Summary
Overview
Work History
Education
Skills
Timeline
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Elizabeth Espinoza

Benicia,CA

Summary

Adaptable and analytical with keen eye for detail and positive attitude. Well-versed in insurance policies and regulations, demonstrating proficiency in data analysis and reporting. Committed to ensuring accurate claim assessments and improving operational efficiency.

Overview

10
10
years of professional experience

Work History

Claims Examiner

Partnership Healthplan of CA
Fairfield, CA
09.2024 - Current

• Verify patient accounts, eligibility benefits, and authorizations. Responsible for accurate and timely adjudication of claims for IHS, Medi-Cal, and Medicare. Update status of claims, provide an explanation of denied claims and work closely with other claim examiners. Knowledge of Modifiers, and provider contracts

Admin Assistant

Desimone Insurance Company
01.2015 - 09.2024
  • Telecommute – Prepare documents, transcribe, schedule appointments, update schedule, maintain files

Pharmacy Tech

Raley’s Pharmacy
01.2017 - 01.2020
  • Ordered meds, processed insurance claims, reconcile payments, calculate dosage, prepared prescriptions and labels with100% accuracy, maintained inventory, restocked med shelves, customer service

Pharmacy Tech

CVS Pharmacy
01.2016 - 01.2017
  • Ordered meds, processed insurance claims, reconcile payments, calculate dosage, prepared prescriptions, and labels with100% accuracy, maintained inventory, restocked med shelves, customer service

Education

Pharmacy Tech Certification - Center for Pharmacy Technician

HarperRand CalRegional Education
01.2016

Skills

  • Flexibility and ability to prioritize tasks
  • Interpersonal communication
  • Time management
  • Strong organizational skills
  • Ability to multitask
  • Problem-solving and decision making
  • Self-direction

Timeline

Claims Examiner

Partnership Healthplan of CA
09.2024 - Current

Pharmacy Tech

Raley’s Pharmacy
01.2017 - 01.2020

Pharmacy Tech

CVS Pharmacy
01.2016 - 01.2017

Admin Assistant

Desimone Insurance Company
01.2015 - 09.2024

Pharmacy Tech Certification - Center for Pharmacy Technician

HarperRand CalRegional Education
Elizabeth Espinoza