Ernesto Meneses
Anaheim,CA
Summary
Diligent Caseworker with background spent assisting individuals and providing effective follow-up. Self-starter promoting over 5 years recommending services and treatment options that help others find relief. Maintains undeniable composure in stressful situations.
Overview
10
10
years of professional experience
Work History
Case Worker
Church World Services, Post Release Services
Los Angeles, CA
07.2022 - Current
- Conduct virtual visits with children and sponsors post-release from federal care
- Conduct child centered needs assessments by video visit and phone call
- Coordinate referrals in relevant service need areas such as legal, education, medical, mental health; Support immigrant children and sponsor with enrollment and access of services in community
- Provide psychoeducation to children and Sponsor on relevant topics
- Monitor the safety and well-being of children including but not limited to indications of trafficking and abuse and neglect
- Network and develop partnerships within the local community to secure access for clients to needed services, in the areas where children reside.
- Made appropriate referrals to other programs and agencies to provide clients with well-rounded support.
Mental Health Coach
New Journeys Behavioral Health
Irvine, CA
03.2023 - 08.2023
- Monitored, evaluated and recorded client progress with respect to treatment goals.
- Encouraged clients to express feelings and discuss happenings in life to help client develop insight into themselves and relationships.
- Promoted independence by assisting and supervising clients while completing daily living activities.
- Assisted clients with conflict resolution strategies and anger management techniques.
- Facilitated weekly group sessions focused on various issues to help groups and individuals.
- Promoted suicide awareness by conducting proactive assessments and implementing interventions.
ABA Therpist
Vivid Minds
Anaheim, CA
09.2022 - 03.2023
- Developed and implemented behavior intervention plans based on ABA principles.
- Provided 1, 1 therapy to individuals with autism spectrum disorder.
- Conducted functional assessments and developed skill acquisition programs for clients.
- Collaborated with teachers, parents, and other professionals to ensure effective implementation of treatment plans.
- Monitored and tracked client progress using data collection systems such as direct observation, running records, frequency counts.
- Maintained accurate documentation of client progress according to agency standards.
- Attended weekly supervision meetings with the clinical supervisor.
TRAVELING CASE WORKER
MVM
San Diego, CA
05.2021 - 08.2022
- Accompanied minors on domestic flights and/or ground transportation to be reunified with their guardians
- Conducted and documented ORR UAC assessments and intakes in accordance with ORR policies and procedures
- Reported significant incidents in accordance with ORR policies and procedures
- Provided case management of the UAC case files and UAC Portal in accordance with ORR policies and procedures
- Followed strict policies and procedures to maintain client confidentiality and keep data private.
- Maintained accurate records of client information in accordance with agency policies and procedures.
COMMUNITY SUPPORT WORKER
Southwest Family Guidance Center & Institute
Albuquerque, NM
11.2020 - 06.2021
- Aided families in crisis situations such as immediate need for shelter, child care, healthcare and by providing proper referrals
- Advocated for clients as needed to resolve problems with TANF and Medicaid
- Participated in internal triage or other planning meetings by preparing and presenting family files and following up to implement agreed upon actions
- Maintained files, logs, charts, and other records as required by agency or funding source
- Conducted virtual assessments of family strengths and needs, developed and implemented service plans, coordinated services among providers
CASE MANAGER
Medassist
Las Vegas, NV
05.2018 - 05.2020
- Reviewed the hospital census or utilize established referral method to identify self-pay patients on a daily basis
- Screened those patients who are in-house and are designated self-pay for state, county and/or Federal eligibility assistance programs
- Coordinated support services and optimized communication between healthcare workers and patients.
- Linked clients with social services, health care providers and governmental agencies to help claim or reclaim individual autonomy.
- Educated clients in all available options for health coverage including those eligible for SSI and SSA benefits
- Identify resources in the local community and in communities where clients reside
- Contribute to the local and national resource directory and ensure it is organized and resources are current
MEDICAL BILLING SPECIALIST
Cordant Health Solutions
Denver, CO
10.2015 - 03.2017
- Oversaw start to finish third-party medical billing, appeals, and record sharing
- Handled patient inquiries and answered questions from clerical staff and insurance companies
- Maintained strictest confidentiality; adhered to all HIPAA guidelines/regulations
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
- Completed appeals and filed and submitted claims.
- Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Performed quality control of data entry system to verify proper posting of claims and payments.
CLIENT SERVICE REPRESENTATIVE
Xerox State Health Care
Albuquerque, NM
11.2014 - 08.2015
- Excelled in interprofessional communication to determine client eligibility
- Aided clients and providers in the claim process from start to finish
- Worked with local and state health agencies to process new applications
- Educated beneficiaries of services and coverages and assisted with appeals, denials, billing issues and service complaints
- Processed applications for welfare recipients
- Talked to recipients about eligibility and guidelines for welfare benefits
MEMBER SERVICES CLAIMS ADJUSTER
United Healthcare
Albuquerque, NM
10.2013 - 10.2014
- Educated members about benefits and plan coverage
- Processed members claims and prescriptions
- Helped to engage with the community with food, clothing, and other goods
- Provided services to members of the UHC community plan
Education
Bachelor of Science - Sociology
GRAND CANYON UNIVERSITY
12.2019
Master of Science - Master's in Social Work
Grand Canyon University
Phoenix, AZSkills
- Multicultural competency
- Proficient in
- Microsoft Word, Excel, PowerPoint, Outlook
- Proficient in ICD-10, CPT, G Codes, HCPCS medical coding
- Leadership skills
- Trainer
- Client Engagement
- Issue Identification and Resolution
- Training and Mentoring
- Staff Management
- Skill Building
- Activities of Daily Living (ADL) Assistance
- Social Services
- Client Advocacy
- Referral Coordination
Languages
Languages
Spanish
Native/ Bilingual
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Mental Health Coach
New Journeys Behavioral Health
03.2023 - 08.2023
ABA Therpist
Vivid Minds
09.2022 - 03.2023
Case Worker
Church World Services, Post Release Services
07.2022 - Current
TRAVELING CASE WORKER
MVM
05.2021 - 08.2022
COMMUNITY SUPPORT WORKER
Southwest Family Guidance Center & Institute
11.2020 - 06.2021
CASE MANAGER
Medassist
05.2018 - 05.2020
MEDICAL BILLING SPECIALIST
Cordant Health Solutions
10.2015 - 03.2017
CLIENT SERVICE REPRESENTATIVE
Xerox State Health Care
11.2014 - 08.2015
MEMBER SERVICES CLAIMS ADJUSTER
United Healthcare
10.2013 - 10.2014
Bachelor of Science - Sociology
GRAND CANYON UNIVERSITY
Master of Science - Master's in Social Work
Grand Canyon University
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