Jessica Estevez

Detail-oriented Benefits Specialist with 5+ years of experience in healthcare administration, intake coordination, and specialized insurance verification. Expert in navigating complex health insurance eligibility, including in-network/out-of-network coverage, pre-authorization requirements, and coordination of benefits (COB). Deep experience utilizing AdvancedMD and athenahealth across major commercial and government payers (Aetna, Cigna, BCBS, Medicare, Medicaid).

Trusted to independently manage all out-of-state benefit verifications while maintaining accuracy, absolute HIPAA compliance, and a high level of customer service.

Benefits Specialist at Foresight Mental Health (2024-06 – Present)

• Execute high-volume health insurance benefit verifications, confirming eligibility, patient copays, deductibles, and out-of-pocket maximums.
• Independently manage all complex out-of-state benefit verifications, serving as the primary corporate resource for nationwide payer research and guideline interpretation.
• Utilize AdvancedMD and athenahealth electronic health record (EHR) systems to process real-time eligibility checks and maintain zero-error documentation.
• Navigate major web-based payer portals and clearinghouses to verify in-network and out-of-network coverage details.
• Identify and secure strict pre-authorization and prior-authorization requirements to accelerate clinical intake and eliminate downstream claim denials.
• Partner closely with scheduling, intake, and medical billing departments to clarify patient financial expectations prior to service delivery.
• Maintain absolute compliance with HIPAA regulations and data security protocols when handling sensitive patient health and financial information.

Senior Intake Specialist at Foresight Mental Health (2022-04 – 2024-06)

• Directed scheduling and intake pipelines utilizing digital platforms including Zocdoc, optimizing patient placement and scheduling efficiency.
• Spearheaded administrative expansion as operations scaled from regional California markets to a nationwide footprint, managing multi-state coordination.
• Managed high volumes of patient inquiries and registration workflows while maintaining exceptional accuracy, compliance, and consumer satisfaction scores.
• Coordinated cross-departmentally with clinical teams and financial clearance staff to streamline patient access and resolve scheduling bottlenecks.

Intake Specialist at Foresight Mental Health (2021-08 – 2022-04)

• Served as the initial point of contact for new patients, facilitating a compassionate, organized, and professional intake experience.
• Verified initial insurance coverage and baseline benefits for incoming patients to support accurate upfront administrative documentation.
• Monitored and audited patient demographic data within EMR systems to ensure data integrity for future billing cycles.
• Managed heavy phone queues and administrative tasks under strict productivity timelines while adhering to strict HIPAA privacy guidelines.

Lead Teacher at Cranium Academy (2021-01 – 2022-08)

• Managed daily classroom activities and created structured learning environments focused on student development.
• Collaborated with parents and administrative staff to deliver progress updates and resolve individual student needs.
• Maintained accurate educational records, schedules, and safety-compliant documentation.

Student Concierge at Kaplan Test Prep (2019-10 – 2020-10)

• Handled inbound and outbound customer inquiries in a high-volume call center environment, resolving scheduling and order needs.
• Resolved complex customer service issues with empathy, professionalism, and targeted problem-solving.
• Consistently achieved individual and team performance metrics for service quality and customer satisfaction.

Bachelor of Fine Arts – Georgia State University