Bilingual Benefits Specialist proudly offering many years handling health benefits enrollment for large corporations. Highly enthusiastic professional known for explaining benefits to employees in simple to understand terms. Driven to be a top performer through effective communication and interpersonal skills.
Overview
11
11
years of professional experience
Work History
Insurance Technician
LAUSD Los Angeles Unified School District
Los Angeles
05.2023 - Current
Assisted with customer requests and answered questions to improve satisfaction.
Checked accuracy and completeness of benefits applications and documents.
Resolved employee issues related to benefits, serving as a liaison between employees and insurance providers.
Communicated effectively via email, phone and face-to-face with plan participants to resolve issues pertaining to health and welfare benefits.
Researched employee benefit and health and safety practices, recommending changes or modifications to existing policies.
Managed and maintained employee benefits programs including health insurance, retirement plans, and wellness programs.
Certified Tax Preparer
Isis Perez Tax Preparation
01.2021 - Current
Completed and filed returns with tax departments at local, state and federal levels.
Reviewed clients tax filing papers thoroughly to determine eligibility for additional tax credits or deductions.
Maintained complete records of client tax returns and supporting documentation in secured areas.
Prepared tax returns, extensions, tax planning calculations and write-ups for organizations and entities.
Consulted with customers to assess needs and propose optimal solutions.
Administrative Assistant
Nutriland Group
06.2020 - 05.2023
Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
Sorted and distributed office mail and recorded incoming shipments for corporate records.
Updated company tracking system with latest information.
Informed customers by mail or telephone of order information such as unit prices, shipping dates and anticipated delays.
Double-checked customer orders and information before filling out order forms to prevent unnecessary delays and errors.
Medical Billing Assistant
Reishl Physical Therapy
05.2017 - 01.2020
Communicated with insurance providers to resolve denied claims and resubmitted.
Collected payments and applied to patient accounts.
Filed and updated patient information and medical records.
Posted payments and collections on regular basis.
Prepared billing statements for patients and verified correct diagnostic coding.
Trained new employees on multiple medical billing programs and data entry software.
Prepared accounts with past due balances and transferred those cases to collection agency.
Reviewed 150 patient cases per week and verified insurance coverage information.
Completed administrative patient intakes with case histories, insurance information and mandated forms.
Billing / Front Office Administrator
Brighton Institute
05.2014 - 05.2016
Reviewed patient records, identified medical codes and created invoices for billing purposes.
Communicated with insurance providers to resolve denied claims and resubmitted.
Posted payments and collections on regular basis.
Filed and updated patient information and medical records.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Liaised between patients, insurance companies and billing office.
Adhered to strict HIPAA guidelines to protect patient privacy.
Coordinated patient scheduling, check-in, check-out and payments for billing.
Education
Medical Billing And Coding Certificate -
Downey Adult School
Downey, CA
06.2014
Lynwood High School
Lynwood, CA
06.2005
Skills
Medical Terminology
Managed Care
Insurance Terminology
Prior Authorization Processing
Data Verification
Insurance Plan Verification
CPT Coding
Computer Proficiency
Payment Scheduling and Collection
Schedule Patients
Answer Telephones
Office Coordination
Patient Eligibility Requirements
HIPAA and Confidentiality Compliance
Insurance regulations
Policy requirements and eligibility
Languages
Spanish
Native/ Bilingual
References
References available upon request.
Timeline
Insurance Technician
LAUSD Los Angeles Unified School District
05.2023 - Current
Certified Tax Preparer
Isis Perez Tax Preparation
01.2021 - Current
Administrative Assistant
Nutriland Group
06.2020 - 05.2023
Medical Billing Assistant
Reishl Physical Therapy
05.2017 - 01.2020
Billing / Front Office Administrator
Brighton Institute
05.2014 - 05.2016
Medical Billing And Coding Certificate -
Downey Adult School
Lynwood High School
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