Gloria De Vaca
Salt Lake City,UT
Summary
- Diligent Eligibility Specialist with over 20 years of experience. Currently managing a Medicaid-only caseload at an Outreach location and managing two sites, applying policies and procedures. Educate clients on programs, rights, and responsibilities. Communicate and educate health providers on programs and policies. Known for communicating clearly and concisely in a professional and compassionate manner with the public and healthcare personnel. Great ability for multitasking. Ability to work in a team or independently, with little or no supervision. Knowledge of software applications. Highly organized, fast learner, and hardworking with a strong attention to detail.
Overview
32
32
years of professional experience
Work History
Eligibility Specialist
State Of Utah DWS
Salt Lake City, Utah
09.2006 - Current
- Maintain a caseload with use of applications programs: eRep, Content Navigator, eVerifs, AVS
- Conduct interviews to determine Medicaid eligibility
- Organize, monitor, prioritize assigned cases
- Apply program regulations, policies, and procedures
- Request, gather documentation
- Make referrals to proper Department when needed
- Contact agencies/employers to verify/clarify information
- Take calls and respond to clients and healthcare professionals questions, concerns and inquiries
- Advise clients on sanctions
Eligibility Worker
LA County Department Of Public Social Services
Los Angeles, California
07.1998 - 08.2006
- Maintain a caseload
- Conducted interviews with applicants to determine their eligibility for SNAP, Medicaid, Financial Assistance, Child Care
- Reviewed applications and documents to determine eligibility
- Apply program regulations, policies, and procedures
- Process benefits in a timely manner
- Educate participants with program benefits
- Responded to client inquiries and concerns
- Refer clients to proper County Departments
Customer Service Clerk
PHF WIC Program
Los Angeles, CA
08.1992 - 06.1998
- Greet participants
- Screen for program eligibility
- Educated customers in selecting appropriate products or services to meet their needs
- Present healthy food presentations
- File paperwork
- Print vouchers
Education
Certified Fingerprint Classification - Science
East Los Angeles College
Monterey Park, CA05-2000
Associate of Arts - Social Studies Education
East Los Angeles College
Monterey Park, CA05-1999
Some College (No Degree) - Social Work
California State University - Los Angeles
Los Angeles, CASkills
- Knowledge of medical programs eligibility, medicaid policy, apply policy, rules and regulations
- Ability to understand and analyze complex written material, policy, procedures
- strong research skills
- Can work independently without or limited supervision, abiliyt to collaborate with staff member and professionals
- Ability to communicate and speak clearly and concisely
- eRep, eVerifs, AVS, and Content Navigator knowledge and experience
- knowledge of Word,Excel and Powerpoint
- Professional, strong interpersonal, communication and presentation skills
- Great time management, reliable, organized
- Strong work ethic, teamplayer
- Gather and analyze information
- Communicate and speak clearly and concisely
- Bilingual English/Spanish
Awards/Recognition
- Winner Employee spotlight, December 2022
- 100% accuracy 2020, 90% or higher 2021-2023
Timeline
Eligibility Specialist
State Of Utah DWS
09.2006 - Current
Eligibility Worker
LA County Department Of Public Social Services
07.1998 - 08.2006
Customer Service Clerk
PHF WIC Program
08.1992 - 06.1998
Certified Fingerprint Classification - Science
East Los Angeles College
Associate of Arts - Social Studies Education
East Los Angeles College
Some College (No Degree) - Social Work
California State University - Los Angeles
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