YESENIA DAVILA GARCIA

• Managed daily insurance operations, policy administration, and premium payment processing for diverse, high-volume client base, ensuring seamless service delivery.
• Serve as the primary subject matter expert on Marketplace documentation requirements, auditing applications to minimize verification issues and policy disruptions.
• Delivered high-touch customer service and escalation support, resolving complex claims appeals, facilitating provider communications, and negotiating medical bills to enhance client satisfaction.
• Verified insurance coverage by telephone and online to guarantee proper reimbursement of benefits and estimate patients' financial responsibilities.
• Improved team productivity by mentoring new hires on company policies, software systems, and best practices.

• Delivered specialized ADL care and physical assistance using Hoyer lifts for individuals with complex chronic conditions, dementia, and Alzheimer's, enhancing their quality of life.
• Monitored patients' health conditions, documenting changes and reporting to healthcare professionals as needed.
• Advocated for clients' rights and preferences, ensuring their voices were heard in care decisions.

• Maintained secure student registries to minimize data redundancy across master academic databases.
• Managed communications between faculty and students, ensuring clarity and responsiveness.
• Mentored junior staff on best practices in administrative operations, fostering professional development within the team.
• Coordinated scheduling and logistics for language courses, enhancing operational efficiency.

• Directed front-desk intake operations and centralized telecommunications routing, enhancing visitor experience for corporate and legal stakeholders.
• Managed front desk operations, facilitating clear communication and support for legal staff and clients.
• Directed front-desk intake operations and centralized telecommunications routing for high-stakes corporate and legal visitors.
• Trained new reception staff on office protocols, promoting a collaborative team environment to enhance service delivery.

Focus Areas: Health Information Systems, Healthcare Finance, Healthcare Policy & Governance, Healthcare Leadership & Community Engagement, Healthcare Management & Planning.

Core Training: Solid Private & Government Insurance Knowledge. Healthcare & HIPAA Compliance, Claims Processing, Medical Documentation, Basic Billing & Coding.

• US Equivalent: Associate of Applied Science
• Ranked in Top 1% of class
• Ministry of Education of Peru (MINEDU) Scholarship Recipient
• Specialized Translation and Interpreting in Legal, Scientific, Medical, Mining, and Miscellaneous technical texts in English and Portuguese.