Nilsa Benitez

ad2q0q@r.postjobfree.com • linkedin.com/in/Nilsa-benitez-474A3724 • Worcester, MA • 774-***-****

Medical Interpreter

Accomplished professional and strong patient advocate with solid experience in coordinating clinical services in healthcare facilities. Successful in managing time, prioritizing tasks, and delivering outstanding customer service in challenging environments. Proficient in MS Office, QuickBooks Premier, Med host, Boma, Epic, Salesforce, Knowledge in 3rd Party Insurance, Active listening, Athenanet, Urochart, El Dorado Customer Service, Meditech Appointment Manager

•Customer Service

•Active Listening

•Technical Savvy

•Call Center Experience

•Third party Insurance

•Cash handle

•Problem solved.

•Data Entry

•Ring Central phone

•Patient Scheduling

•Medical Terminology

•Collaborator

•Bilingual

•Check in.

•Check out.

•Collect Copayment

•Payroll

•Microsoft Teams

Career Experience

Medical Interpreter, Bay state Interpreters, Inc-per diem- 2019- present

•Render the word of one language into another

•One on- one situations, including interviews, parent teacher conferences, depositions, Department of Family and Children

•medical consultations on healthcare environment

•Advocate patient

Medical Interpreter, Family Health Center, 08/07/2023- 10/16/2023

Supported relationship between patient and provider.

Assisting patients in the primary care setting to assure effective communication and care.

Communicate with Provider, Nurse, Medical Assistant availability to interpreter in person or on the phone.

Accepting requests from Walk-in Center, Obstetrics, Behavior Health, Health Insurance, Dental insurance determination and, Primary Care Provider to interpreter in person or on the phone

Conduct general and medical interpretation to staff, patients, and their families.

Assess patients and monitor them to ensure they understand information being conveyed to provider

Relay information regarding patient’s cultural to professionals

Providing accurate translations for health care provider and patients

Maintaining patient Confidentiality

Help patients who are non – English speaking communicate effectively with medical professionals.

Health Insurance Customer Service Representative, UltraBenefits Inc- 09/20/21-07/28/23

Protected member information, access to confidential patient information in computer system

Provided members health insurance and dental benefits.

Provided providers and hospitals eligibility and benefits on health and dental insurance.

Explained providers and hospital claim details for health and dental.

Problem Solving

Sent email to claims team to review claim.

Sent email to HRA and FSA department regarding member inquiry about claim and benefits.

Provided intake of accurate information for appropriate referral of member requests for consideration of coverage plan benefits

Educated member and assist to sign on the insurance’s portal.

Ability to maintain composure in high-pressure situations.

Strong empathy and compassion

Client Service Coordinator, seasonal H & R Block – 01/03/22 – 04/18/22

Answered incoming call.

Scheduled appointment for clients with tax specialist to file their taxes.

Processed payment for services

Called clients to remember their appointments.

Balanced the draw at the end of the day.

Prepared petty cash for the next day.

Deposited the cash left in safety deposit box.

Filed client’s copy of the taxes in alphabetical order.

Medical Secretary Admin SR, Complete Staffing Solution, UMass Hahnemann Campus- - contract July 2020-Nov2021

•Answered incoming calls, scheduled variable appointments; procedure, new appointment, follow up and post op with different departments; Wound clinic, Hand clinic, and Plastic Surgery for procedure with surgeons.

•Greeted patient on the phone.

•Faxed Physician order for MRI, Cat Scan, etc.

•Scanned documents to patient chart

•Reschedule and cancel appointments with surgeon or physician assistant.

•Sorted mail and distributed to Administration team.

Reschedule and cancelled appointment for patient with Surgeon or

•Created new patients in the system and updated demographics information.

•Sent message to health team regarding patient health issue after procedure or surgery

•Completed task request by surgeons and team leader.

•Matched Outlook calendar with schedule in different location

•Called primary care to request referral.

•Created new referral and entered incoming referral in the system.

•Explained Spanish speaking patient protocol before having surgery.

•Scheduled, reschedule or cancelled appointment for Spanish speaking patients.

Care Manager, All Care Plus Pharmacy, Inc. August2019 to June 2020

Delivered patient support solutions to ensure access to pharmaceutical treatments and improve patient outcomes. Helped patients with enrollment in copay assistance programs.

Communicated effectively with insurance companies to conduct benefit investigations and confirmed coverage eligibility, determining copay amounts and confirming prior authorization status.

Completed prior authorization for medication with elevated level of accuracy, managing steps required to gain access to pharmaceutical treatments.

Care Coordinator, Conifer Health Solutions, Inc. -Saint Vincent Hospital January2018 to July 2019

Assisted emergency room patients in arranging follow-up visits to medical providers and specialists to meet ongoing health needs. Sourced primary care providers for patients in need.

Performed outreach calls to patients following emergency room visit, providing education and information on care coordination services.

Scheduled follow-up appointments with patient primary care and/or specialist offices, transferring relevant information to physician office and confirming appointment with patient.

Created patient account with provider name, NPI and demographic information.

Ambulatory Services Representative Float, KNF&T Staffing Resources (contract) July2017-Nov2017

Greeted and checked patients in and out of lab at client site (UMass Hospital). Ensured the needs of patients and families met related to registration, pre-registration, and scheduling. Answered incoming calls and confirmed patient appointments demonstrating world-class customer service.

Verified insurance and demographic information for patients as well as ensuring completion of all required paperwork, updating computer system as needed.

Accounts Receivable Specialist, UMass Memorial Medical Group Oct 2016 to April 2017

Research and resolved billing issues with patients and third-party payers. Managed correspondence related to insurance or patient accounts. Contacted insurance carriers as needed to settle billing issues and get maximum payment on accounts.

Reconciled insurance carrier submissions, edits, and rejection reports, researching and resolving accounts appearing on delinquent insurance report and/or aging accounts report.

Benefit Coordinator II, UHealth Solutions Inc.- January 2012 to October 2016

Delivered outstanding customer service while assisting recipients with questions and concerns regarding SSI State Supplement Program. Conducted complex case reviews to assist in resolution of eligibility and payment issues. Participated in Neighborhood Health Plan outreach program.

Processed inbound inquiries from recipients as well as state and federal agencies, resolving concerns, answering questions, and providing written income verifications as appropriate.

Additional experience as a Commercial Bank Teller with TD Bank.

Education

MIT Interpretation Certificate

Cardiovascular system Bilingual Medical Terminology

4 hours training 08/2022

Video Remote Interpreting Module Certificate

Bay State Interpreters, Inc 2020

Certified Electronic Health Record Specialist

National Health Career Association

Medical Interpreter Certificate

Central Massachusetts Area of Health Education Center

Certificate in Medical Billing & Coding

Salter College

Community Service

Church of God of Prophecy Inc

Bookkeeper-Voluntary work since 2011- present

Make weekly deposit at the bank.

Reconcile Checking and Saving Statement monthly.

Pay utilities and rent monthly.

Send Monthly report to Headquarter and Regional

Record weekly donation in Quick Book for Nonprofit Organization

Prepare ADP payroll Monthly for one employee.

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