Summary
Overview
Work History
Education
Skills
References
Languages
Timeline
Generic

GILDALINA GARCIA

Brooklyn,New York

Summary

Twenty two years of experience in public health insurance management and customer service. Diverse professional development, including customer relations and office management procedures. Work effectively under pressure and demonstrate flexibility to meet deadlines

Overview

26
26
years of professional experience

Work History

HASA - Eligibility Specialist Level III

HRA
08.2022 - Current
  • Perform initial assessment and recertification interviews to document mandated information. Conduct thorough interviews to determine continued financial eligibility and the issuance of accurate benefits per agency guidelines. Clearly explain all case actions to participants.
  • Determine initial and continuing eligibility for HASA services by using automated computer systems such as: Welfare Management Systems (WMS), Paperless Office Systems (POS), HASA WEB.
  • Authorize statistical and financial changes in assistance and/ or budgets resulting from valid information.
  • Review pertinent consumer data from HASA databases, State Welfare Systems. Submitted documentation, computer printouts, matches and files, to enter client specific information into systems and process clearances as they develop.
  • Prepare detailed write-ups on case decisions received and prepare all required forms to effect processing for Cash Assistance, Medicaid, and SNAP.
  • Authorize statistical and financial changes in assistance and/ or budgets resulting from valid information received and prepare all required forms to effect processing.
  • Maintain a caseload by managing time effectively including Face-to Face recertification interviews, participants’ appointment schedules, processing paperwork, training, and meetings.
  • Accurately complete Fair Hearing/Aid to Continue compliance and resolutions within prescribed deadlines.
  • Evaluate consumers to verify if they meet the specific mandated requirements for various special grants: rehousing, furniture, clothing, and utility connection fees; for those meeting minimum requirements appropriate procedures are completed

MICSA - Eligibility Specialist Level II

02.2001 - Current
  • Conduct a comprehensive review of applicants including financial and legal documentation, as well as paid or unpaid medical bills submitted by applicants/recipients and authorized representatives
  • Perform budget calculations, obtain clearance reports, resolve resource matches and initiate other case actions utilizing the Eligibility Data and Image Transfer System (EDITS), Welfare Management System (WMS), EMEDNY and the HRA one Viewer
  • Prepare eligibility forms and notices to inform applicants and recipients of case disposition.

Clerical Associate Level III

11.1997 - 02.2001
  • Scheduled medical appointments for firefighters and other personnel
  • Organized psychological exams to be reviewed by department of Health
  • Recorded daily time and leave requests
  • Referred firefighters for medical services
  • Performed general duties in relation to records, files, invoices and reports.

Education

Associate degree in Computer Information System -

NEW YORK CITY TECHNICAL COLLEGE

Skills

  • Telephone Etiquette
  • Effective Communication Skills
  • Applicant Engagement
  • Knowledgeable in [Software]

References

References Furnished Upon Request

Languages

Spanish
Full Professional

Timeline

HASA - Eligibility Specialist Level III

HRA
08.2022 - Current

MICSA - Eligibility Specialist Level II

02.2001 - Current

Clerical Associate Level III

11.1997 - 02.2001

Associate degree in Computer Information System -

NEW YORK CITY TECHNICAL COLLEGE

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GILDALINA GARCIA