Erika Martinez
2055 Avenida Del Mexico, San Diego
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
11
11
years of professional experience
Work History
Eligibility Specialist
American Eye Associates
San Diego
10.2024 - 03.2025
- Ensured compliance with all applicable laws and regulations governing benefit programs.
- Processed client applications in accordance with established guidelines.
- Collaborated with other departments within the organization to ensure accurate processing of applications.
- Verified applicant's identity and other relevant documents such as birth certificates or Social Security cards.
- Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
- Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
- Maintained accurate documentation on all pre-authorization requests, denials and appeals.
- Maintained confidentiality of patient information in accordance with HIPAA regulations.
- Collaborated with internal staff members such as Billing Specialists, Medical Coders to resolve any discrepancies in patients' insurance information.
- Assisted in resolving claim issues related to billing and reimbursement inquiries.
- Interpreted Explanation of Benefits statements from various insurers and communicated relevant information with other departments as needed.
Quality Assurance Databook Coordinator
Volt Workforce Solutions
San Diego
04.2024 - 07.2024
- Collaborated with engineering teams on the development of new products or processes in order to ensure compliance with established standards.
- Created detailed reports on Quality Assurance activities for management review.
- Coordinated with vendors and suppliers to obtain samples for evaluation purposes as needed.
- Participated in design reviews to provide input on aspects related to Quality Assurance requirements.
- Documented non-conformance issues, identified corrective action plans, tracked progress, and reported final resolution status for each issue.
- Reviewed supplier contracts regarding material specifications and requirements before approving them for production use.
- Created and maintained accurate records of departmental activities, including budgets, personnel documents and project timelines.
- Ensured compliance with company policies and procedures related to project management activities.
Medical Assistant
Cabrillo Center for Rheumatic Disease
San Diego
04.2023 - 11.2023
- Assisted physicians with patient care by taking vital signs, patient histories and preparing patients for examinations.
- Organized patient charts before each day's clinic sessions began.
- Administered injections, medications and treatments as directed by the physician.
- Assisted with pre-operative preparation of patients including providing instruction about post-operative care plans.
- Maintained accurate medical records through filing, charting, transcription and data entry into electronic health record system.
- Collected samples from patients for laboratory testing purposes.
Medical Assistant
Leila Rhodes MD
La Jolla
11.2016 - 11.2019
- Measured vital signs and took medical histories to prepare patients for examination.
- Documented notes during patient visits.
- Responded to patient callbacks and phone-in prescription refill requests.
- Contacted pharmacies to submit and refill patients' prescriptions.
- Assisted with diagnostic testing by collecting and packaging biological specimens for internal and laboratory analysis.
- Conducted insurance verification and pre-certification and pre-authorization functions.
- Incorporated outside records into charts and EHR.
- Labeled and completed lab requisitions using ICD and CPT coding.
- Followed principles of asepsis and infection control to meet patient safety guidelines.
- Administered rapid tests for COVID and strep to help clinical staff assess conditions.
- Performed preliminary physical tests to accurately record results in patient history summary.
Residential House Manager
Acosta Residential Facilities
San Diego
04.2014 - 10.2017
- clean and well-organized environmentMaintained for client happiness and safety.
- Supported bathing, dressing and personal care needs.
- Improved patient outlook and daily living through compassionate care.
- Laundered clothing and bedding to prevent infection.
- Followed care plan and directions to administer medications.
- Aided with mobility and independence for disabled individuals, and continually monitored safety.
- Followed safe lifting and transferring techniques to transport residents.
- Assisted clients with maintaining good personal hygiene.
- Helped clients get in and out of beds and wheelchairs.
- Built strong and trusting rapport with clients and loved ones.
- Organized oral medications for clients following dosage and schedule requirements.
- Drove clients to doctors' appointments and social outings.
- Recorded client status progress and challenges in logbooks and reports.
Education
Certificate - Medical Assisting
Pima Medical Institute
San Diego, CA06.2016
Skills
- Technical knowledge
- Data Entry
- HIPAA Compliance
- Phlebotomy
- Patient Scheduling
- Medical Terminology
- Medical Billing
- Clinical Documentation
- Stocking supplies
- Preparing specimens and samples
- Electrocardiography (EKG)
- Medical Records Management
- Patient Care Coordination
- Immunization Administration
- Insurance Verification
- Document Control
- Visual inspections
- Corrective Actions
- Customer Service
- Training and Development
- Documentation Management
- CPR
- Information Collection
- PPE use
- Remote Office Availability
- First Aid/CPR
- Quality Assurance
- Friendly, Positive Attitude
References
References available upon request.
Timeline
Eligibility Specialist
American Eye Associates
10.2024 - 03.2025
Quality Assurance Databook Coordinator
Volt Workforce Solutions
04.2024 - 07.2024
Medical Assistant
Cabrillo Center for Rheumatic Disease
04.2023 - 11.2023
Medical Assistant
Leila Rhodes MD
11.2016 - 11.2019
Residential House Manager
Acosta Residential Facilities
04.2014 - 10.2017
Certificate - Medical Assisting
Pima Medical Institute