Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Maria Guadalupe Esparza

Summary

Service professional ready to contribute valuable customer service experience and problem-solving skills. Known for improving client satisfaction and resolving issues swiftly. Team-oriented with focus on achieving results and adapting to changing needs. Proficient in communication and relationship-building, consistently reliable and flexible.

Overview

12
12
years of professional experience

Work History

Senior Health Services Representative

Santa Clara Valley Medical Center Hospital and Clinics
02.2017 - Current
  • Provide lead supervision and guidance to a clerical team, overseeing daily operations for patient registration, complicated financial screening and insurance authorizations for referrals associated with the Santa Clara Valley Health & Hospital System.
  • Manage and motivate clerical staff to ensure efficient and accurate registration and insurance authorizations within the Santa Clara Valley Health & Hospital System.
  • Train and mentor new and existing clerical staff on complex technical procedures, including specialized registration and difficult or complicated financial screening and insurance authorizations workflows.
  • Assist in developing and revising internal procedures relate to the admission process enhancing efficiency and standardization across the Santa Clara Valley Health & Hospital System.
  • Communicate and interpret new and revised procedures to staff, clients, and particular departments across the Santa Clara Valley Health & Hospital System
  • Manage all aspects of insurance communication, including verifying benefit coverage, documenting requirements, and securing authorizations for referrals for patient care and program services.
  • Provide front-line assistance and support for all in-bound calls, following established protocols for the Santa Clara Valley Health & Hospital System (SCVMC HHS).
  • Manage a high volume of calls to assist patients with registration, appointments, and general medical needs across Valley Health Clinics.
  • Manage patient records and communications within the Clinic's Customer Relationship Management (CRM) system and resolved complex, computer-related data errors to ensure accuracy.
  • Provide excellent customer service and patient support by phone, utilizing the Ci-Care methodology to ensure a positive patient experience.
  • Leverage strong interpersonal and communication skills to assist patients with inquiries, demonstrating a commitment to patient satisfaction.
  • Manage a high volume of inbound calls, delivering empathetic and efficient support while adhering to established customer service protocols.
  • Strong commitment to providing an excellent patient experience.

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Administrative Medical Assistant/Front Office Supp

Zhu's Neuro-Acupuncture and Physical Therapy Center
05.2016 - 02.2017
  • Coordinated patient scheduling and managed appointment calendar for optimal clinic efficiency.
  • Assisted healthcare providers with patient intake, documenting medical history and vital signs accurately.
  • Streamlined office procedures to enhance workflow, reducing patient wait times significantly.
  • Implemented electronic health record systems, ensuring accurate data entry and compliance with regulations.
  • Trained new administrative staff on clinic protocols and software applications for seamless integration.
  • Maintained inventory of medical supplies and equipment, ensuring adequate resources for daily operations.
  • Contributed towards a positive work culture by actively participating in team meetings and collaborating with colleagues to solve challenges.
  • Managed confidential patient information in compliance with HIPAA regulations, safeguarding sensitive data from unauthorized access or disclosure.
  • Delivered exceptional customer service by promptly addressing incoming calls, emails, and walk-in inquiries from patients and other stakeholders.
  • Processed insurance claims, verifying eligibility and obtaining necessary authorizations.
  • Maintained up-to-date knowledge of billing software systems to streamline operations and improve turnaround times.
  • Provided exceptional customer service to patients, addressing their concerns regarding insurance claims or billing issues with empathy and professionalism.
  • Ensured accurate coding of diagnoses and procedures using ICD-10 and CPT guidelines.
  • Reviewed and corrected billing discrepancies to enhance revenue cycle efficiency.
  • Collaborated with healthcare providers to obtain necessary documentation for accurate code assignment and claim submission.

Assistant Manager/Lead Leasing Agent

Park West Apartments
06.2013 - 01.2017
  • Help Managed the entire leasing cycle, from marketing and initial inquiry to application, credit checks, and final move-in, ensuring compliance with all Fair Housing Laws.
  • Conducted in-person and phone interviews with prospective tenants, evaluating financial and personal information to determine eligibility and maximize occupancy rates.
  • Cultivated positive tenant relationships by resolving a wide range of disputes, including payment and deposit issues, to increase resident satisfaction and retention.
  • Negotiated and processed lease renewals and rental increases, ensuring clear communication and adherence to departmental policies.
  • Independently managed a high volume of work, maintaining accurate and updated resident records and documents in accordance with housing regulations.
  • Executed precise data entry, analyzed records, and corrected errors within the property management database to maintain data integrity.
  • Provided responsive customer service and support by handling all incoming calls and email correspondence, addressing inquiries related to registration, leasing, and maintenance.
  • Streamlined administrative tasks by independently organizing records and managing workload, improving overall departmental efficiency.
  • Resolved tenant disputes, including payment demands and eviction procedures, by applying deep knowledge of housing regulations and fair practices.
  • Coordinated and scheduled maintenance issues, serving as the primary point of contact for resident intake and communication with vendors.
  • Maintained 100% compliance with Fair Housing Laws and department policies throughout all aspects of the leasing and resident management process.

Education

Associate of Science - Insurance Billing Specialist/Medical Office Admin

West Valley College
Saratoga, CA
06-2014

Associate of Arts - Medical Billing And Coding Specialist

De Anza Community College
Cupertino, CA
04-2012

High School Diploma -

Yerba Buena High School
San Jose, CA
06-1995

Skills

  • Customer service expertise
  • Client engagement
  • Database management
  • Strong organizational skills
  • Critical thinking
  • Proficient bilingual communication
  • Effective problem resolution
  • Team leadership
  • Strategic decision-making
  • Effective team collaboration
  • Team motivation

Languages

Spanish
Native or Bilingual

Timeline

Senior Health Services Representative

Santa Clara Valley Medical Center Hospital and Clinics
02.2017 - Current

Administrative Medical Assistant/Front Office Supp

Zhu's Neuro-Acupuncture and Physical Therapy Center
05.2016 - 02.2017

Assistant Manager/Lead Leasing Agent

Park West Apartments
06.2013 - 01.2017

Associate of Science - Insurance Billing Specialist/Medical Office Admin

West Valley College

Associate of Arts - Medical Billing And Coding Specialist

De Anza Community College

High School Diploma -

Yerba Buena High School
Maria Guadalupe Esparza