Tania Espejo Cabrera
Brownsville,TX
Summary
Bilingual (English/Spanish) Remote Specialist with 7+ years of experience in healthcare and finance. Expert in HIPAA compliance, claims verification, and secure data management. Proven track record of working independently from a home office to process high volumes of information with accuracy and speed.
Overview
9
9
years of professional experience
Work History
Bilingual Service & Data Specialist
Concentrix (Blue Cross Blue Shield)
01.2023 - 08.2025
- Documented and processed formal grievances for all reported member dissatisfaction, ensuring 100% adherence to state and federal reporting protocols.
- Verified insurance eligibility and coverage details to locate in-network doctors and providers for members.
- Maintained strict HIPAA compliance and data security while handling sensitive personal and medical information.
- Navigated internal databases to accurately record member interactions and update case files.
- Assessed member needs to confirm plan benefits and coordinate care services efficiently.
Loan Processor & Analyst
Payment 1 Financial
07.2020 - 01.2023
- Analyzed applicant credit histories and income documentation to verify eligibility for loan approval.
- Submitted verified loan applications to underwriters with detailed recommendations.
- Maintained strict confidentiality of bank records and client financial information.
- Processed payments and balanced accounts with zero discrepancies.
- Reviewed and edited loan agreements to ensure efficiency and data accuracy.
Claim & Benefit Specialist
Teleperformance, United Health Care
09.2018 - 06.2020
- Analyzed claim determinations and denial reasons to identify the root cause of non-payment for surgeries and medical procedures
- Resolved pharmacy and medical claim issues by bridging communication between the member and the provider's billing office.
- Analyzed plan documents to determine covered services versus exclusions and explained complex benefit details.
- Verified insurance coverage, effective dates, and benefit limits for Medical, Dental, and Pharmacy plans.
- Located and confirmed in-network providers (doctors and dentists) to ensure accurate care coordination for members.
- Maintained accurate records of all eligibility checks and provider referrals in compliance with company standards.
Cashier & Transaction Specialist
Bravo Supermarket
09.2016 - 08.2018
- Operated POS systems for cash, check, and credit card transactions with excellent accuracy.
Maintained balanced cash drawers at the beginning and end of every shift.
Education
High School Diploma -
Cenapec
Santiago De Los CaballerosSkills
- Data Entry: 10-Key Speed: 8,100 KPH (High Accuracy)
- Technical Proficiency: CRM Software, Electronic Medical Records (EMR), Microsoft Word
- Remote Collaboration: Zoom, Microsoft Teams, Outlook, Dual-Monitor Navigation
- Compliance: HIPAA Regulations, Data Verification, Error Resolution, Sensitive Data Management
- Languages: Native Bilingual (English/Spanish)
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
Bilingual Service & Data Specialist
Concentrix (Blue Cross Blue Shield)
01.2023 - 08.2025
Loan Processor & Analyst
Payment 1 Financial
07.2020 - 01.2023
Claim & Benefit Specialist
Teleperformance, United Health Care
09.2018 - 06.2020
Cashier & Transaction Specialist
Bravo Supermarket
09.2016 - 08.2018
High School Diploma -
Cenapec