Dina Martinez

Appeals Administrator II Austin, TX

78729

adpnye@r.postjobfree.com

m 512-***-****

Investigated all supporting medical documentation to prove medical necessity. Spoke to physicians, insurance providers etc appealed denied claims Authorized to work in the US for any employer

Work Experience

Receptionist (Full time)

Waterloo Roofing - Austin, TX

March 2013 to Present

Responsibilities

Make orders, order lumber, equipment etc.

Customer service

Filing, answer phone all administrative duties

Accomplishments

Completed jobs in a timely manner

Skills Used

Spreadsheets PowerPoint word

Appeals Administrator II

The Scooter Store

August 2012 to March 2013

Position primarily focused on Medicare insurance verification

•Analyzed documentation received from physicians to determine if claims were valid and necessary

•Called physicians to ensure their patient's medical information was valid

•Complied with the rules and regulations listed within HIPAA

•In addition, dealt with Medicare reimbursements and account reopening Pathology/Histology Department Assistant

Seton Medical Center - Austin, TX

June 2007 to August 2008

Prepared Location reports to be distributed to the appropriate physicians.

• Distributed appropriate staging forms to the pathologist

• Prepared and mailed pathology reports to the assigned physicians.

• Combined working draft and histories for next day cases Accounts Receivable Specialist

Esoterix Inc

January 2007 to March 2007

Performed specialized processing of accounts receivables issues requiring advance training and technical skill. Responsibilities include research, audit and review support, CDM analysis and letters of credit and communication credit/refund correspondence.

Intern Billing Rep

Memorial Maritime Clinic - Austin, TX

October 2006 to January 2007

Performed collections and appeals duties such as rebilling procedures in accordance with HIPAA

• Work with EOBs to research denials for services rendered for resubmission for payment

• Contacted insurance companies to verify claim status and reimbursement Rehabilitation Technician

Memorial Maritime Clinic - Austin, TX

October 2006 to January 2007

Retrieved and maintained patient medical records daily to file updated chart notes and reports

• Documented detailed information pertaining to patient progress notes and reports on a daily basis • Directed and supervised children with brain injuries on behavioral issues and assisted the elderly with daily issues Education

High school or equivalent in medical billing, coding and transcription Consulting Solutions. Net - Austin,

TX 2005 to 2007

Skills

• Microsoft office, word, excel, power point, all administrative etc. (10+ years)

• 10 Key Calculator

• Customer Service

• Billing

• Customer Service Skills

• Data Entry

• Filing

• Microsoft

• Microsoft Word

• Receptionist

• Scheduling

• Microsoft Office

• Clerical

• Inventory

• Organizational Skills

• Outlook

• CPT Coding

• ICD-10

• Medical Coding

• Administrative Experience

• Medical Office Experience

• Excel

• Medical Billing

• Medical Collection

Certifications and Licenses

Medical Billing and Coding

Present

Medical Billing, coding and transcription

Patents

Customer service rep ll (#0)

Additional Information

SKILLS

PowerPoint Excel Microsoft Medicare Medicaid bad debt collection customer service (5 years)

Technical Skills

Microsoft Office, Passport (One Source), GHN, Mysis Clinical Financial/antrim, HCPCS coding, Medisoft,

Microsoft Outlook, BCBS

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