Yesenia Salinas
Edinburg,TX
Summary
Accomplished Eligibility Specialist with a proven track record at Help America, adept in benefits administration and enhancing customer satisfaction. Excelled in maintaining compliance and privacy standards, leveraging effective communication and documentation skills. Demonstrated leadership at Peter Piper Pizza, significantly improving team productivity and customer care.
Overview
9
9
years of professional experience
Work History
Eligibility Specialist
Help America
Edinburg, TX
11.2024 - Current
- Gathered financial information from clients regarding income, assets and debts.
- Responded to client inquiries and concerns and escalated complex problems to department supervisors.
- Ensured compliance with all applicable laws and regulations governing benefit programs.
- Conducted detailed interviews with applicants to determine their eligibility for assistance programs.
- Proofread documents carefully to check accuracy and completeness of all paperwork.
- Reviewed applications for eligibility and determined whether applicants met the criteria to receive benefits.
- Conducted interviews with applicants, explaining benefits process, and which programs were available.
- Prepared detailed reports outlining the reasons why an individual was denied benefits.
Eligibility Specialist
McAllen Emergency Room
McAllen , TX
11.2023 - 07.2024
- Ensured compliance with HIPAA regulations regarding privacy of patient information.
- Collected co-pays and insurance data, applying full and proper payment to patient accounts.
- Communicated with patients with compassion while keeping medical information private.
- Collected information, verified insurance and collected co-payments for patients as part of check-in process.
- Answered and directed incoming calls in a professional manner.
MOS
Ashley’s Pediatrics Clinic
09.2021 - 02.2022
- insurance verification
- cash handling
- calling in insurance benefits
- collecting copays
- checking in patients
Team Leader
Peter Piper Pizza
08.2016 - 03.2020
- Monitored team performance and provided constructive feedback to increase productivity and maintain quality standards.
- Supervised team members to confirm compliance with set procedures and quality requirements.
- Worked with team to identify areas of improvement and devised solutions based on findings.
- Built strong relationships with customers through positive attitude and attentive response.
- Established open and professional relationships with team members to achieve quick resolutions for various issues.
Education
High School Diploma -
Edinburg North High School
Edinburg, TX06.2016
Skills
- Reading Comprehension
- Application assessment
- Effective communication skills
- Documentation and paperwork
- Medicaid
- Appointment scheduling
- Benefits administration
- Telephone etiquette
- Verbal communication
- Customer Satisfaction
- Network Intelligence
- Customer Care
Timeline
Eligibility Specialist
Help America
11.2024 - Current
Eligibility Specialist
McAllen Emergency Room
11.2023 - 07.2024
MOS
Ashley’s Pediatrics Clinic
09.2021 - 02.2022
Team Leader
Peter Piper Pizza
08.2016 - 03.2020
High School Diploma -
Edinburg North High School
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