with an educational background in Medical Terminology and credited with

consistently providing an excellent environment for patients and other employees. Strong expertise in all financial

aspects of health clinic management as well as revenue impact analysis. Deliver excellent customer service and

have ability to handle high volume, stress related situations with competence and professionalism.

AREAS OF EXPERTISE

Reimbursements Coding Analysis Customer Service

Clinic Finance Billing Compliance Internal Assessment

Employee Health Administrative Detail-Oriented

PROFESSIONAL E XPERIENCE

Dec. 2005 – Present

PATHOLOGY & LABORATORY MEDICINE INSTITUTE, Cleveland, OH

Reimbursement Specialist

Perform protocols as mandated by the OIG in conjunction with the Cleveland Clinic Office of Corporate

Compliance. Account and revise departmental charge documents for professional and technical charges. Conduct

pre-submission audits of physician and non-physician coding. Charge reconciliation specialist and/or billing

specialist activities to ensure compliance billing and internal standards are met, performing examinations and

surgical procedures along with revenue impact analysis and fee modifications. Assist in customer service issues.

Ensure test updates are correct and entered into the Master File with accurate description and pricing.

SOLON FAMILY HEALTH CENTER, SOLON, OH July 2004- Dec. 2005

FINANCIAL COORDINATOR

Prepared price quotes and package pricing for upcoming visits. Responsible for all patient accounts at point of

service. Responsible for collection of deposits, deductibles and co-pays. Entered outpatient referrals. Conducted

financial and insurance pre-screening to make appropriate recommendation for patient during in-person interviews.

Identified uninsured patients and payor information, verification and pre-certification.

THE CLEVELAND CLINIC FOUNDATION, CLEVELAND, OH May 1991- July 2004

EMPLOYEE HEALTH PLAN SPECIALIST/CSR

Received phone calls from CCHS employees, internal departments, and various outside entities needing assistance.

Accurately and efficiently identified and resolved employee issues in a timely manner or referred to proper

department for resolution. Interfaced with TPA for claim resolution. Processed and posted all payroll deduction

transactions for employees, including resolving all account issues, credit balances, duplicate charges, unbilled

charges, and refund requests due to over-payments. Responsible for training new employees on the billing claims

systems, customer service process, adjustment posting, and other responsibilities required to perform the job

functions properly and thoroughly. During benefit open enrollment, educated employees on packages being offered

and all possible changes taking effect at main campus and all community hospitals. Assisted in ensuring completion

of forms by stated deadlines.

N O R M A M A RT I N E Z - B U M P U S

Phone: 216-***-****

Email: ************@*****.***

EDUCATION & TRAINING

Medical Terminology, Cuyahoga Community College Eastern Campus, Highland Hills, OH

Medical Coder Certification, PMI Sponsored/Via CCC

CPC Certification

Education Officer, AAPC Cleveland Chapter, 2011 & 2012

New Member Development Officer, AAPC Cleveland Chapter, 2009

Various Coding Workshops, AAPC/PMI

Computer Systems/Software Experience

Craneware, Epic, ePremis, Signature, Rumba, ADTR, Availaty, Dolphin

Microsoft Word, Power Point, Excel, Charge Master, Co-Path, Opera, CASS

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