Summary
Overview
Work History
Education
Skills
Languages
Timeline
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DALILA ESPINOZA

Covina,CA

Summary

Dependable Individual with 20+ years experience in Insurance Verification,Scheduling and General Customer Service.Seeking a challenging position in a a career oriented office where I may use and utilize my Medical Experience and ensure guidelines and Deadlines and policy are all followed.

Overview

30
30
years of professional experience

Work History

INSURANCE VERIFIER

EMANATE HEALTH
Covina, California
04.2025 - 06.2025
  • Verified patient insurance coverage and eligibility for medical services.
  • Communicated with insurance companies to clarify policy details and requirements and co pays and co insurances.
  • Obtained Authorizations and followed up on status make sure Authorizations was approved before patients appointments.
  • Insurances Hmo,PPO,Medicare,Medical
  • Radiology Department Scheduled. Mri,Ct Scan,Nuclear Medicine,Ultrasounds Xrays,Mammogram also scheduled Workers Comp Made sure we had claim numbers and adjuster information
  • Cardiology Departments Scheduled Echocardiograms,Ekg,24 hr Holter Monitors.48 hrs Holter Monitors,30 Day Event Monitors.
  • Informed patients about their patient responsibility copays and coinsurances.
  • Adhered to HIPAA requirements to safeguard patient confidentiality.
  • Answered telephones and directed calls to appropriate medical or adminstrative staff.

Call Center Representative

Axminster Medical Group
Los Angeles, CA
03.2009 - 03.2016
  • Customer Service handled incoming calls and directed callers to appropiate Department or Employee.Scheduled and confirmed Appointments for next day.Scheduled Appointments for Pediatrics and Internal Medicine. Verified patient Demographics entered Insurance information.Filing and Faxing transfered calls to Doctors and Nurses as needed.
  • Answered incoming calls and provided highest level of professionalism and knowledgeable service to every customer.
  • Maintained high levels of professionalism while interacting with customers via phone or email.
  • Answered, screened and processed high volume of calls daily with call management system and web-based communications.
  • Followed up with patients to confirm appointments and provide reminders.
  • Updated customer accounts, addresses and contact information within call management databases.
  • Monitored call queues in order to prioritize incoming calls by urgency or importance level.

Switch Board Operator

Eisner Pediatric and Family Medical Center
Los Angeles, California
07.1995 - 07.2000
  • Operated multi-line phone system to manage incoming calls efficiently.
  • Directed calls to appropriate medical staff and departments promptly.
  • Maintained patient confidentiality while handling sensitive information.
  • Answered and transferred incoming calls to appropriate departments, personnel or outside lines.
  • Answered calls with friendly and polite approach to engage callers and deliver exceptional customer service.
  • Performed general administrative duties such as filing documents, photocopying materials.
  • Greeted visitors in a professional manner when they arrived at the switchboard station.
  • Paged employees over PA system to ensure prompt connection with callers.
  • Verified Patient appointment and rescheduled appointments.

Education

High School Diploma -

Huntington Park High School
Huntington Park, CA
06-1993

Skills

*Proficient in Medical Terminology,Insurance verification Medical Coding,Verifying patient Demographics

*Hardworking motivated energetic,dedicated and professional indivisual able to serve clients in a conscientious and pleased manner

*Outstanding oral and written communication skills

*Strong ability to multitask,organized,disciplined and detail oriented

*Medical software knowledge Microsoft office,ICD-10 Coding

*Highly personable Customer Service Professional with over 20 years experience

*Demostrated ability to gain Customer trust and provided exceptional follow up and leading to increased and Referral Authorizations

*Bilingual-Fluent Spanish

Languages

English,Fluent Spanish
Professional

Timeline

INSURANCE VERIFIER

EMANATE HEALTH
04.2025 - 06.2025

Call Center Representative

Axminster Medical Group
03.2009 - 03.2016

Switch Board Operator

Eisner Pediatric and Family Medical Center
07.1995 - 07.2000

High School Diploma -

Huntington Park High School

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DALILA ESPINOZA