Deborah Martinez
Senior Benefits Services Analyst & COBRA Administrator at New Jersey Hospital Association- Claim this Profile
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Bio
Experience
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New Jersey Hospital Association
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United States
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Hospitals and Health Care
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1 - 100 Employee
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Senior Benefits Services Analyst & COBRA Administrator
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Jan 2019 - Present
Maintain statistical and financial records for insurance programs and administer COBRA insurance for participating hospitals and healthcare facilities.*Prepare monthly Life/LTD billings for self-billed facilities*Calculate monthly payments/reimbursements to vendors, consultants and Third Party Adminstrators*Calculate and track Life/LTD commissions due from carriers; balance with commissions checks received*Track and process Pharmacy Benefit Management (PBM) rebates and commissions; generate payments to accounts, consultants and Third Party Administrators*Manage enrollment/termination activity in Dental plan and prepare Dental billings on a monthly basis for participating hospitals*Collaborate with Accounting to establish and monitor audit controls throughout the year*Maintain and prepare information to assist Accounting with filing the Summary Annual Report*Process eligibility forms in compliance with COBRA regulations*Enroll participants in COBRA insurance via COBRA EAS billing system; troubleshoot/resolve issues and inquiries using substantial judgement within prescribed guidelines*Assess daily COBRA receipts for accuracy and eligibility; credit accounts daily with receipts*Deposit COBRA checks on-site using scanner and bank software*Respond to inquiries regarding COBRA bills and enrollment status from plan participants*Mail COBRA reinstatement notices, bills and termination notices to employees and plan particpants*Maintain manual tracking system of COBRA program eligibility i.e. 18, 36 month contract and advise employees of termination of coverage*Run monthly COBRA reports to identify active participants and notified applicants; provide details to Accounting for billing*Calculate monthly reimbursement for COBRA plan participants and monthly COBRA commissions*Reconcile COBRA account and monthly disbursement of client’s funds with Accounting’s records *Prepare statistical data and reports on both routine and as-needed basis Show less
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Senior Accounts Receivable Associate
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Mar 2014 - Feb 2019
Provide strong expertise in accounting, billing and collection systems as well as financial reporting with a proven ability to identify root cause of issues and recommend improvements.*Prepare and code incoming receipts for posting to accounts*Key cash receipts into Microsoft Dynamics Great Plains accounting software*Fostered healthy on-going customer relationships to ensure timely payments*Played a key role in maintaining less than 10% outstanding receivables in a 90 day period Show less
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The McGraw-Hill Companies
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United States
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Royalty Administration Analyst
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Feb 2007 - Mar 2013
*Monitor and reconcile the flow of payments between the Royalty and Accounts Payable systems*Ensure the integrity of the Royalty subsystem interface to Lawson Accounts Payable*Process daily and monthly payment runs that produce checks and/or Electronic Funds Transfer (EFT)*Responsible for all aspects of the Royalty month-end closing process*Train, mentor and support our offshore team in India creating a major increase of knowledge transfer regarding daily and month-end functions*Run sales reports from SAP BusinessObjects version 12.3.0*Run SQL query in Oracle and Royalty systems to identify sales out of balances*Manage requests to implement changes in our development, test and production environments*Open tickets with the corporate helpdesk directly through eHelp requesting the SMS package push of the Royalty system*Submit requests via Remedy for new user access to the Royalty System including user ID creation and security configurations *Perform audits to identify individuals and companies that are in non-compliance with Internal Revenue Service’s taxpayer identification number (TIN) regulations*Reconcile and report monthly activity for Tax Withheld and Canadian Goods and Service Tax (GST) accounts*Maintain Sarbanes Oxley (SOX) narratives and flow charts for daily and monthly processes *Participate in annual Disaster Recovery testing at offsite location Show less
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Senior Royalty Accountant
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Jan 1997 - Feb 2007
* Mentor, train and provide leadership to a staff of 6 employees* Administer the preparation and distribution of year-end tax forms* Interpret and process royalty data as extracted from author contracts* Extensive communication with attorneys regarding legal issues pertaining to our authors* Serve as author representative to more than 500 accounts
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Payroll Specialist
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Aug 1991 - Jan 1997
*Reconcile, file, and pay Federal, state, local, and unemployment taxes*Negotiate with Internal Revenue Service regarding reductions in penalties and interest *Respond to Federal, State, and local tax correspondence*Responsible for accurate and timely processing of payroll for more than 2,500 employees*Determine eligibility of unemployment benefits for terminated employees*Provide verification of employment; complete mortgage and unemployment requests
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Education
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Mercer County Community College
Associate's degree, Business/Commerce, General