Nilsa Benitez

Dedicated individual successfully facilitates communication between people of different cultures and backgrounds. Brings wealth of knowledge and experience to organizations requiring interpretation and translation services. Committed to providing quality service and results.

• Medical Interpreter, Bay state Interpreters, Inc-per diem on site, 2019, present, Render the word of one language into another language. One on- one situations, including interviews, parent teacher conferences, depositions, Department of Family and Children medical consultations on healthcare environment
• Health Insurance Customer Service Representative, UltraBenefits Inc, 09/20/21, present, Protect member information, access to confidential patient information in computer system. Provides members health insurance and dental benefits. Provides providers and hospitals eligibility and benefits on health and dental insurance. Explained providers and hospital claim details for health and dental benefits. Problem Solving. Provide name of vendor name, phone number and transfer the call for prior authorization. Send email to claims team to review the claim. Send email to HRA and FSA department regarding member inquiry about claim and member benefits. Provides intake of accurate information for appropriate referral of member requests for consideration of coverage plan benefits. Educate member and assist to sig on the insurance's portal. Ability to maintain composure in high-pressure situations. Strong empathy and compassion. Called member or provider f/u voice mail inquiry on claim, eligibility , benefits and pre certification
• Client Service Coordinator, H & R Block, 01/03/22, 04/18/22, Answered incoming call. Scheduled appointment for clients with tax specialist to file their taxes. Processed payment for services. Called clients to remind their appointments. Balanced the draw at the end of the day. Prepared petty cash for next day. Deposit the cash left in safety deposit box. Filed client's copy of the taxes in alphabetical order
• Medical Secretary Admin SR, Complete Staffing Solution, UMass Hahnemann Campus, 2020, 2021, Answered incoming calls, schedule variable appointments; procedure, new appointment, follow up and post op with different departments; Wound clinic, Hand clinic, and Plastic Surgery for procedure with surgeons. Greeted patient on the phone. Faxed Physician order for MRI, Cat Scan, etc. Scanned documents to patient chart. Reschedule and cancelled appointment with surgeon or physician assistant. Sorted mail and distribute to Administration team. Reschedule and cancelled appointment for patient with Surgeon or. Created new patient in the system and update demographics information. Sent message to health team regarding patient health issue after procedure or surgery. Completed task request by surgeons and team leader. Matched Outlook calendar with schedule in different location. Called primary care to request referral. Created new referral and enter incoming referral in the system. Explained Spanish speaking patient protocol before having surgery. Scheduled, reschedule or cancelled appointment for Spanish speaking patients
• Care Manager, All Care Plus Pharmacy, Inc., 2019, 2020, Delivered patient support solutions to ensure access to pharmaceutical treatments and improve patient outcomes. Helped patients with enrollment in copay assistance programs. Communicated effectively with insurance companies to conduct benefit investigations and confirmed coverage eligibility, determining copay amounts and confirming prior authorization status. Completed prior authorization for medication with important level of accuracy, managing steps required to gain access to pharmaceutical treatments
• Care Coordinator, Conifer Health Solutions, Inc. -Saint Vincent Hospital, 2018, 2019, Assisted emergency room patients in arranging follow-up visits to medical providers and specialists to meet ongoing health needs. Sourced primary care providers for patients in need. Performed outreach calls to patients following emergency room visit, providing education and information on care coordination services. Scheduled follow-up appointments with patient primary care and/or specialist offices, transferring relevant information to physician office and confirming appointment with patient
• Ambulatory Services Representative Float, KNF&T Staffing Resources, 2017, 2017, Greeted and checked patients in and out of lab at client site (UMass Hospital). Ensured the needs of patients were registered and scheduled. Answered incoming calls and confirmed patient appointments demonstrating world-class customer service. Verified insurance and demographic information for patients as well as ensuring completion of all required paperwork, updating computer system as needed
• Accounts Receivable Specialist, UMass Memorial Medical Group, 2016, 2017, Research and resolved billing issues with patients and third-party payers. Managed correspondence related to insurance or patient accounts. Contacted insurance carriers as needed to settle billing issues and get maximum payment on accounts. Reconciled insurance carrier submissions, edits, and rejection reports, researching and resolving accounts appearing on delinquent insurance report and/or aging accounts report
• Benefit Coordinator II, UHealth Solutions Inc.-Saint Vincent Hospital, 2012, 2016, Delivered outstanding customer service while assisting recipients with questions and concerns regarding SSI State Supplement Program. Conducted complex case reviews to assist in resolution of eligibility and payment issues. Participated in Neighborhood Health Plan outreach program. Processed inbound inquiries from recipients as well as state and federal agencies, resolving concerns, answering questions, and providing written income verifications as appropriate

Treasurer, Church of God of Prophecy Inc

Bookkeeper- Voluntary work since 2011- present

Make weekly deposit at the bank

Reconcile checking and saving statement monthly

Pay utilities and rent monthly

Send Monthly report electronic to Headquarter and Regional

Record weekly donation in Quick Book for Non profit Organization

Create donation letter annually to member for tax purpose