Accounting and management
Resume:
CONFIDENTIAL PROFILE
Jose J. Martinez
Cartersville, Ga. 30121
[Sitio web]
Objective:
Outreach for a Company offering opportunities to enhance my profesional carrear and where I could share my academic preparation, knowledge and experience int the Accounting and Management field to reach both; the management established goals as well as mine profesionally.
Academic Information:
MBA/Major in Accounting and Minor in Business Administraion 2006
o“Universidad del Este”
oSanta Isabel, P. R. 00754
BA/BS Degree in Finance/Accounting 1984
oMajor in Business Administration
o“Universidad Del Turabo”
oCaguas, P R 00725
Seminars:
Institure of Dinamic of supervision and motivation
oDinamic of Motivation on Supervision of Personnel
Health Plans Management Consultants, Inc.
oBilling and Collection of Health Services
University of Puerto Rico/Medical Science Department
oEnhancement/Eficiency on Billing and Collection of Health Services
Department of Health of the Commomwealth of Puerto Rico
oManagement and Supervision of Public Funds (Law 26; Handling Public Funds)
Continuation Confidential Profile:
Skills:
Highly oriented to the preparation of Pro-forma Financial Reports and Budgets addressed to the achievement of goals.
Knowledge and understanding of proper financial recording, treatment and management in accounting manner starting from the recompilations of data and the recording in an accounting manner to the proper subsidiaries such as to:
Cash Disbursements Ledger
Revenues/Incomes Ledgers
Accounts Payable and Receivable Ledgers
Journal Entries Ledgers
General Ledger, Posting and closing adjustments and journal entry preparation
Trial Balance and Financial Statements
Preformat Financial Statements and Budgeting
Account reconciliations, periodic accruals, and accounting for fixed assets.
General understanding of GAAP.
Strong Excel
Strong problem-solving and analytical skills.
Ability to work independently and as a member of a team.
Deadline oriented.
Good communication skills, both verbal and written.
Well-developed analytic and problem solving skills
Highly organized with ability to manage multiple priorities and deliver assignments on time
Excellent listening, written and verbal communication skills – English and Spanish
Successful in dealing with customer and company personnel at all levels
High degree of proficiency with Microsoft Office software (Excel, MS Word)
.Always willing to learn in order to enhance my knowledge and skills professionally.
Profesional Experience:
Vice President of Operations 2008/2009 (Retired)
Supervisor: Edwin Rodriguez, CPA
Health Care Consulting Services, Inc.
Capitol Building, Suite 1109
San Juan, P. R. 00960
I assisted the President of the Company with the general, planning, directing and coordinating the operations of our diverse departments such as Procurement, Customer Service, Account Services, Support and Document Entry, and Insurance Claims Handling. I reached our Office goals by: (but not limited to);
Managing daily operations and planning the use of materials and human resources, completing all work on time and maintaining set service levels
Managing expenses and formulating policies,
I successfully managed cost, quality and satisfactory performance by continuously improving operations excellence and increasing customer satisfaction by reducing waste and cost
Supervised 250 employees assigned to all Site Projects including Directors, Supervisors an Line-leaders in the process of registration, admision, discharge, codification and the billing and collection process and the proper financial reports development to increase revenues with the presentation of the cost recovery Statement to third party provider.
Financial Advisor 2006/2007
Perez Perdomo, MD, MHA
Honorable Secretary of the Health Department
Department of Health under the Commonwealth of Puerto Rico
San Juan, P. R. 00960
I participated as a member of the Financial Advisory staff for the Secretary of Health Department under de Commomwealth of Puerto Rico and as such:
I assisted the Hospitals’ and others healthcare centers working closely with the Denial Coordinators in establishing reasons for Health Insurance Companies underpayments and denials, and enacted appropriate corrective actions to prevent future underpayments and denials maximizing the recovery of cost for the healthcare services accessible to the community.
Coordinated to maintained key staff informed of current knowledge of all government and commercial payer regulations regarding coverage and restrictions to assure maximum reimbursement.
Reviewed and interpreted contractual agreements as well as Federal and State Statutes in order to effectively communicate/implement updates to Patient Financial Services, Patient Access Services, Reimbursement, and Finance Departments.
I prepared monthly reports showing results of interventions and recommendations to be discussed with the Secretary and then summarized data after reports discussed to be presented to the Governor of Puerto Rico.
Assisted and occasionally represent the Secretary on many meetings and with other responsibilities as needed.
Continuation Confidential Profile:
Project Director 1993/2006
Supervisor; Edwin Rodriguez, CPA; President
HCCS, Inc.
Avenida Hostos, Capitol Building, Suite 1109
San Juan, P R. 00960
I succesfully supervised the process to reach out procurements for our office from both sources: the Private and Public sector. Once contracted by the Healthcare Providers requesting our services to maximize their cost recovery for the services rendered to their patients I prepared a plan of action to proceed with auditing and analyzing the Billing and Collection Department process accordingly in other to overseeing appropriate billing and collection procedures used for the reimbursement from patients, Health Insurances, Medicare, Medicaid and any source of reimbursements to the facilities.
To accomplish with this task I prepare a group of professionals to work with me very clouselly to:
Analyzed patients registration centers to evaluate the flow and appropiate control of demographic and financial information obtained from of each patients.
Evaluated all services provided as out-patient, in-patients and the recording of cost for the services provided and focus on lengh of time admited for the in-patiens and the process for DRG’s assigment.
Performed internal audits trough out the Quality Control Department focusing all services rendered to in-house patients to work with Health Insurances’ Auditors and all parties responsible to cover for the reibursement for the services rendered.
Addressed all efford to maximize the billing and collections of other services provided such as: lab, image center services, etc.
After the analysis their cost recovery efficiency I prepared findings reports and recommendations to be discussed first with our CEO and then our Contractors,
I follow up with the implementation of each recommendation accordingly I maintaining appropriate internal controls monitorng activies of collection to all parties responsible for the reimbursement of cost incurred for the services provided maximizizing revenues for our clients
Assisted Hospitals with the preparation of the Cost Recovery and, Disproportionate Reports.
Prepared monthly reports to the Administration of each Facility contracted as well as to our main office with the results of our intervention as well as recommendation to follow by all key people in the strategic planning initiatives, driving the implementation of plans, and oversee daily workflows for specific functional duties and areas of responsibility to continue with the maximization of cost recovery.
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