INGRID MARTIN
Jacksonville
Summary
To obtain an opportunity with new position where my creativity, problem-solving and seeking a challenging yet rewarding role where I can use my 5 years of experience with customer service, claim representative, data entry and providing fast, accurate, and empathetic support to a wide range of customers.
Overview
9
9
years of professional experience
Work History
Coordinator Mail Services II
AmeriHealth Caritas
Jacksonville, FL
04.2021 - Current
- Responsible for supporting the receiving and distribution of incoming (USPS, Overnight Packages and Inter-office) company mail.
- Assist with daily retrieval of outgoing mail from the designated departmental mail areas.
- Provide assistance with preparing the outgoing Company mail by applying the correct postage.
- Learn to operate and complete light maintenance of mail room equipment (Postage Machine-Folder Inserter-Copier/Printer).
- Maintain accurate reports as assigned by Supervisor.
Provider Claim Service Representative
Aerotek
Little Rock, AR
01.2029 - 03.2021
- Answer incoming calls from providers that have inquiries about claims or authorizations on member’s accounts.
- Advise provider on the medical claim status and assist in options or next steps to take on claim.
- Claims Representative
- Processed and reviewed inbound claims, ensuring accuracy and completeness of documentation.
- Provided customer service support to policyholders and claimants, responding to inquiries and resolving issues.
- Demonstrated strong follow-up and problem solving skills to efficiently complete claims.
- Maintained accurate records of claim activity in company’s database.
- ICD9/10 / CPT / HCPCS coding
- Claims Adjuster
- Reviewed and handled a high volume of inbound claims, adhering to company and state regulations.
- Evaluated claims and determined coverage eligibility.
- Researched and investigated claims to verify accuracy and completeness of documentation.
- Drafted and issued claim payments to claimants.
Call Center Representative
AmeriHealth Caritas
Jacksonville, FL
11.2016 - 05.2019
- Medicaid Insurance: Handled 50+ calls daily, updated caller’s demographics and made changes in the system, assisted in-bound callers to locate primary care physicians and medical specialist within designated health plan.
- Provided callers with necessary information and transferred callers to appropriate phone numbers.
- Placed outbound calls to clients to remind them of upcoming health care screenings.
- Documented all customer contact notes and all call work, using a code system.
Education
AAPC - Medical Billing
Customer service and Provider Assassinate
01.2016
Certificate (or Studies) - English as a Second Language
Pitt Community College
Greenville, NC01.2012
High School Diploma - undefined
EEES Professor Nilza Mendonça de Oliveira
Rio de Janeiro, Brazil01.2006
Skills
Language: Portuguese is my native language I speak, read, and write English at the intermediate to advanced level and Spanish
Empathy, computer skills, problem-solving, detail-oriented, Microsoft word, excel, outlook, Customer Satisfaction
Claims Processing, Customer Service, Problem Solving, Data Entry
Timeline
Provider Claim Service Representative
Aerotek
01.2029 - 03.2021
Coordinator Mail Services II
AmeriHealth Caritas
04.2021 - Current
Call Center Representative
AmeriHealth Caritas
11.2016 - 05.2019
AAPC - Medical Billing
Customer service and Provider Assassinate
Certificate (or Studies) - English as a Second Language
Pitt Community College
High School Diploma - undefined
EEES Professor Nilza Mendonça de Oliveira