Samatra D. Marshall
Covington
Summary
I desire to excel as a Clinical Intake Specialist at Humana as a team-player in a people oriented organization where I can maximize my superior customer service skills in a challenging environment to achieve the corporate goals.
Overview
22
22
years of professional experience
Work History
Clinical Intake Specialist
Humana
Miramar
05.2008 - 10.2025
- Provide stellar customer service
- Outbound calls to engage members and/or providers to verify clinical information
- Handle new client inquiries and assign them to proper case manager/nurse
- Document all calls and attach clinical information received
- Create and send out written correspondence
- Coordinate with insurance/case management offices for approval of care
- Maintain relationships and communicate with referral sources
- Maintain case files for successful quarterly audits
- Obtain all necessary clinical information to tailor member’s profile according to their needs
- Maintain confidentiality, adhering to all HIPAA guidelines/regulations
- Confer with members by telephone to provide information about services available
- Research Claims for members and facilities
- Notified Providers of Authorization approval decisions.
- Completed Grievance and Appeals for Providers
- Completed Retro reviews for Providers
- Worked authorizations for Inpatient Rehab facilities
- Worked authorizations for Skilled Nursing facilities
- Notified Providers of Denied authorizations
- Worked authorizations for Long Term Acute Care.
Customer Support Specialist
JL Audio
Miramar
09.2003 - 03.2005
- Provided stellar customer service
- Maintained and organized critical files and invoices
- Managed incoming and outgoing calls from customers and vendors
- Processed customer orders and invoices using purchase orders
- Data entry
Education
High School Diploma -
Miami Southridge Senior High
South Miami Heights, FLSkills
- Microsoft Word
- Microsoft Office
- Microsoft Outlook
- Microsoft Excel
- Typing ability 60 wpm
Accomplishments
Star Award, 2014, 2023
Timeline
Clinical Intake Specialist
Humana
05.2008 - 10.2025
Customer Support Specialist
JL Audio
09.2003 - 03.2005
High School Diploma -
Miami Southridge Senior High