MARINA NARVAEZ
ABERDEEN,US
Summary
Experienced Claims Benefit Specialist with over 8 years of expertise in healthcare and insurance industries. Skilled at detecting discrepancies and reducing fraud risks. Proficient in HIPAA compliance and claims auditing. Known for utilizing data analysis to improve process accuracy and prevent financial inaccuracies. Dedicated to upholding regulatory standards and providing top-notch customer service.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Health Insurance Agent
Bloom Insurance
Remote, MD
01.2023 - Current
- Guide clients in choosing suitable health plans, enhancing satisfaction and informed choices.
- Educate on plan details, ensuring clear understanding and decision-making.
- Verify and pre-screen documents to support clean claims and reduce issues.
- Collaborate to resolve coverage issues, improving claim success rates.
- Monitor for discrepancies, escalating for fraud prevention and compliance.
- Streamlined claims verification processes, ensuring accurate documentation and reducing processing times, leading to improved client satisfaction.
Customer Service Representative
Advantia Health
Havre de Grace, MD
02.2021 - 12.2022
- Investigated discrepancies in patient claims and coordinated with billing teams to mitigate financial losses.
- Actively identified trends in claim denials or billing errors to improve process accuracy and reduce monetary leakage.
- Strengthened loss prevention by enhancing the documentation review process, directly reducing claim rework and incorrect payments.
Waitress
La Tolteca
Aberdeen, MD
03.2020 - 02.2021
- Managed high-volume tables, ensuring guest satisfaction and order accuracy.
- Enhanced multitasking and conflict resolution skills in a fast-paced environment.
- Facilitated effective communication among team members and guests.
- Handled special requests efficiently, improving customer experience.
- Fostered a welcoming environment, enhancing customer loyalty and encouraging repeat business through attentive service.
Patient Care Technician
Harford Memorial Hospital
Havre de Grace, MD
02.2017 - 08.2019
- Assisted nurses with admissions and discharges, ensuring accurate patient records.
- Gathered billing data, ensuring precise insurance claim submissions.
- Facilitated communication between staff and admin, ensuring timely insurance updates.
- Handled front desk duties, managing calls and patient inquiries efficiently.
- Ensured HIPAA compliance, maintaining patient confidentiality in all interactions.
- Acted as a bridge between clinical staff and administration, fostering effective communication for timely updates and care coordination.
Education
Computer Science Cybersecurity -
Liberty University
Lynchburg, VAHigh School Diploma - undefined
Aberdeen High School
Aberdeen, MD07.2016
Skills
- Loss Mitigation
- Fraud Detection
- Claims Auditing
- Risk Assessment
- Insurance Benefits
- Medicare
- Medicaid
- Salesforce
- Epic
- Microsoft Excel
- Microsoft Word
- Microsoft Outlook
- Microsoft Teams
- Data Analysis
- HIPAA Compliance
- CRM Systems
- EMR Systems
- Data entry and review
Certification
- Licensed Health Insurance Agent - State of Maryland
- HIPAA Compliance Training
Timeline
Health Insurance Agent
Bloom Insurance
01.2023 - Current
Customer Service Representative
Advantia Health
02.2021 - 12.2022
Waitress
La Tolteca
03.2020 - 02.2021
Patient Care Technician
Harford Memorial Hospital
02.2017 - 08.2019
High School Diploma - undefined
Aberdeen High School
Computer Science Cybersecurity -
Liberty University