Aracely Benitez
Gwynn Oak,MD
Summary
Accomplished Case Manager with a proven track record at London Eligibility Inc, adept in individualized counseling and case management. Skilled in utilizing MS Office for efficient case documentation and known for exceptional verbal and written communication. Demonstrates empathy and compassion, significantly improving client outcomes through effective eligibility assessment and resource coordination.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Case Manager
London Eligibility Inc
Owings Mills, MD
04.2022 - 10.2024
- Managed caseloads effectively, ensuring timely documentation and reporting.
- Monitored client progress through regular follow-ups and case reviews.
- Educated clients and their families about their rights and available community resources.
- Provided case management services including intake, assessment, crisis intervention, advocacy, referral and monitoring of families.
- Assisted individuals with eligibility for available benefits.
- Conducted initial eligibility screenings for Medicaid applicants.
- Collaborated with other departments within the organization in order to resolve issues relating to Medicaid eligibility requirements.
- Conducted interviews with applicants, explaining benefits process, and which programs were available.
- Proofread documents carefully to check accuracy and completeness of all paperwork.
- Reviewed applications and supporting documents to determine applicant's eligibility for Medicaid benefits.
- Maintained up-to-date knowledge of state and federal regulations pertaining to Medicaid eligibility.
- Updated case management systems with current information regarding client status.
- Assisted individuals with the completion of complex paperwork related to their application process.
Eligibility Specialist
Chase Brexton Health Care Inc.
Baltimore, MD
01.2020 - 09.2021
- Possess exceptional written and oral communication skills to interface with patients and other healthcare workers/providers
- Conduct fee scale and insurance assessments for clients, following procedures and guidelines specific to each program. Set initial service appointments once eligibility has been determined.
- Enroll patients in a Sliding Fee Scale Program that qualify one for Medical, Dental, OB, and Behavior Health care according to family size and income following the Federal Poverty Guidelines
- Utilize documentation through electronic medical records using CPS and EMR network systems
- Complete Social Work Department visit notes explaining all referrals and/or care plans
- Experience with insurance programs and eligibility, social services resources and eligibility, and referral processes for community resources.
- Ability to navigate the Maryland EVS system to verify the client's insurance.
- Ability to successfully work with Excel spreadsheets to maintain and update renewals for sliding fee scales.
- Proven ability to work efficiently and meet deadlines
Dental Patient Service Representative
Chase Brexton Health Care Inc.
01.2019 - 01.2020
- Register patients and verified that patient's record is up to date and accurate
- Enters appropriate changes in CPS/Paterson
- Verifying insurance benefits and eligibility
- Explaining treatment plans
- Answering telephones and scheduling/re-scheduling appointments
- Maintain patients records
- Process referrals
Bilingual Customer Service Representative
Baltimore Medical System Inc.
01.2016 - 01.2019
- Using an electronic scheduling system, schedule patients for office appointments
- Place appointment reminder calls, coordinate appointments with other departments, reschedule appointments as necessary
- Prepare appropriate forms for visits including patient information and consent forms
- Registration, pre-registration process enters high quality patient demographic and financial information
- Verify insurance eligibility for Medicare, Medicaid and commercial via telephone and website
- Collect copays and balance cash logs and submit to billing office
- Scans documents into the electronic health record system
Education
Medical Billing and Coding Diploma -
Fortis Institute
Baltimore, MD01.2011
High School Diploma -
Baltimore County Community College
Baltimore, MD01.2009
Skills
- Patient support
- Individualized counseling
- Utilization review
- Financial support
- Utilization criteria
- Health history documentation
- Case needs assessment
- Vulnerable population awareness
- Case management
- Verbal and written communication
- Empathy and compassion
- Social work
- Patient assessment
- Eligibility assessment
- Multitasking and organization
- Insurance regulations
- MS office
- Case documentation
- Community resources
Certification
- Certified Application Counselor, 01/01/2020, Maryland Health Connection.
- P&C and Life & Health, 01/01/15, State of Maryland.
- Insurance and Coding Specialist Certification, 01/01/12, National Center for Competency Testing.
- Medical Billing and Coding Diploma, 01/01/11, Fortis Institute, Baltimore, MD.
References
Available upon request.
Languages
English
Professional
Spanish
Professional
Timeline
Case Manager
London Eligibility Inc
04.2022 - 10.2024
Eligibility Specialist
Chase Brexton Health Care Inc.
01.2020 - 09.2021
Dental Patient Service Representative
Chase Brexton Health Care Inc.
01.2019 - 01.2020
Bilingual Customer Service Representative
Baltimore Medical System Inc.
01.2016 - 01.2019
Medical Billing and Coding Diploma -
Fortis Institute
High School Diploma -
Baltimore County Community College
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