MARISSA NAVARRO
Visalia
Summary
Self motivated and a quick learner, able to perform tasks independently but always open for help and willing to ask questions if needed. Excellent communication skills between management, costumers or professional business partners.
Overview
8
8
years of professional experience
Work History
Patient Access Specialist-ED
Kaweah Health Medical Center
08.2023 - Current
- Maintained patient confidentiality by adhering to HIPAA guidelines and hospital policies.
- Understanding of insurance guidelines, policies and billing.
- Working at a pace that prioritizes patient care and standards.
- Builds interpersonal relationships with patients and their families with a goal to leave an everlasting impression despite their difficult times.
Technical Support
Navia Benefit Solutions
05.2022 - 02.2023
- Used ticketing systems to manage and process support actions and requests.
- Reviewed processed claims to determine if a void, refund or an overpayment request is needed.
- Assisted with calls from brokers, groups, and members.
- Presented Dental, Vision, HRA-Debit and Non-Debit, MERP, MEC and CARD+ renewals to brokers and groups.
- Chose alternative options for renewals by analyzing current benefits and choosing ideal options based off of current utilization, census and total cost.
Claims Processor
Navia Benefit Solutions
08.2018 - 05.2022
- Processed high volume claims for Non-Stop Wellness Department.
- Assisted Scheduled Plan Services with running monthly reports for specific groups and presenting them to brokers in an appropriate turn around time.
- As a medical claims processor, I calculate and adjust payments to providers or members according to their plan coverage.
- Handle incoming calls from providers or members regarding eligibility, benefits, and claim status.
Stylist Sales Associate
Windsor Fashions
01.2017 - 08.2018
- Embodied strong sense of fashion, enthusiastic attitude and brand aesthetics to generate interest in offerings.
- Created an environment that boosted self esteem and created meaningful relationships with customers while reaching my daily sales goals.
Sales Associate
Ross Dress for Less
03.2016 - 08.2018
- Assisted in duties such as cashier, maintaining a clean and presentable sales floor, and displaying new markdowns
Education
Some College (No Degree) - Medical Billing
American Academy of Professional Coders
OnlineSome College (No Degree) -
Cerritos College
Norwalk, CAHigh School Diploma -
Buchanan High School
Clovis, CA06.2015
Skills
- Self-Motivated
- Bilingual
- Attentive to detail
- Organization and Time Management
- Well versed in Excel, Word and Microsoft applications
- Critical Thinking
- Interpersonal Communication
- Flexible and Adaptable
- Problem-Solving
- Medical Terminology
- Plan Benefits Administration
Timeline
Patient Access Specialist-ED
Kaweah Health Medical Center
08.2023 - Current
Technical Support
Navia Benefit Solutions
05.2022 - 02.2023
Claims Processor
Navia Benefit Solutions
08.2018 - 05.2022
Stylist Sales Associate
Windsor Fashions
01.2017 - 08.2018
Sales Associate
Ross Dress for Less
03.2016 - 08.2018
Some College (No Degree) - Medical Billing
American Academy of Professional Coders
Some College (No Degree) -
Cerritos College
High School Diploma -
Buchanan High School