Aspalites Trannin
South Yarmouth,MA
Summary
Professional with 16 + years of Health Care Support and Financial Counselor/CAC experience. Known for delivering valuable assistance in healthcare application processes and driving positive client outcomes. Strong focus on team collaboration and adaptability to changing needs, with skills in client communication and problem-solving.
Overview
16
16
years of professional experience
Work History
Financial Counselor - Lead Certified App Counselor
Harbor Health Services
03.2009 - Current
- Act as a liaison between the MA Health Connector training team and other CACs within the organization, making sure CACs complete all required mandatory and any ongoing training.
- Responsible for submitting HRSA reports, tracking number of MassHealth /Health Connector applications, renewals, Health Connector enrollments and consumer complaints.
- Assist applicants with Health Connector Assister Portal to create new application and renew existing application.
- Process all required paperwork and enter pertinent information into appropriate system in accordance with program guidelines.
- Assist patients with completing all required documentation for enrollment.
- Provide on-going advocacy between patient and insurer as required.
- Keep track of retro coverage application to maximize reimbursement.
- Provide information to consumers about the full range of Qualified Health Plan (QHP) options and insurance affordability programs, including copay, coinsurance, deductible, out-of-pocket maximum.
- Evaluate patient data and make determination of eligibility for specific insurer(s) program(s), including HSN (Health Safety Net) in accordance with program guidelines.
- Complete Sliding Fee Scale application for services not covered under MH/HSN.
- Collaborate with Case Management and Patient Navigator to expedite the insurance application process for patients with urgent medical needs.
Patient Access Representative
Harbor Health Services
09.2008 - 03.2009
- Enhanced overall patient experience with empathetic communication and thorough explanations of insurance benefits and coverage.
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Processed payments using cash and credit cards, maintaining accurate records of transactions.·
- Prepared medical documents regarding Health Center management policies, healthcare insurance procedures, and patient registering processes, among other topics.
- Explained medical services and healthcare policies to patients and their family members in a comprehensive manner.
Education
Legal Studies - Paralegal Certificate
Cape Cod Community College
West Barnstable, MACertificate Community Health Center Management
Suffolk University Moakley Center/Mass League
Boston, MA07-2011
Medical Interpreter Certificate English/Portuguese
Cape Cod Community College
West Barnstable, MA12-2006
Skills
- Trilingual (Portuguese, English, Spanish)
- Training and mentoring
- Proficiency in Microsoft Office
- Epic Systems, Trizetto, MMIS
- Detail orientation
- Cultural Sensitivity
- Resourcefulness
- Flexibility
- Multitasking ability
Timeline
Financial Counselor - Lead Certified App Counselor
Harbor Health Services
03.2009 - Current
Patient Access Representative
Harbor Health Services
09.2008 - 03.2009
Legal Studies - Paralegal Certificate
Cape Cod Community College
Certificate Community Health Center Management
Suffolk University Moakley Center/Mass League
Medical Interpreter Certificate English/Portuguese
Cape Cod Community College
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