Summary
Overview
Work History
Education
Skills
Languages
Timeline
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Yesenia Sanchez

Yesenia Sanchez

Vero Beach,FL

Summary

Bilingual Benefits Specialist proudly offering many years handling health benefits enrollment for large corporations. Highly enthusiastic professional known for explaining benefits to employees in simple to understand terms. Driven to be a top performer through effective communication and interpersonal skills.

Overview

10
10
years of professional experience

Work History

Benefits Coordinator

Benefit Communication Insourcing
Dodge City, Kansas
09.2023 - 01.2025
  • Led weekly open enrollment question and answer session with employees on benefit program updates.
  • Discussed medical, dental, short-term and long-term benefit plans with new hires and eligible employees with status changes.
  • Reviewed employee enrollments to verify accuracy, inputting information into company database.
  • Oversaw enrollment of new employees and company-wide yearly enrollment period.
  • Provided assistance to plan participants by explaining benefits information to ensure educated selections.
  • Coordinated benefits processing, including enrollments, terminations and claims.
  • Assisted employees with benefits enrollment and changes, providing guidance on plan options and implications.
  • Administered leave programs such as FMLA, PTO, and disability leave, ensuring compliance and proper tracking.
  • Maintained detailed records of employee benefits enrollments and changes for auditing and reporting purposes.

Receptionist and Nurse

Cancer Center of Kansas
Dodge City, Kansas
01.2023 - 09.2024
  • Served visitors by greeting, welcoming and directing to appropriate personnel.
  • Scheduled and confirmed appointments and meetings for management team.
  • Answered and directed incoming calls using multi-line telephone system.
  • Helped residents walk with or without self-help devices.
  • Communicated concerns regarding patients' status, care and environment to nursing supervisors, clinical care supervisors and case managers.
  • Monitored patient's respiration activity, blood pressure and blood glucose levels in response to medical administration.
  • Recorded patient condition, vital signs, recovery progress and medication side effects.

Billing Coordinator

Western Plains Medical Complex
Dodge City, Kansas
05.2022 - 09.2024
  • Completed documentation, reports and spreadsheets of financial information.
  • Contacted insurance providers to verify insurance information and obtain billing authorization.
  • Kept up-to-date with details of insurance plans and company requirements.
  • Input details into accounts and tracked payments.
  • Submitted appeals on behalf of patients for denied claims.
  • Managed all payments processing, invoicing and collections tasks.
  • Developed effective invoicing procedures alongside accounting staff and contracts department to maximize effectiveness of billing operations.
  • Prepared accounts for financial audits and supported audit process.
  • Collected, posted and managed patient account payments.
  • Reviewed legal claims for accuracy and issues.

Manager's Assistant/Billing and Coding Associate

Medical Heights Medical Center
Dodge City, KS
10.2014 - 04.2022
  • Expertly assigned charges and payments for medical procedures.
  • Reviewed received payments for accuracy and applied to intended patient accounts.
  • Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
  • Assessed medical codes on patient records for accuracy.
  • Documented and filed patient data and medical records.
  • Filed and submitted insurance claims.
  • Quickly responded to staff and client inquiries regarding CPT codes.
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
  • Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
  • Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
  • Maintained records through timely updates to employee and other files.
  • Conducted inside training sessions to educate employees on products and company policies.
  • Utilized company reports to analyze sales, gross profit and inventory activity.
  • Assigned tasks to associates to fit skill level and maximize team performance.
  • Sorted and distributed incoming faxes, letters and emails for office distribution.
  • Handled incoming calls and directed callers to appropriate department or employee.
  • Enforced customer service standards and resolved customer problems to uphold quality service.
  • Led team meetings and one-on-one coaching sessions to continuously improve performance.
  • Oversaw daily operations, maintaining efficiency and quality standards.

Education

GED -

Colvin Center
Liberal, KS
05-2002

Skills

  • Benefits Explanation
  • Proficient in [Software]
  • Highly skilled in [Software]
  • Termination Procedures
  • New employee enrollment
  • Benefits interpretation
  • FMLA comprehension
  • Healthcare benefits
  • ICD-10 proficiency
  • Medical billing procedures
  • Insurance coding (ICD-9 and CPT)
  • Medical coding ethics
  • Denial management
  • Claims processing
  • Payment posting

Languages

English
Professional
Spanish
Professional

Timeline

Benefits Coordinator

Benefit Communication Insourcing
09.2023 - 01.2025

Receptionist and Nurse

Cancer Center of Kansas
01.2023 - 09.2024

Billing Coordinator

Western Plains Medical Complex
05.2022 - 09.2024

Manager's Assistant/Billing and Coding Associate

Medical Heights Medical Center
10.2014 - 04.2022

GED -

Colvin Center

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Yesenia Sanchez