Wanda Martin
Wayne,MI
Summary
Results-driven Revenue Cycle Specialist with 5+ years of experience in insurance eligibility, benefits verification, prior authorizations, denial prevention, and payer communications across healthcare and specialty practice settings. Strong background in Revenue Cycle Management (RCM), patient access, and claims accuracy. Proven ability to reduce claim errors, accelerate reimbursements, and ensure HIPAA-compliant documentation in fast-paced remote environments.
Overview
7
7
years of professional experience
Work History
Remote Revenue Cycle & Insurance Verification Spec
Walgreens
06.2024 - 07.2025
- Performed high-volume insurance eligibility, benefits verification, and prior authorization processing to support timely claim submission and reimbursement.
- Reduced claim errors by 12% through detailed verification of coverage, coding accuracy, and documentation review.
- Utilized payer portals to resolve complex insurance discrepancies, appeals, and authorization issues.
- Investigated and corrected claim processing errors, preventing denials and accelerating revenue recovery.
- Maintained up-to-date knowledge of insurance guidelines, CPT/ICD-10 coding, and reimbursement requirements.
Remote Customer Service & Account Resolution Speci
Capital One
12.2021 - 05.2024
- Researched and resolved complex account issues across multiple systems while maintaining high customer satisfaction.
- Applied advanced problem-solving and de-escalation techniques transferable to patient and payer communications.
- Documented interactions with precision and compliance, ensuring accurate records and follow-through.
- Managed high call volumes while maintaining quality, accuracy, and professionalism in a remote setting.
Medical Office Assistant / Patient Access Rep
Health Springs Chiropractor
06.2018 - 04.2021
- Conducted insurance verification, prior authorizations, and referral coordination for scheduled procedures.
- Registered patients, updated demographics, and ensured complete and accurate patient records in EMR.
- Reviewed patient charts for completeness to prevent claim delays and denials.
- Educated patients on insurance coverage, financial responsibility, and procedure preparation.
- Managed intake forms, compliance documents, and daily administrative workflows.
Home Health Aide
Champion Healthcare
10.2020 - 01.2021
- Demonstrated strong interpersonal communication, empathy, and documentation skills in patient care environments.
- Communicated effectively with patients, demonstrating strong interpersonal skills and empathy in care delivery.
- Maintained organized household environments while managing daily tasks efficiently.
- Prepared meals aligned with specific dietary needs, ensuring patient health and satisfaction.
Education
CERTIFIED MEDICAL OFFICE ASSISTANT - MEDICAL ADMINISTRATION
Everest Institute
Dearborn, MI01.2016
Skills
- Revenue Cycle Management (RCM)
- Insurance Eligibility & Benefits Verification
- Prior Authorization Specialist workflows & referrals
- Denial Prevention & Claims Resolution
- Patient Access & Intake Coordination
- Payer Portals: Aetna, BCBS, UHC, Medicare, Medicaid
- CPT / ICD-10 Coding Knowledge
- EHR/EMR: Epic, Athenahealth, Cerner, eClinicalWorks
- HIPAA Compliance & PHI Security
- Provider & Patient Communication (phone, portal, email)
- Data Entry Accuracy & Documentation
- Microsoft Office & Google Workspace
Timeline
Remote Revenue Cycle & Insurance Verification Spec
Walgreens
06.2024 - 07.2025
Remote Customer Service & Account Resolution Speci
Capital One
12.2021 - 05.2024
Home Health Aide
Champion Healthcare
10.2020 - 01.2021
Medical Office Assistant / Patient Access Rep
Health Springs Chiropractor
06.2018 - 04.2021
CERTIFIED MEDICAL OFFICE ASSISTANT - MEDICAL ADMINISTRATION
Everest Institute