Relations Manager Billing Specialist

TIMREE

MARTINEZ

St. Luke's Health System

Talents & Skills

Leadership Adaptability Time

Management

Highly Developed Organizational

Aptitude

Excellent Communication

Prioritization Competencies

Aptitude for Building Rapport with

Clients

Get In Touch!

Address: 1703 S Grand Fork Way Apt 101

Meridian, Idaho 83642

Phone: 360-***-****

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

Personal References

Jaime Sand, EDD, RHIA, CCS - Advisor

Phone: 208-***-****

E-mail:*********@**********.***

Mark Quann, Medical Device Sales

Phone: 503-***-****

E-mail: *********@*******.***

Rachel Wallace, Owner at Ripple

Lifestyle

Phone: 208-***-****

E-mail: ******@***************.***

Objective

I am a recent Health Informatics and Information

Management graduate looking to further my experience and knowledge in administrative skills, data analysis, and quality improvement.

Academic Background

Bachelor of Health Science

in Health Informatics &

Information Management

Graduated May 2020

BOISE STATE

UNIVERSITY

Work Experience

Identify, analyze, and reconcile billing errors or omissions by reviewing documentation and educating staff on proper charting techniques to reduce errors and capture revenue. Identify discrepancies in documentation and report findings to the manager. Collect health information about services provided including demographic data, appropriate length of stay, third-party payer and continued stay reviews, and other related data concerning patients.

Assign codes for straightforward to complex recurring accounts by interpreting clinical data for reimbursement, planning, management, and statistical planning. Support all providers in diagnosis coding as well as support billing with CPT and Diagnosis coding questions.

Collaborate with department managers, directors, and/or other designated contacts to continually improve and maintain the efficiency and accuracy of the overall charging process.

Maintain the accuracy of charge capture documents and systems, including updating charge capture tools

Communicate with leadership, physicians, and/or clinicians concerning diagnoses and procedures when questions arise.

Analyze and interpret company policies, procedures, and state and federal regulations related to charge capture.

Solve complex problems and seek guidance for highly complex problems. Lead project teams. Serve as a resource to others in the resolution of complex problems and issues. Monitor gross revenue for sixty cost centers over inpatient rehabilitation, outpatient rehabilitation (adult, children, hearing and balance, and neuro), and IRU/SNF facilities. St. Luke’s Health System November 2020 - Present

Charge Capture Specialist I - Boise, ID

Research and respond to telephone and electronic inquiries from members, providers, and BCI team members

Maintain performance guidelines for member satisfaction, inquiry accuracy, and productivity

Initiating inquiries, logging address changes, completing duplicate or replacement ID card requests, entering Primary Care Physician requests, and conducting pharmacy research Educate members on questions regarding benefits and claims Assist providers with prior authorizations, referrals, and benefit information Blue Cross of Idaho July 2020 - October 2020

Customer Service Advocate - Meridian, ID

Conduct resident interviews and observations

Use Point Click Care (EHR) software) to find resident data and input the data into ABAQIS

(a quality information system)

Perform audits on the residents' charts

Collect QAPI (Quality Assurance and Performance Improvement) data for the facility to assess their standing relating to basic and advanced accreditation standards Avamere Skilled Nursing Facility, Boise, ID June 2019 - September 2019 HIM Intern

Work Experience

Use Clover point of sales system to ring up clients Manage social media accounts

Input and manage inventory

Ripple Lifestyle Boutique August 2018 - March 2020 Sales Manager - Boise, ID

Schedule clients, check-in and check-out guests

Sell memberships, services, and other retail items Answer phones and make confirmation calls

Massage Envy April 2018 - July 2018

Wellness Consultant - Boise, ID

Execute financial duties related to expenses, deposits, and cashflow Execute customer satisfaction that increased positive reviews to 4.5/5 stars on Yelp Work with employees to add new and effective systems in the office that benefit the company

Communicate with customer, insurance companies, and other subcontractors Schedule incoming jobs

Five Star Auto Body May 2017 - Dec 2017

Customer Relations Manager/Administrative Assistance - Vancouver, WA Internship Experience

Contact speakers to request and confirm their presentation time and materials Prepare and plan the setup of the convention

Work with a group of peers to ensure communication of convention tasks IDHIMA 2020 Spring Convention December 2019 - April 2020 HIM Intern/Volunteer

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