STEPHANIE MARTINEZ
Buckeye
Summary
Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease.
Overview
15
15
years of professional experience
Work History
Insurance Verification Specialist
Sovereign Healthcare
09.2016 - Current
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Achieved insurance pre-authorizations to enable timely patient procedures.
- Updated patient records with accurate, current insurance policy information.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Communicated verification and authorization status updates with doctors offices to facilitate decision-making for patient admissions and insurance coverage.
- Reviewed authorizations from payer to determine approved or denied items.
- Gathered records pertinent to specific problems, reviewed for completeness and accuracy and attached records to correspondence as necessary.
Customer Service Specialist
Shamrock Foods Company
09.2012 - 09.2016
- Handle 80+ calls daily with duties including order entry from external/internal by phone and email.
- Manage a variety of accounts to fulfill customer's service level agreements.
- Accounts receivable maintenance (invoice copies/aging reports/reconciliation) Work closely alongside account managers as required.
- Contribute positively to the Customer Care team, sales community, customer account base, culture, business needs and productivity of sales goals and initiatives.
- Credit monitoring and control task.
- Make product recall inquiries and timely documentation to/from customers.
- Rotation of duties can vary daily/weekly, to include receptionist, inbox management and route coverage.
- Accurate order entry from multiple customers.
- Responsible for creating, maintaining and analyzing reports on a daily, weekly, and monthly basis.
- Transcribed and organized information to assist in preparing speeches and presentations.
Sales Associate
T-Mobile
09.2008 - 09.2012
- As a mainly commission based environment, the job entails closing sales, generating revenue, building lasting professional relationships as well as providing excellent customer service.
- Managed returns, exchanges and refunds in accordance with store policy.
- Developed strong rapport with customers and created positive impression of business.
- Conducted product demonstrations to highlight features and redirect objections to positive aspects.
- I prepared opening closing paperwork, dealt with large amounts of cash, worked as part of a team all while offering new products/promotions and up selling customers.
Product & Retail Sales Coordinator
Tahitian Noni International, Desert South LSC
08.2008 - 11.2008
- Worked in a retail facility, helping customers and distributors with product questions and helping them make the correct purchases.
- Experienced in cash handling and sales reports
- Made outbound calls to assist the Sales Manager in informing distributors of upcoming events, meetings, and promotions.
- Assisted Sales Manager in maintaining a profitable store by checking cycle counts, andexpiration dates on product, and maintaining a current inventory.
- Offered hands-on assistance to custom ers, assessing needs, and maintaining current knowledge of consumer preferences.
- Strengthened merchandising and promotional strategies to drive customer engagement and boost sales.
Education
Bachelor of Science - Nursing
Maricopa Community Colleges - Estrella Mountain Community College
Avondale, AZSkills
- Microsoft Word, Excel & Outlook
- Procedure Quotes
- Good Communication Skills
- Customer Service
- Administrative Support
- Eligibility Determination
- Attention to Detail
- Coordination and Scheduling
- Prior Authorization Processing
- Understanding of Medical Terms
- Spreadsheets
- Multitasking and Organization
- Bilingual
Timeline
Insurance Verification Specialist
Sovereign Healthcare
09.2016 - Current
Customer Service Specialist
Shamrock Foods Company
09.2012 - 09.2016
Sales Associate
T-Mobile
09.2008 - 09.2012
Product & Retail Sales Coordinator
Tahitian Noni International, Desert South LSC
08.2008 - 11.2008
Bachelor of Science - Nursing
Maricopa Community Colleges - Estrella Mountain Community College
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