A position in which my effort and customer service experience will add value to operations.
Overview
8
8
years of professional experience
Work History
Engagement Specialist
Partners In Care Foundation
San Fernando, CA
11.2022 - Current
Engage in completing a health and social assessment. while communicating linguistically appropriately, considering cultural, language, and educational backgrounds, as well as considering factors such as housing status and patient ability levels.
Providing accurate data entry for eligibility programs.
Maintain detailed records and documentation.
Align members of all populations to social determinants of health
Membership Accounting Representative I
Health Net of California
01.2020 - Current
Under direct supervision job tasks consist of allocating payments, reconcile and audit assigned individual and employer group accounts
Conducted outbound calls to members in order to communicate and verify important payment information.
Appropriately documented all incoming correspondence and forwarded important documents to corresponding Departments ensuring a thorough and organized record-keeping process.
Processed all incoming payments for commercial and non commercial members. Analyzed and updated members account information.
Eligibility Representative I
Health Net of California
06.2019 - 12.2019
Verify Health Net members eligibility with other health insurance carriers through various systems and outbound calls.
Assisted in reducing lapses in care by conducting in-reach to patients who may have lost healthcare coverage
Verify accuracy of entered data against source documents
Provider Payment Specialist
CHILD CARE RESOURCE CENTER
07.2016 - 02.2018
Analyze, review and process child care provider payments, including the processing and tracking of adjustments into the payment database
Includes processing monthly workload for open positions
Perform a complete review of the submitted attendance record prior to processing payment
Includes notification to case management when inconsistencies are found in the usage of child care
Verify attendance record information with providers when necessary
Provide support and technical assistance to providers and other agency staff via e-mail, in person, or over the phone, while documenting all interactions
Issue Provider Pay Cards
Offer technical assistance to agency departments
Request information from other agency departments (Accounting, Provider Support, R&R, etc...)
Submit reports to management as assigned.
Education
Child Development
Los Angeles Mission College
Sylmar, CA
Skills
Fluency in English and Spanish
Excellent verbal and written communication skills
Strong analytical skills with the ability to collect, organize and analyze information with attention to detail and accuracy