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Customer Service Human Resources

Location:
San Francisco, CA
Posted:
April 29, 2015

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Resume:

Debra Martinez

***-*** ****** **** ****

507-***-****

Susanville, CA 96130

************@*****.***

Versatile Health Care professional with background in physician/mid-

level provider recruitment, marketing, customer service, billing,

insurance claim adjudication with world renowned non-profit academic

medical center and federally qualified health clinic.

Strengths include time management, decision making, problem solving,

communication skills, and strong work ethic.

Physician & Mid-Level Provider Recruitment Covered California

Enrollment Staff Supervision Customer Service

Operations Customer and Client Billing Systems Insurance Claim

Adjudication Subrogation Management Human Resources

EXPERIENCE SUMMARY

NORTHEASTERN RURAL HEALTH CLINIC - Susanville, CA

Northeastern Rural Health Clinic is a Federally Qualified Health Center

(FQHC) serving greater Lassen County.

Outreach and Development Supervisor /Physician Recruiter

2014 - Present

. Direct supervision of Outreach and Development Specialist.

Provide multiple types of assistance regarding health coverage

options under Covered California, affordability, and insurance

enrollment. Direct interaction with patients to determine if

qualification criteria is met. In collaboration with CEO, develop

strategies and implement outreach plans to support community good

will toward NRHC.

. Coordinate candidate site visits and interviews for Physician/mid-

level providers.

. Assist with recruitment and selection activities that include

effective and diverse recruiting strategies (social networking,

job fairs, print media, school externship programs, job boards,

community/diversity resources, and staffing agencies) in

conjunction with Medical Director and CEO.

. Pre-screen candidates over telephone and conduct reference checks.

. Set up all temporary housing for both locum and permanent

physician/ mid-level providers, coordinate relocation

arrangements.

MAYO CLINIC - Rochester, MN

Mayo Clinic is a world renowned non- profit academic medical center,

focused in the areas of clinical practice, research, and education.

Customer Data Administrative Steward, Mayo Collaborative Services

2007-2011

. Ensured customer requirements were modeled to interface with Mayo

Clinic billing and lab testing systems.

. Maintained all legacy systems with required customer and contact data

while building out the SAP Business Partner Master (BPM) in parallel

with those legacy systems.

Debra Martinez Page 2

Billing/Receivable Management Representative, Mayo Collaborative Services

2005-2007

. Defined client accounts, maintained client special pricing and client

fee schedules

. Handled internal and external communication/correspondence to resolve

billing issues

Recovery Analyst, Recovery and Claims Services

2002-2005

. Investigated, initiated, and managed subrogation claims, probate,

bankruptcy, and complex insurance files

. Possessed knowledge of insurance practices, terminology and medical-

coding procedures (ICD-9, CPT-4, and UB-82)

Staffing Supervisor KELLY TEMPORARY SERVICES

- Rochester, MN 2001- 2002

. Sourced candidates, conducted pre-employment testing, pre-screening

interviews

. Extended job offers and coordinated placement with hiring supervisors

. Followed-up with customers to ensure satisfaction with services

Human Resource Assistant STYLECRAFT - Milford, IA

1998 - 2001

. Provided Human Resources support services for furniture manufacturing

facility of 800 employees.

Human Resources Assistant ROC MANAGEMENT - Spirit Lake, IA

1995 - 1998

. Provided human resources support services for retail pizza restaurant

chain of 300 employees for 48 stores within a 2-state area.

TECHNICAL SKILLS

Microsoft Office (Word, PowerPoint, Excel, Outlook, Internet Explorer,

Antrim, XIFIN (Mayo Medical Labs Billing Systems), Retrieve (Billing

Database), CRM (Microsoft Dynamics), SAP Business Partner Master, NextGen

EDUCATION

. Villanova University - Professional in Human Resources Certification

Program (2014)

. Certified Enrollment Counselor for Covered California (2014)

. Rochester Community and Technical College - Health Information Management

Program

. Augsburg College, Rochester, MN - Business Administration

. Mt. San Antonio College, Walnut, CA - Business Administration



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