Andrea Parra

• Maintained patient confidence by keeping patient records information confidential.
• Uploaded physician progress notes, history, and physicals into electronic medical records.
• Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
• Created new medical records and retrieved existing medical records by gathering appropriate record folders and contents and assigning and recording new record numbers.

• Assisted patients comprehensively with health insurance inquiries.
• Handled incoming calls to address patient inquiries and provide solutions.
• Resolved patient complaints effectively, ensuring customer satisfaction and retention.

With very much attention to detail and accuracy scan members Medicaid health insurance applications to determine members benefits and eligibility. Verify and process specific documents using different verification systems.

• Responsible for ensuring COVID-19 health safety measures are being adhered to when entering the facilities
• Clearly communicate self-monitoring questions to employees and visitors entering the facilities
• Provide quality customer service excellence
• Greet employees and visitors and make efforts to create a welcoming environment for staff
• Take temperatures of individuals entering the facility using an infrared thermometer
• Track and submit data based on number of employees and visitors
• Assist with other administrative duties as assigned

• Review insurance policy terms to determine whether a particular benefit is covered by insurance
• Keep records of member interactions, recording details of inquiries, complaints, or comments, as well as actions taken
• Check to ensure that appropriate changes were made to resolve member problems
• Assist members on their health insurance benefits, helping them resolve questions and problems regarding billing, utilization, medical claims, and appeals.

• Review records for completeness, accuracy, and compliance with regulations
• Protect the security of medical records to ensure that confidentiality is maintained
• Registered and interacted with patients via telephone in a call center setting, created medical records by entering personal data, such as demographic characteristics, processed and verified health insurance information to ensure proper patient billing prior to scheduled medical consults and appointments.

• Submit and review applications for Massachusetts Medicaid Insurance and ensure that applicants are eligible
• This entails verifying application forms have been filled out correctly and checking the information on the forms for accuracy
• Engaging in a lot of communication with applicants for aid programs
• In addition to fact-checking, acting as an information resource to people who need financial assistance
• Advise on what aid programs may benefit them and then helping them receive that benefit.

• Connector Authority (Health Connector) is an independent public authority serving as the Affordable Care Act (ACA)-compliant marketplace for the Commonwealth
• The organization is charged with providing subsidized and unsubsidized health insurance to individuals and small employers
• The Health Connector also oversees policy development related to health care reform under both state and federal laws, as well as conducting public education and outreach about health care reform and coverage opportunities.