Darlene Sandoval
Annapolis,MD
Summary
Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Medical Assistance Eligibility Specialist
Anne Arundel County
Annapolis, MD
02.2024 - Current
- Performed a variety of complex duties requiring analytical abilities and extensive computer skills. Knowledge of MCHP/MA4F policies. Responsible for applying MCHP/MA4F rules and regulations in making eligibility determinations within 10-day time frames, and completing verifications on HBX via in-person and telephone. Expected to work at a fast pace with efficiency, organization and accuracy.
Medicaid Case Manager
London Eligibility Inc
Owings Mills, MD
12.2022 - 02.2024
- Screen hospital patients for potential Medicaid/State Public Benefit eligibility.
- Complete and submit applications to the Department of Health or MD Health Connection.
- Educate patients about the Affordable Care Act, including potential eligibility during both open enrollment and in the situation of a life qualifying events. Explain qualified health plans, essential health benefits, differences in plan affordability, premium tax credits, and cost sharing.
- Verify supporting documentation and completion of eligibility determination by the agency.
Phlebotomist
Actalent
Fredrick, MD
01.2022 - 07.2022
- Proficiency in blood collection and performs tasks in timely and accurate manner.
- Interact professionally with physicians and clinic staff to gather relevant information including, billing information and to clarify orders.
- Collecting all appropriate consents including all preauthorization’s and ABNs (Advance Beneficiary Notice) as required.
- Complete administrative duties
- Instructs patients on proper preparation/collection for tests ordered and distributes collection containers when necessary;
- Processes specimens for testing including identifying; sorting; aliquoting; centrifuging and labeling specimens appropriate.
- Packages and prepares specimens for transport while maintaining appropriate specimen temperature for stability.
Logistics Coordinator
IRT Corp
Landover
08.2019 - 09.2021
- Schedule and coordinating the logistics of product moving.
- Trained new employees on logistics procedures, promoting a consistent approach across the team.
- Collaborated with sales and customer service teams to address client concerns and expedite orders when necessary.
- Improved order accuracy through meticulous data entry and verification processes.
Shift Supervisor Trainee
CVS Pharamacy
Maryville, TN
11.2016 - 04.2019
- Oversaw daily shift operations, maintaining high standards of cleanliness, organization, and compliance throughout the facility
- Conducted regular inventory checks to maintain adequate stock levels and minimize waste
- Ensured high-quality product presentation through proper merchandising techniques and adherence to company standards
- Coordinated with other supervisors to ensure smooth operations across all shifts
- Managed cash handling procedures, ensuring accuracy in transactions and minimizing discrepancies
- Managed unloading operations for delivery truck
- Oversaw returns and complied with disposal guidelines.
Education
Certified Phlebotomy Certification -
National Healthcareer Association
12.2021
GED - undefined
Tennessee Workforce and Development
Friendsville, TN07.2019
Skills
- Insurance Verification
- Customer Service
- Medicaid
- Data entry
- Telephone etiquette
- Public assistance
- Teamwork and collaboration
- Documentation and reporting
- Quality Control
- Processes and Procedures
LANGUAGES
Spanish
English
Certification
- Excellent Customer Service Certification
- Leadership 1&2 Certification
- CPR Certification
Timeline
Medical Assistance Eligibility Specialist
Anne Arundel County
02.2024 - Current
Medicaid Case Manager
London Eligibility Inc
12.2022 - 02.2024
Phlebotomist
Actalent
01.2022 - 07.2022
Logistics Coordinator
IRT Corp
08.2019 - 09.2021
Shift Supervisor Trainee
CVS Pharamacy
11.2016 - 04.2019
GED - undefined
Tennessee Workforce and Development
Certified Phlebotomy Certification -
National Healthcareer Association