Summary
Overview
Work History
Education
Skills
References
Timeline
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STEPHANIE MARTINEZ

Denver

Summary

Passionate and professional Representative leads efforts and strategic direction with day-to-day function management across the Colorado Region for MRI. Proven talent at building relationships and influencing others to gain support and commitment. Excellent conscientious, hardworking and excels at multitasking in a fast paced environment. Hardworking Leadership with motivational abilities. Helps drive team growth and enhance results through hands-on, proactive oversight of daily operations.

Overview

19
19
years of professional experience

Work History

Schedule Optimization Representative

Health Images
03.2022 - Current
  • Collaborate with all Centers on a daily basis
  • Reviewing and optimizing already existing schedules by identifying opportunities to fill vacancies insuring full and effective utilization of imaging equipment
  • Assisting Sales Marketing Team when needed during busy periods or whenever needed in order to provide excellent customer service and STAT availability
  • Coordinates the day-to-day adjustments to procedure schedules affected due to vacancies created by unexpected cancellations
  • Utilize broad knowledge to recommend solutions to potential patients and any issue related to scheduling
  • Maintain a positive working relationships with all of Leads/Management
  • Identify needs of patients promptly and efficiently
  • Offer timely, convenient, and expeditious access to imaging services
  • Identify areas to maximize available MRI capacities
  • Evaluate needs of Centers and delegate tasks to optimize overall volume
  • Supports company initiatives by adopting new approaches, practices and processes to deliver unmistakable quality, spectacular service and operational excellence on a consistent basis
  • Communicate with patients on status of their authorization, benefits and payment options as needed.

Lead Patient Service Representative

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03.2016 - 07.2022
  • Provided customer service to patients and families in a professional manner
  • Assisted with training new staff members on policies and procedures related to patient services
  • Developed and maintained positive relationships with physicians, nurses, vendors and other members of the healthcare team
  • Coordinated care between multiple providers for complex cases
  • Performed patient registration, scheduling appointments, verifying insurance coverage, collecting payments and balancing daily cash receipts
  • Ensured compliance with all applicable regulations regarding patient privacy and safety standards
  • Responsible for maintaining accurate medical records including filing and retrieving documents from electronic health record system
  • Maintained inventory of supplies needed for daily operations of clinic
  • Resolved patient complaints in a timely manner while ensuring quality customer service was provided at all times
  • Participated in departmental meetings to discuss workflow processes and identify areas needing improvement
  • Managed front desk activities such as answering phones, greeting visitors and patients, responding to inquiries and routing calls appropriately
  • Conducted pre-registration activities such as obtaining demographic information from patients prior to scheduled visits
  • Verified insurance benefits prior to providing services or issuing prescriptions
  • Accessed patient information through various software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations
  • Documented and managed patient information in computer system
  • Scanned completed forms, identification and insurance cards, maintaining patient documents folder
  • Answered patient questions and fielded complaints to resolve issues
  • Scheduled patient appointments and procedures.

Authorization Representative

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03.2005 - 03.2016
  • Effectively communicated with both internal staff members patients and providers to support smooth operations within the department.
  • Assisted in training new Authorization Representatives, sharing best practices to enhance overall team performance.
  • Consistently provided prompt follow-up on pending authorizations, ensuring minimal delay in receiving essential medical services.
  • Collaborated with healthcare providers to ensure accurate and timely submission of authorization requests, resulting in reduced claim denials.
  • Managed authorizations for a large Orthopedic Surgeons clinic with daily incoming referrals, doing all their data entry, processing authorizations and scheduling the patients appointments once authorization was complete.
  • Offered patients and physician offices estimated costs for services documentation.
  • Served as a knowledgeable resource for patients and healthcare providers on the nuances of various insurance policies, building trust and credibility in the role.

Education

Diploma in Health Claims Examiner And Medical Billing - Medical Claims Examination

Heritage College - Denver
Denver, CO
11.1995

Skills

  • Business Growth and Retention
  • Strategic Direction
  • Customer Relations
  • Communication Proficiency
  • Organizational Skills
  • Teamwork Orientation
  • Problem Solving/Analysis
  • Collaborative
  • Friendly
  • Quick to Find Solutions
  • Caring and Empathetic

References

References available upon request.

Timeline

Schedule Optimization Representative

Health Images
03.2022 - Current

Lead Patient Service Representative

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03.2016 - 07.2022

Authorization Representative

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03.2005 - 03.2016

Diploma in Health Claims Examiner And Medical Billing - Medical Claims Examination

Heritage College - Denver
STEPHANIE MARTINEZ