Nataly Martinez
Miramar,FL
Overview
4
4
years of professional experience
Work History
Eligibility Specialist
Community Care Plan
08.2022 - Current
- Responsible in running and managing over ten daily, weekly, and monthly eligibility reports for all lines of business; includes verifying indemnity coverages, correcting duplicate coverage errors
- Verifying indemnity coverages both online and or making outreach to insurance(s)
- Work and resolve a large amount of eligibility CRMS within a timely manner; including eligibility updates, demographic changes, address verification, pharmacy updates, merge requests, My Chart requests, etc
- Work emailed inbox requests; including emailing inbox requests, registration correction issues, and verifying eligibility for both CCP members and Memorial employees
- Manually adding/correcting coverages for all lines of business for members as per requests received
- Recognize when indemnity coverages need to be added via claims information, and which ID number coincides with certain insurances
Customer Experience Coordinator
Community Care Plan
03.2021 - 08.2022
- Actively informed both members and providers with current information about plan benefits and eligibility while following HIPAA guidelines
- Taking initiative to control each call, while being patient and empathetic in order to result in positive outcomes
- Handled up to a minimum of 60 calls per day during high call volumes, while documenting each call handle
- Adjust to new system updates within a timely manner while working with multiple systems to efficiently execute tasks
- Actively working along side team members and other departments to address any complaints and or concerns
Receptionist/Cashier
Miami Lakes Automall
07.2019 - 02.2021
- Operated and directed phone calls to proper departments; included internet sales, service department, salespersons, finance and corporate
- Obtained cash, card, and or check deposit payment for car deals, while printing in-depth receipts for the customer and finance department
- Acquired state license plates and registrations and distributed to the designated customer once ready for pick-up
- Manually created temporary license plates and registrations for customers' vehicles when systems were down, while keeping track of extra copied regarding car deal paperwork
- Greeted and directed multiple customers per day to their designated appointments and or available salespeople
Education
Associate of Arts - Biology
Miami Dade College
Miami, FL05.2024
High School Diploma -
Barbara Goleman Senior High School
Miami Lakes, FL06.2019
Skills
- Proficiency in Microsoft word
- Proficiency in Microsoft Excel
- Knowledgeable in Horizon
- Knowledgeable in FLEMMIS
- Epic Software- Business and Registration
- Resource Information
- Telephone Etiquette
- Coordinated
- Self-Discipline
Accomplishments
- Attained Scholarship with Take Stock in Children
- Attained Scholarship with Barry University
- Cum Laude
Languages
Spanish
Native or Bilingual
References
Jonathan "Darlan" Ramos- Miami Lakes Automall
Receptionist/Cashier Supervisor
(305)879-5613
darlan.ramos@miamilakesautomall.com
Priscilla Escobar- Community Care Plan
Customer Experience Supervisor
(954)622-3200
pescobar@ccpcares.org
Carlos Garcia- Community Care Plan
Customer Experience/Welcome Team Supervisor
(954)622-3200
cgarcia@ccpcares.org
Timeline
Eligibility Specialist
Community Care Plan
08.2022 - Current
Customer Experience Coordinator
Community Care Plan
03.2021 - 08.2022
Receptionist/Cashier
Miami Lakes Automall
07.2019 - 02.2021
Associate of Arts - Biology
Miami Dade College
High School Diploma -
Barbara Goleman Senior High School
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