Andrea Gonzalez

Certified AHCCCS Community Assistor for Hospital

• Assist uninsured patients with applying for AHCCCS
• Verify household eligibility with income and dependents
• Assist with submitting any requested information for determination of applications
• Work with Case Management to get patients who qualify on AHCCCS
• Discuss referrals to Market Place if income is exceeded for AHCCCS program
• Discuss billing concerns, payment plans and discounts with patients
• Call patients for insurance status
• Update accounts with eligible and effective insurance
• Collect payments via cash, check or CC by phone and in-person
• Reconciled daily payments received and prepared deposits for smooth office finances.
• Discuss qualification of payment plans and financial programs with patients
• Educated patients on available financial assistance programs, guiding them through application processes when needed.
• Managed sensitive patient information with utmost discretion, adhering to all HIPAA guidelines.
• Provided compassionate assistance to financially challenged patients, identifying potential sources of funding or discounts when applicable.
• Provided excellent customer service to patients and medical staff.
• Verified patient insurance eligibility and entered patient information into system.

• Daily Alpha split M-Z/Commercial and Medicaid
• Billed UB -04 and CMS 1500 to insurances by mail and electronically
• Printed, boxed, and mailed Medical Records and EOBs upon request
• Corrected and re-billed claims manually
• Performed daily tasks in timely manner

• Greet patients for registration and discharge
• Verify/update demographics
• Scan ID and insurance cards into account
• Get patient signature for all forms needed for services
• Check patient admission charts
• Make sure demographics are updated
• Check that insurance is listed under correct financial class
• Verify insurance eligibility and benefits for AHCCCS, Commercial and Medicare patients
• Call/fax insurances for authorizations
• Collect copays and deductibles
• Post charges to accounts
• Carry on call phone on designated weeks
• Cover and/or find coverage as needed for ER and Main Admitting departments
• Assist colleagues who call the on call phone with registration process or insurance listings and any other questions or concerns regarding patient care
• Assist with self pay patients
• Verify patient does not have insurance and offer AHCCCS Application for AZ Medicaid
• If patient knows will not be eligible then will offer Financial Assistance Application
• Follow up on accounts with pending authorizations

• Managed 30+ calls from customers with lave of absence questions
• Creating paid and unpaid Leaves for employees of clients
• Providing details of leave benefits to employees
• Answering all questions regarding leave options

• Greeting and seating 50+ guests daily
• Taking money to main cage for change
• Filling drinks
• Clearing and cleaning tables
• Kept server areas cleaned and stocked

• Managed approximately 30 incoming calls and placing orders for prescription drugs
• Accepted payments by phone with Credit Card info or check by phone
• Assisted members with Insurance coverage
• HIPAA Verifications on all accounts

• Worked well in team setting, providing support and guidance.
• Empowered team members by delegating responsibilities according to individual strengths and areas of expertise.
• Established open and professional relationships with team members to achieve quick resolutions for various issues.
• Maintained overall safe work environment with employee training programs and enforcement of safety procedures.
• Collaborated with other department leaders to establish shared goals and ensure alignment across teams.
• Collected, arranged, and input information into database system.
• Worked effectively in fast-paced environments.
• Excellent communication skills, both verbal and written.

• Supported office staff and operational requirements with administrative tasks.
• Supported healthcare providers with timely completion of necessary documentation, allowing them to focus on quality patient care.
• Managed incoming phone calls efficiently, directing callers to appropriate personnel while providing courteous service at all times.
• Demonstrated proficiency in various medical software programs, adeptly adapting to new technology as required for optimal job performance.
• Received, recorded and filed medical payments by check, cash, and credit card.
• Prepared patient charts by gathering and organizing medical records ahead of appointments.
• Reconciled daily payments received and prepared deposits for smooth office finances.
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• Managed 20+ calls daily for orders
• Maintain food quality and department cleanliness
• Ensure customer satisfaction
• Placed and completed 30+ Bakery and Deli orders
• Display setting
• Inventory control

• Provided childcare services for 4-5 children daily
• Transportation to and from school/appointments
• Maintain clean and healthy environment
• Introduced children to educational games and activities to boost learning.
• Prepared healthy foods and beverages for children based on optimal dietary guidelines and individual restrictions.
• Ensured child safety through vigilant supervision, maintaining proper ratios during indoor and outdoor activities.
• Helped children develop motor skills in preparation for preschool and kindergarten.
• Assisted children in developing fine motor skills through play-based learning activities such as puzzles and stacking blocks.

• Worked well in team setting, providing support and guidance.
• Created positive environment in workplace
• Worked with employees during busy times
• Trained new employees and delegated daily tasks and responsibilities.
• Managed cash handling procedures, maintaining accuracy in financial transactions and minimizing discrepancies in daily reconciliations.
• Collaborated with other leaders and executives to direct workflow and support operations.
• Responded to and resolved customer questions and concerns.
• Enforced company policies and regulations with employees.
• Completed store opening and closing procedures and balanced tills.
• Monitored staff compliance with health codes, ensuring high standards of cleanliness throughout the facility consistently met or exceeded expectations.
• Helped store management meet standards of service and quality in daily operations.
• Completed cash and credit card transactions accurately using POS software.
• Supervised ongoing daily production phases.
• Maintained workplace safety by enforcing strict adherence to company policies and industry regulations.
• Conducted routine inspections to check quality and compliance with established specifications.