Summary
Overview
Work History
Education
Skills
Timeline
Generic

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
Online

Some College (No Degree) -

Cerritos College
Norwalk, CA

High School Diploma -

Buchanan High School
Clovis, CA
06.2015

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

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MARISSA NAVARRO