Patient Access Services
Resume:
Linda Martinetti
Hamilton, NJ 08629
*******@*****.***
Summary: Current Patient Service Coordinator and Credentialed Behavioral Health Patient Services Educator with over 25 years of experience in all aspects of patient access and training. Excellent analytical and problem solving skills in identifying issues and all affected areas for process improvement, as well as the development and implementation of interventional plans. Effectively communicates and collaborates with coworkers, managers, vendors and patients. Dedicated to achieving the highest standards of care for our patients and our organization.
Employment History:
Penn Medicine Princeton Health, Princeton House Behavioral Health February 1995-Present:
Patient Service Coordinator Princeton House Outpatient January 2019-Present
Responsible for the oversight of the patient services team for all scheduling and billing functions. Coordinates day to day operations to ensure staff meet daily scheduling and billing requirements. Resolves registration and revenue cycle work queue accounts to ensure accurate claims process. Assists staff in resolving complex issues related to scheduling, billing and insurance issues. Collaborates with managers and providers to establish, implement and maintain policies and procedures and support efficient workflows. Participates in the interviewing process of all Patient Services Team candidates. Develops, maintains and oversees the training of new Patient Services staff. Provides administrative support to off-site managers and providers. Coordinates with multiple departments across the outpatient unit to ensure patient registration and billing are completed timely and accurately to support documentation and revenue cycle functions. Maintains up to date insurance requirements pertinent to patient registration and billing procedures. Provides coverage and support for Patient Service manager as needed. Performs all daily scheduling and billing functions to meet deadlines. Provides assistance to all patient access areas across the continuum as needed.
Princeton PennChart Behavioral Health Patient Access Credentialed Educator January 2018-Present
As part of the Princeton PennChart Implementation project, assisted in the creation of training materials for the following Princeton PennChart classes: Behavioral Health Patient Access (Inpatient) Behavioral Health Intake and Scheduling (Outpatient), Behavioral Health Utilization Management and Benefit Verification. Provided the education of all Behavioral Health patient access, scheduling, utilization management and benefit verification classes in preparation for go-live. Currently, provide continued support for multiple aspects of the front end revenue cycle processes for all Behavioral Health units within Penn Medicine Princeton Health. Provide training as needed for new Princeton House staff in regards to patient access both inpatient and outpatient, utilization management and benefit verification. Maintain training materials with updates for future classes.
Princeton OPS Application Analyst Behavioral Health Patient Access May 2017-January 2018
As part of the Princeton PennChart Implementation project, was responsible for performing in-depth analysis of data collection, workflow analysis, report details and other technical issues associated with Epic software. Investigated end user preferences, analyzed business operations and prioritized requests when making implementation and configuration decisions. Performed system validation and assessment of workflow changes that were required for implementation. Assisted end users with troubleshooting problems and answering questions regarding system build. Organized and maintained documentation and project materials throughout the system build process.
Office Management Supervisor Princeton House Outpatient September 2015-May 2017
Utilizing excellent research and problem solving skills provided administrative oversight of support staff functions across five outpatient centers. Supervised and supported office managers with revenue cycle, general office work flow, and administrative process improvement. Collaborated with site directors in recruitment, hiring and training of new office managers. Supported Central Admissions department with insurance related issues including benefit verification and training of new admission staff.
Essential duties and responsibilities included facilitating monthly Office manager meetings. Provided supervision of office managers and support in problem solving of all front end processes, benefits and project assignments. Trained new office managers in pertinent policies, procedures and work flow processes. Monitored sites on established performance measures and generated standard reports. Monitored sites for adherence to established procedures and processes including: customer service, patient registration, fee reduction and COBRA applications, time-of-service collections, deposits of patient payments, charge posting, physician billing, claim denial research, DNFB processing, QCPR order entry of therapist notes and treatment plans, medical record functions, Audit functions for daily charges, Zero Charge Reports. Maintain Insurance Manual for PHBH continuum as a training and resource guide. Act as a resource for central benefit verification team and provide ongoing training and trouble shooting. Communicate with and provide assistance to a variety of departments across PHCS including PH Inpatient, ECT, CEDC, Patient Finance (billing staff, technical staff, and contract management staff), Patient Access, and HIM with regards to registration, billing, and insurance issues. Participated in monthly Princeton House revenue cycle and PHCS Insurance Plan Code Committee meetings.
Registration Auditor Princeton House Inpatient and Outpatient February 2002-September 2015
Main responsibilities included auditing 100% of Princeton House inpatient and for a period of time outpatient registrations for accuracy of all data related to patient demographics and insurances. Provided both initial and follow up training of all Inpatient Admissions staff with regards to registration in Affinity as well as insurance verification and overview. Assisted in training outpatient admission staff for registration and insurance as needed. Responsible for the maintenance of insurance and registration reference material for training new staff and assist current staff to achieve higher accuracy standards. Assisted registration and verification staff as needed with questions related to respective processes. Regularly communicated with and provided assistance to a variety of departments including PH Outpatient sites, ECT, CEDC, Patient Finance (billing staff, technical staff, and contract management staff), Patient Access, and HIM with regards to registration, billing, and insurance issues. Provided research and assistance with correction of patient accounts for registration, billing and insurance issues. Responsible for correction of the Princeton House Inpatient DNFB accounts and distribution of and assistance with the Outpatient DNFB reports to appropriate staff for correction. Assisted PFS Tech team with correction of PH accounts on exception reports as needed. Assisted utilization management staff with resolution of denied patient accounts as they pertained to registration and insurance issues. Participated in monthly Princeton House revenue cycle and PHCS Insurance Plan Code Committee meetings.
Admissions Representative Princeton House Inpatient January 1996-February 2002
Coordinated the admissions process which involved initial pre-screening, insurance/benefit verification, scheduling evaluations and assessment of patients. Performed registrations in all systems utilized by PHCS for both Inpatient and Outpatient accounts. Provided research and assistance with insurance, registration and billing issues to ensure optimal benefit coverage. Responsible for the development and coordination of training sessions for inpatient and outpatient staff with regards to registration, insurance verification and contracting issues related to the admission process.
Mental Health Associate/Referral Coordinator Princeton House Inpatient February 1995-January 1996
Assisted nursing staff in providing direct care to patients. Participated in patient’s treatment planning/programming. Provided assistance in activities of daily living. Interacted with patients individually and in groups. Assessed psychosocial needs of patients and their families. Acted as liaison to the emergency department, panel psychiatrists, insurance companies, other hospitals and outpatient programs to facilitate proper placement of the patient.
S.E.R.V. Centers of NJ Inc., Trenton NJ May 1993-February 1995
Residence Counselor
Education: B.A. Psychology, Trenton State College, Trenton, NJ, 1992
A.A. Legal Assistant, University Of Bridgeport, Bridgeport CT, 1990
Internship: Legal Assistance Program, University of Bridgeport, spring 1990.
Under the supervision of the program director and a practicing NJ attorney, applied knowledge in the areas of legal research, drafting complaints, court procedures, organizing the office library and updating clients’ files.
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