Angelica Cervantes

Bilingual Insurance Verification and Eligibility Specialist with over six years of experience in revenue cycle management and healthcare administration. Experienced in verifying insurance eligibility, benefits, deductibles, copays, coinsurance, and authorization requirements for commercial insurance, Medicare, Medicaid, and CHIP plans. Skilled in communicating with insurance carriers by phone and payer portals, documenting accurate benefit information in EMR systems, and helping ensure patients are financially cleared before services.

Strong knowledge of HIPAA compliance, patient communication, and healthcare workflows, with experience supporting quality improvement through insurance benefits auditing and error reporting.

Bilingual Medical Confirmation Specialist at Duzer Group LLC (2026-04 – Present)

• Verify insurance eligibility and benefits before appointments.
• Review copays, deductibles, coinsurance, and authorization requirements.
• Contact insurance carriers by phone and payer portals.
• Explain financial responsibility to patients in English and Spanish.
• Document benefits accurately in DrChrono.
• Coordinate with multiple vein clinics to ensure patients are financially cleared.

RCM Quality Analyst at GI Alliance (2025-05 – 2025-12)

• Audited insurance eligibility and benefits for accuracy.
• Reviewed completed insurance verifications and identified errors.
• Documented errors and audit findings in Excel spreadsheets.
• Reported recurring issues and trends to supervisors.
• Assisted team members with insurance verification questions.
• Maintained HIPAA compliance and patient confidentiality.

Insurance Verification Specialist II at GI Alliance (2021-08 – 2025-05)

• Verified insurance eligibility, benefits, deductibles, copays, coinsurance, and authorization requirements.
• Contacted insurance companies by phone and payer portals.
• Entered insurance benefits accurately into the EMR.
• Communicated patients' financial responsibility before appointments.
• Escalated complex insurance issues as needed.
• Provided excellent customer service.

Front Desk Receptionist at GI Alliance (2019-12 – 2021-08)

• Checked patients in and out.
• Verified demographic and insurance information.
• Scheduled appointments and answered multi-line phone calls.
• Collected copays and updated patient records.
• Maintained HIPAA compliance.

Diploma in Medical Assistant – Everest College (2013)