Delmy Mazariegos
Los Angeles,CA
Summary
To find employment in a productive environment with the opportunity to grow professionally and personally.
Overview
25
25
years of professional experience
Work History
Patient Financial Services Control Worker
Los Angeles County Department Of Health Services
03.2023 - Current
- Review completed applications for medical assistance programs to ensure accuracy relative to patient eligibility requirements, spend down limitations, and computations manually or through CalSAWS.
- Process applications for medical assistance, set up payment plans for cases previously found ineligible, and make recommendations for reimbursement to patients in cases where payment has already been made.
- Contact and interview applicants, recipients, relatives, and others to substantiate information contained in the applications and resolve discrepancies found pertinent to the correct determination of eligibility.
- Analyze, evaluate, and determine the accuracy and completeness of eligibility information.
- Collect data and enter patient information into CalSAWS system as well as other information systems.
- Manage and organize workload to workload to meet legal requirements and deadlines independently.
Patient Financial Services Control Worker
Los Angeles County Department Of Health Services
02.2019 - 02.2023
- Supervise a unit of 6 Patient Financial Services worker.
- Create daily work schedule for unit.
- Provide technical and administrative support to staff.
- Plan, assign, and review work based on staff competency.
- Make and adjust assignments based on complexity of financial eligibility issues or concerns.
- Review case records for completeness, accuracy, consistency, and conformity with applicable laws, regulations, and policies.
- Communicate performance expectations and work behaviors for the assignment and provide feedback to subordinates and support staff withing appropriate timeliness.
- Ensure compliance with Federal, State, and County regulations and program policies and procedures or protocol.
- Review and approve staff's timecards.
- Complete annual Performance Evaluations for staff.
- Conduct weekly meetings to update staff on new implemented policies and procedures.
- Train newly hire staff or staff on new implemented policies and procedures.
Supervising Patient Financial Services Worker I
Los Angeles County Department Of Health Services
04.2018 - 01.2019
- Plan, assign, and review work based on staff competency.
- Improved team morale and productivity through effective communication and active listening skills.
- Enhanced customer satisfaction by addressing concerns promptly and providing exceptional service.
- Review case records for completeness, accuracy, consistency, and conformity with applicable laws, regulations, and policies.
- Communicate performance expectations an work behaviors required for the assignment and provides feedback to subordinates and support staff within appropriate timeliness.
- Ensure compliance with Federal, State, and County regulations.
- Review and approve staff's timecards.
- Complete staff's Annual Performance evaluations.
- Train staff or newly hires on new implemented policies and regulations.
Paitient Financial Services Worker
Los Angeles County Department Of Health Services
10.2013 - 03.2018
- Assist patients or their relatives in making assignments for Medi-Cal benefits by completing standardized forms based upon data acquired.
- Interview patients or their relatives to obtain financial, and other eligibility data.
- Determine patients eligibility to enroll in specific health care programs based upon diagnosis, available medical information, type of medical/clinical services rendered, and residency status.
- Enter and access data by utilizing various local and web-based information systems and data basis to determine patients' financial liability.
- Evaluate financial data and resources to determine the patients' ability to reimburse the County for medical and/or mental health care consistent with department policy.
- Verify existing governmental coverage for medical and/or mental health care and screen for patient's potential eligibility to receive Medi-Cal or other health care program benefits.
- Communicate with patients to explain County Policies and obtain, verify, or clarify information required to complete standardized billing forms.
- Process applications for a variety of reduced cost health care programs like Hospital Presumptive Eligibility, ATP, and Medi-Cal.
Eligibility Worker
Department Of Public Social Services
09.2003 - 09.2013
- Interview applicant or participant receiving Public Assistance to obtain financial and other eligibility data.
- Assist applicants or participants in completing the necessary documents for the initiation, continuation, or modification of benefits.
- Analyze available information and make appropriate disposition recommendations.
- Organize, monitor, and prioritize assigned cases to ensure required case records and documents are properly filed, processed, verified and update within specific time limits to meet the deadlines established by legislation and regulation.
- Initiate initial intake interview for Medi-Cal and Calfresh program to determine eligibility according to policy and procedure.
- Handling of special assignment for special cases Low-Income-Subsidized Program to determine eligibility according to policy and procedure.
- Lead worker for Medi-Cal approved unit.
Teacher Assistant
Los Angeles Unified School District, LAUSD
05.1999 - 09.2003
- Enhanced student comprehension by utilizing visual aids and hands-on activities during lessons.
- Assisted teachers in preparing instructional materials, ensuring alignment with curriculum objectives.
- Promoted a positive learning environment by effectively managing classroom behavior and addressing individual needs.
- Contributed to increased student success by providing one-on-one support for struggling learners.
- Distributed textbooks for students throughout the academic year.
- Supervise students during recess and lunch time.
Education
Associate of Arts - Liberal Arts
Los Angeles City College
Los Angeles, CA06.2004
High School Diploma -
Manual Arts Senior High School
Los Angeles, CA06.1998
Skills
- Top Alumni
- Team STEPPS Alumni
Languages
Spanish
Native or Bilingual
Timeline
Patient Financial Services Control Worker
Los Angeles County Department Of Health Services
03.2023 - Current
Patient Financial Services Control Worker
Los Angeles County Department Of Health Services
02.2019 - 02.2023
Supervising Patient Financial Services Worker I
Los Angeles County Department Of Health Services
04.2018 - 01.2019
Paitient Financial Services Worker
Los Angeles County Department Of Health Services
10.2013 - 03.2018
Eligibility Worker
Department Of Public Social Services
09.2003 - 09.2013
Teacher Assistant
Los Angeles Unified School District, LAUSD
05.1999 - 09.2003
Associate of Arts - Liberal Arts
Los Angeles City College
High School Diploma -
Manual Arts Senior High School
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