Summary
Overview
Work History
Education
Skills
Certification
References
Languages
Timeline
Generic

SUSANA ESPITIA

Chicago,IL

Summary

Bilingual Benefits Specialist dedicated to assisting employees with open enrollment for smooth and simple process. Offering more than [Number] years of documenting and reporting changes in relation to benefits. Composed, talented and considered effective team player. Self-motivated Benefits Specialist demonstrating superior understanding of employee benefits laws and human resource software systems. Astute professional providing benefits support in fast-paced corporate settings.

Overview

16
16
years of professional experience
1
1
Certification

Work History

Benefit Verification Specialist

CVS Health
06.2024 - Current
  • Liaison for the patient, healthcare professionals and insurance carrier, Solve Insurance related issues
  • Process patients prescription orders on a timely manner
  • Worked multiple systems and portals, handled inbound and internal colleague calls, as well as make outbound calls.Phone Skills & Customer Relations Service Authorizations, Referrals & Insurance Verification Medical Billing & Online Claim Submission Claims Entry & Payment Posting Microsoft Office, Excel, Filing, Collections
  • Insurance & Patient Aging Records Management & Problem-Solving, Multitasking, Quick Learner & Easy to Work With
  • Excellent computer navigation skills, Strong attention to detail, Interpersonal skills to put people first and deliver personalized patient experience
  • Solution orientated mindset removing obstacles to make experiences easier and rising to the challenge to help our patients
  • Goal-driven work ethic
  • Experience with health benefits, Government & various Insurance plans, SPRX, Avaya-OneX, Availity, Covermymeds.
  • Managed high-volume caseloads while maintaining strict deadlines for completing benefit verifications and authorizations.
  • Provided exceptional customer service by addressing patient concerns regarding coverage and out-of-pocket expenses.

Family Service Counselor

Mount Auburn Cemetery
05.2018 - 05.2023
  • Top Salesperson at my location, Earned the Elite status 4 years in a row and made Century Club for the past 3years
  • Network and build community and civic relationships
  • Explain and present a presentation to families that I served and referred families
  • Maintain and track activity levels to ensure productivity
  • Respond to client inquiries in a timely, respectful, sensitive, and professional manner
  • Connect with families through listening, honest communication, and genuine concern to ensure satisfaction Schedule Appointments with professionalism and attention to detail
  • Customer problem solver and service request
  • Phone Skills & Customer Relations Service, collaborate with a team of managers and staff, to provide seamless, high-quality service
  • Knowledge of computers and some software Multitasking, Quick Learner & Easy to Work With, Organized Notary Public, Cemetery License in Illinois.
  • Advocated for clients' best interests when interacting with other professionals, ensuring that their needs were prioritized and met.
  • Facilitated positive behavior changes among family members by teaching coping strategies and problem-solving skills.

Medical Billing Specialist

Practice Alternative
04.2008 - 07.2016
  • Phone Skills & Customer Relations Service Authorizations, Referrals & Insurance Verification Medical Billing & Online Claim Submission Claims Entry & Payment Posting Microsoft Office, Excel, Filing, Collections
  • Insurance & Patient Aging Records Management & Problem-Solving, Multitasking, Quick Learner & Easy to Work With.

Bilingual Interpreter

Early Childhood Intervention Program
- 03.2008
  • Phone Skills & Customer Service Verbal Communication, Well Organized, able to Multi-task Schedule Appointments & Assist in Therapy Session, Data Entry and Filing.

Education

Lourdes High School
01.1994

Skills

  • HIPAA Compliance
  • Claims Processing
  • Microsoft Office
  • Insurance Verification

Certification

  • Notary Public, Current
  • Illinois Cemetery License in Illinois, Current

References

  • CVS Health, (866) 249-1556
  • Mount Auburn Cemetery, Myra Ferri, (708) 740-0022
  • Practice Alternative, Lynette McRoy, (773) 767-382
  • Illinois Early Intervention, (800) 447-6404

Languages

Spanish
Native or Bilingual

Timeline

Benefit Verification Specialist

CVS Health
06.2024 - Current

Family Service Counselor

Mount Auburn Cemetery
05.2018 - 05.2023

Medical Billing Specialist

Practice Alternative
04.2008 - 07.2016

Bilingual Interpreter

Early Childhood Intervention Program
- 03.2008

Lourdes High School

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