Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Lucy A Martinez

San Juan,TX

Summary

Dynamic medical insurance professional with extensive experience at DHR-Hospitals at Renaissance. Expert in claims processing and insurance verification, enhancing operational efficiency. Proven track record in resolving billing discrepancies and implementing process improvements, ensuring compliance with healthcare regulations while delivering exceptional customer service. Skilled in navigating complex software systems and interpreting policies.

Knowledgeable Medical Insurance Verifier with solid background in verifying insurance information and ensuring accuracy in patient records. Successfully facilitated seamless communication between patients, healthcare providers, and insurance companies. Demonstrated attention to detail and problem-solving skills in resolving coverage issues and discrepancies.

Insurance professional with extensive experience in verifying insurance details and optimizing patient intake processes. Known for reliability in team collaboration and consistently meeting objectives. Skilled in data entry and customer service, with proactive approach to adapting to changing requirements.

Overview

7
7
years of professional experience

Work History

Medical Insurance Verifier

DHR-Hospitals at Renaissance
08.2019 - 10.2025
  • Verified patient insurance eligibility and benefits, ensuring accurate coverage for services rendered.
  • Communicated with insurance companies to resolve discrepancies in patient coverage and billing information.
  • Collaborated with medical staff to gather necessary documentation for pre-authorization requests.
  • Reviewed and updated insurance verification processes to enhance operational efficiency and accuracy.

Medical Insurance Biller

Victory Rehab LLC
06.2018 - 08.2019
  • Managed billing processes for medical insurance claims, ensuring compliance with regulations.
  • Reviewed and verified patient information to minimize billing errors and enhance accuracy.
  • Coordinated with healthcare providers to resolve discrepancies in billing and claims processing.
  • Implemented process improvements that streamlined claim submissions, reducing turnaround time.
  • Responsible for submitting 1500 claim forms to appeal denial claims

Education

GED -

Bright Wood Community College
McAllen, TX

Skills

  • Customer service experience
  • HIPAA compliance
  • Claims processing
  • Insurance verification
  • Follow-up skills
  • Healthcare regulations
  • Software navigation
  • Policy interpretation

Languages

Spanish
Professional Working

Timeline

Medical Insurance Verifier

DHR-Hospitals at Renaissance
08.2019 - 10.2025

Medical Insurance Biller

Victory Rehab LLC
06.2018 - 08.2019

GED -

Bright Wood Community College
Lucy A Martinez