Jenny Espinoza
@jennyespinoza
Patient-focused healthcare authorization specialist with strong insurance verification and administrative expertise.
What I'm looking for
I am a proactive patient service and prior authorization specialist with hands-on experience across clinical and administrative healthcare settings. I consistently deliver exceptional patient care through clear communication, accurate scheduling, and adherence to HIPAA standards.
My background includes prior authorization coordination for weight-loss surgeries, insurance verification with major payers (Cigna, UnitedHealthcare, UMR, Blue Cross Blue Shield, FEP), and resolving denials and appeals to secure coverage. I maintain organized records and tracking spreadsheets, support billing and claims follow-up, and optimize clinic workflows using Microsoft Calendar and Excel.
I collaborate well with multidisciplinary teams and external partners — physicians, case managers, attorneys, and payers — to ensure timely patient access to care and efficient office operations. I am passionate about improving patient experiences and streamlining processes to deliver quality service.
Experience
Work history, roles, and key accomplishments
Prior Authorization Specialist
Ivim Health
Jul 2023 - Present (2 years 2 months)
Manage and oversee authorization processes for weight-loss surgeries and coordinate with departments to ensure seamless patient care while maintaining HIPAA compliance and resolving insurance denials.
Patient Experience Specialist
Biotelemetry
Oct 2021 - Jul 2023 (1 year 9 months)
Document patient calls and billing activity, manage scheduling using Microsoft Calendar, perform insurance claim follow-ups for denials and appeals, and support front-office operations to optimize patient relations.
Contacted payers to verify eligibility and benefits, handled HMO/PPO/Medicare accounts, arranged payments and collections, and met daily goals processing a high volume of patient accounts.
Workers Comp Status Agent
Southern California Orthopedic Institute
Aug 2016 - Mar 2018 (1 year 7 months)
Prepared and transmitted workers' compensation statuses and progress reports within 24 hours, coordinated with attorneys, adjusters, and clinical staff, and managed high-volume calls, faxes, and documentation.
Insurance Verification / Scheduler
Southern California Orthopedic Institute
Aug 2013 - Mar 2018 (4 years 7 months)
Scheduled appointments across multiple offices and physicians, processed referrals and workers' comp registrations, and coordinated with practice coordinators to prioritize urgent patient needs.
Receptionist / Vet Tech
VCA Animal Hospital
Sep 2010 - Aug 2013 (2 years 11 months)
Managed front-desk operations, client check-in and payments, prepared exam rooms, handled lab tasks including IVs, blood draws, injections, dental setup and radiography support.
Education
Degrees, certifications, and relevant coursework
High School
High School Diploma, General Education
Completed high school education (Highschool Graduate).
Medical Assistant Program
Certificate, Medical Assisting
Completed a Medical Assistant training program (Medical Assistant Graduate).
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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