Gissella Montes
Staten Island,NY
Summary
Bilingual, speak fluent Spanish.
Many years of experience in Medical field
Overview
12
12
years of professional experience
1
1
Certification
Work History
Community Outreach Specialist
Upward Health
Staten Island, NY
08.2023 - Current
- Keep complete record of outreach events, activities, and contacts along with the people reached
- Work as a community health worker providing patient navigation services and helping them identifying community needs tracking progress.
- Conduct field visits
HR Recruiter/Field Marketer
Regency Healthcare
Brooklyn, NY
03.2023 - 03.2024
- Obtaining new cases
- Onboarding
- Assessing applicant's knowledge and skills
- Conduct Analysis of Employee Benefits
- Arranging for Training and Development of New Employees
- Conducting and scheduling orientation
- Obtaining contracts with CHHA schools
- Conducting and organizing job fairs
- Following up with applicants
- Scheduling applicants.
Field Recruiter/HR
Preferred Home Care
01.2020 - 03.2023
- Assessing applicant's knowledge and skills
- Conduct Analysis of Employee Benefits
- Arranging for Training and Development of New Employees
- Completing paperwork for new hires
- Follow up with Applicants
- Submit documents to HR
- Collaborating with department managers
- Schedule orientation
- Conducting Interviews
- Job placement for qualified candidates
- Obtaining contracts with CHHA training schools
- Providing flyers in all 5 boroughs
- Onboarding
- Presentations at HHA schools, also conducting job fairs.
Provider Service Advocate/claim specialist
UnitedHealth Group
05.2020 - 02.2023
- Answer inbound provider calls nationwide for subscribers of UHC Florida and Pennsylvania medical insurance plans
- Submit prior authorization for Medical, pharmacy and behavioral
- Answer inbound calls from hospitals, medical practices (medical/surgical and dental) and substance abuse/mental health facilities to answer medical policy insurance inquiries
- Provided up to date benefit quotes stating copay, deductible, coinsurance, and out of pocket values for specific medical procedures
- Researched cpt codes for various medical procedures giving the accurate benefit quote and supporting medical policies that may influence medical claim approval
- Reviewed medical policy bulletins if applicable for providers with claim denials
- Process claims and appeals
- Follow HIPPA requirements
- Documentation review.
HHA Coordinator
Safe Harbor Homecare
09.2020 - 01.2021
- Coordinate schedules for Home health aides
- Coordinating HHA assignments
- Covering Sick Calls/No call/No Shows
- Planning and Organizing Clients with appropriate HHA
- Ensure all cases are covered.
Direct Care Giver
ON YOUR MARK
06.2014 - 01.2021
- Administer Medication
- Escort individuals to clinic
- Escort individuals to recreation
- Assist individuals with daily needs
- Assist with feeding.
Medical Clerk
Premier OBGYN
06.2019 - 07.2020
- Checking patients in
- Billing
- Prior Authorizations
- Insurance Eligibility
- Disability forms
- Disability letters
- Vitals
- Answer phones
- Schedule Appointments
- Release Medical Records.
Coordinator
Home Care Solution
12.2018 - 01.2020
- On call coordinator
- Recruitment
- Staff Cases
- Authorizations
- Resumption of Services
- Counsel Aides
- Entering POC's.
Staffing Coordinator
Centers Plan For Healthy Living
Staten Island, NY
06.2017 - 03.2019
- Care Coordinator
- Schedule Nurses Daily
- Answer Phones
- Assist with Billing
- Assist with Insurance policies
- Inform Members of available Benefits
- Schedule Appointments for members
- Schedule Supplies Pick Up and Delivery
- Update Members File
- Staffing cases.
Medical Receptionist
Doctor Nair pain management
07.2016 - 07.2017
- Answering Phones
- Making Appointments
- Assisting Patients with Co-pay
- Assisting Doctor
- Rescheduling Appointments.
Youth Worker
Project Hospitality
11.2014 - 03.2017
- Intake
- Discharge
- Supervise Residents
- Assist Residents with housing
- Advocate for Residents.
Direct Care Giver
Cerebral Palsy Association
02.2012 - 02.2014
- Assist individuals with daily needs
- Assist with feeding
- Assist Youth with Daily needs
- Assist with Feeding Tube.
Education
High SchoolDiploma -
Kingsborough Community College of The City University of New York
Brooklyn, NYSkills
- HHA Certified Feb2007
- AMAP certified
- Bilingual-English and Spanish
- Literate in Microsoft Word
- Literate in Outlook and Excel
- Literate in HHA Exchange
- Anatomy Knowledge
- EMR Systems
- Medical Office Experience
- Medical Receptionist
- Medication Administration
- Physiology Knowledge
- Tube Feeding
- 30-60 wpm
- Medical Terminology
- Patient Care
- Vital Signs
- Medical Records
- Transcription
- ICD-10
- Medical billing
- Medical scheduling
- Microsoft Office
- Employee Orientation
- Insurance Verification
- Clerical Experience
- HIPAA
- ICD-9
- Medical Coding
- Time management
- Microsoft Excel
- Leadership
- Recruiting (2 years)
- HHA exchange (3 years)
- ATS
- Microsoft Word
- ICD Coding
- CPT Coding
- Documentation Review
- Phone Etiquette
Certification
- CNA
- CPR Certification
- First Aid Certification
Languages
Spanish
Full Professional
Timeline
Community Outreach Specialist
Upward Health
08.2023 - Current
HR Recruiter/Field Marketer
Regency Healthcare
03.2023 - 03.2024
HHA Coordinator
Safe Harbor Homecare
09.2020 - 01.2021
Provider Service Advocate/claim specialist
UnitedHealth Group
05.2020 - 02.2023
Field Recruiter/HR
Preferred Home Care
01.2020 - 03.2023
Medical Clerk
Premier OBGYN
06.2019 - 07.2020
Coordinator
Home Care Solution
12.2018 - 01.2020
Staffing Coordinator
Centers Plan For Healthy Living
06.2017 - 03.2019
Medical Receptionist
Doctor Nair pain management
07.2016 - 07.2017
Youth Worker
Project Hospitality
11.2014 - 03.2017
Direct Care Giver
ON YOUR MARK
06.2014 - 01.2021
Direct Care Giver
Cerebral Palsy Association
02.2012 - 02.2014
High SchoolDiploma -
Kingsborough Community College of The City University of New York