Camille Gallardo
Tracy,CA
Summary
Demonstrative Eligibility Specialist proudly assisting others with enrollment and program services. Promoting issue resolution expertise in fast-paced environments. Reliable professional offering an extensive career promoting positive customer experiences.
Overview
3
3
years of professional experience
Work History
Eligibility Specialist
Dmc Insurance Administrators
Pleasanton, CA
05.2023 - 04.2024
- Collaborated with other departments within the organization to ensure accurate processing of applications.
- Reviewed applications for eligibility and determined whether applicants met the criteria to receive benefits.
- Maintained comprehensive knowledge of program regulations, policies, and procedures.
- Processed client applications in accordance with established guidelines.
- Verified applicant's identity and other relevant documents such as birth certificates or Social Security cards.
- Communicated regularly with clients regarding their application status or changes in policies or procedures that may affect them.
- Researched case histories, court decisions, legal articles, statutes, codes, and other data pertinent to determination of eligibility.
- Entered client information and files into databases for further review and tracking.
- Performed careful reviews of applicant data to ascertain compliance with eligibility criteria for economic assistance.
- Managed intake of new claims and performed routine follow-ups.
- Responded to client inquiries and concerns and escalated complex problems to department supervisors.
- Maintained confidential patient documentation to prevent data compromise and comply with HIPAA regulations.
- Granted, modified, denied, or terminated assistance based on key information and eligibility determination.
- Processed retro contributions and month end balance to reconcile retro active health benefits
Service Coordinator
Diablo Plumbing
Pleasanton, CA
05.2021 - 07.2023
- Handle contract signing, approved quotes, setting and confirming commerical vendors and large project and appointments
- Directly coordinated with internal and external vendor's ro deliver multiple services and served as a central point of contact during the duration of the projects
- Established new accounts and service existing accounts maintaining professional relationships
- Managed a schedules of 14 field technicians to keep shifts properly staffed
- Completed timely changes, reroutes, and updates in central scheduling system
- Managing service calls and ensuring assigned technicians are turning in service reports, credit card receipts, and completing monthly vehicles inspection reports
- Received parts from warehouse and matching parts invoices with purchase order and packing slip
- Manages and maintains daily large deposits, and accounts receivable
Education
Granada High School
Livermore, CA06.2015
Skills
- Community Resource Expertise
- Status Meetings
- Program Follow-Up and Assessment
- Ongoing Client Support
- Bilingual in English and Spanish
- Apply my strong written and verbal communications skills as well as my research and analytical thinking
- Broad experience including accounting, accounts receivable, invoicing, dispatching, data base management, vendor negotiation and contract management
- Client and vendor relations
- Effective multitasking
- Attention to detail, accuracy and independent follow through
Timeline
Eligibility Specialist
Dmc Insurance Administrators
05.2023 - 04.2024
Service Coordinator
Diablo Plumbing
05.2021 - 07.2023
Granada High School
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