Hi, I’m
Carla Mejia
Brooklyn,NY
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skillset. Recognized for unique blend of competencies: efficiency, multi-tasking and professionalism.
Overview
18
years of professional experience
Work History
Human Resources AdministrationBrooklyn , NY
Eligibility Specialist II
07.2017 - PRESENT
Job overview
- Receives reviews documents submitted by clients/ applicants following agency guidelines, to determine eligibility for Medicaid programs.
- Authorizes statistical/ financial changes in assistance/budgets by reviewing information provided by clients to ensure that agency/ eligibility requirements are met
- Reviewed applications for eligibility and determined whether applicants met the criteria to receive benefits.
- Maintained comprehensive knowledge of program regulations, policies, and procedures.
- Analyzed financial information provided by applicants to verify income levels.
- Ensured compliance with all applicable laws and regulations governing benefit programs.
- Attended regular training sessions to stay up-to-date on new rules and regulations.
- 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.
- Explained eligibility details and affordability options to patients with kindness and respect.
NYU Lutheran Medical CenterBrooklyn, NY
Senior Patient Associate Coordinator
04.2011 - 07.2017
Job overview
- Primarily responsible for obtaining authorization from patient insurance for inpatient and outpatient procedures, radiology procedures and test and also for medication.
- Conducted interviews with patients to paticipate in a sliding fee program for undocument patients to potentially receive medical care including general and specialist visits, various test, medication and medical procedures to assist ameliorate their circumstances.
- Participated in weekly team meetings to discuss progress on assigned tasks.
- Responsible for entering data in accurate manner to update patient benefit information in the epic insurance system and verify that existing information is accurate.
- Handled variety of administrative function including pre-certifications, authorization for procedures and testing.
St Vincent HospitalNew York, NY
Senior Registration Clerk
06.1999 - 03.2010
Job overview
- Supervised all aspects of daily operations including staffing levels, scheduling, workflow optimization.
- Resolved conflicts between patients and staff members in a timely manner.
- Ensured accurate and timely completion of registration processes for patients.
- Primarily responsible for providing comprehensive support to multi practice physicians.
- Conducted patient intake screening including patients interviews to obtain demographic information, insurance verification/authorization. prepare patient's chart for billing, completed requested forms and obtain signatures.
- Prepare and registered patients as they arrived to see their particular doctors as scheduled.
- Delegated work to staff, setting priorities and goals.
- Maintained visitor logs and ensured all visitors had proper identification badges.
Education
Corozal Community College Belize, CA
Associate of Arts from Business Administrations
Job Security Fund Brooklyn, NY
from Professional Development Training
University Overview
- Interview preparation, resume development, computer skills and "soft skill" training: effective communication, active listening, conflict resolution, cultural competency, and new development in healthcare field, including HCAHPS and the Affordable Care Act.
Skills
- Bi-lingual in spanish
- Telephone Etiquette
- Recordkeeping and Data Input
- Data Entry
- Application Review
- Eligibility Determination
Timeline
Eligibility Specialist II
Human Resources Administration
07.2017 - PRESENT
Senior Patient Associate Coordinator
NYU Lutheran Medical Center
04.2011 - 07.2017
Senior Registration Clerk
St Vincent Hospital
06.1999 - 03.2010
Corozal Community College
Associate of Arts from Business Administrations
Job Security Fund
from Professional Development Training
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