Summary
Overview
Work History
Education
Skills
Timeline
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Brittany Martinez

Claims Specialist
Jacksonville,FL

Summary

Dynamic professional with a proven track record at BeneLynk in enhancing member engagement and retention through data analytics and relationship building. Excelled in managing complex insurance claims and coordinating patient care, showcasing strong problem-solving and account management skills. Achieved significant improvements in customer satisfaction and operational efficiency, leveraging expertise in Salesforce CRM and insurance verification.

Overview

17
17
years of professional experience

Work History

Member Engagement Coordinator

BeneLynk
Jacksonville, USA
01.2022 - Current
  • Oversee and promote healthcare insurance member retention efforts in a high-volume call center.
  • Regularly analyze membership data for product improvement, and execute effective program precipitation.
  • Monitor members' trends, and propose growth strategies to management.
  • Develop strong relationships and engage with members to help utilize all their health plan's services and resources.
  • Collaborated with external partners such as sponsors and exhibitors.
  • Promptly servicing 30 or more inbound and outbound calls daily.

Patient Care Coordinator

Heads Up Healthcare
Jacksonville, USA
01.2020 - 01.2022
  • Manage workers' compensation claims related to head, neck, and dental injuries.
  • Assessed the patient's need for additional resources, such as home health aides or durable medical equipment suppliers, to provide an appropriate level of care.
  • Review records, and investigate injuries and claims.
  • Assigned 40+ patient cases monthly to maintain treatment and healthcare. Served outbound and inbound calls with patients, providers, and caseworkers. Provided ongoing communication with patients, families, and other healthcare providers regarding treatment plans and progress.
  • Coordinated patient care services with the dental team to ensure quality and timely delivery of care.
  • Collaborated with multidisciplinary teams to provide comprehensive, patient-centered care.
  • Developed treatment plans based on individualized assessment of each patient's needs.

Progressive Insurance Specialist

Foundever Operating Co.
Jacksonville, USA
01.2018 - 12.2020
  • First point of contact for auto insurance customers at a high-volume call center.
  • Offer customer support with policies, billing queries, quotes, and payments.
  • Educate, and build strong relationships, and rapport with customers.
  • Meet company metric goals, and promptly service 60+ inbound calls daily to existing, new, and potential customers.
  • Reviewed insurance policies to ensure compliance with existing regulations.
  • Provided guidance to customers regarding available insurance plans and their benefits and limitations.
  • Responded promptly to customer inquiries about their policies and provided timely updates as needed.

Administrative Assistant

Santa Fe Place Dental
Santa Fe, USA
01.2008 - 01.2018
  • Perform daily tasks in a dental office environment.
  • Maintain provider and patient schedules, verify insurance, and submit insurance claims for treatment.
  • Answer phone calls, and respond to emails, faxes, and correspondence.
  • Produce and distribute memos, letters, records, and documents.
  • Assist in the preparation of regularly scheduled reports, and order office supplies.
  • Develop and maintain all office operations.
  • Provided administrative support to the executive team, including scheduling meetings and managing calendars.
  • Organized and maintained filing systems for physical and electronic documents, ensuring the accuracy and confidentiality of records.
  • Composed letters, memos, reports, emails, presentations, and other written correspondence, as required by management staff.
  • Managed incoming calls while providing information or transferring callers to appropriate personnel.
  • Ensured efficient operation of office equipment, such as printers, copiers, and fax machines.

Education

A.S. - Applied Science

Santa Fe Community College
Santa Fe, NM
08.2013

Some College (No Degree) - Medical Billing & Coding

DeVry University
Illinois

Skills

  • Data analytics
  • Accounts payable
  • Admission criteria
  • Salesforce CRM
  • Relationship building
  • Insurance requirements
  • Overcoming objections
  • Document management
  • Medical terminology proficiency
  • Account management
  • Electronic medical records
  • Analytical thinking
  • Problem-solving
  • Insurance verification

Timeline

Member Engagement Coordinator

BeneLynk
01.2022 - Current

Patient Care Coordinator

Heads Up Healthcare
01.2020 - 01.2022

Progressive Insurance Specialist

Foundever Operating Co.
01.2018 - 12.2020

Administrative Assistant

Santa Fe Place Dental
01.2008 - 01.2018

A.S. - Applied Science

Santa Fe Community College

Some College (No Degree) - Medical Billing & Coding

DeVry University

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Brittany MartinezClaims Specialist