Guadalupe Enriquez
Placerville,US
Summary
Experienced with patient support and healthcare navigation. Utilizes communication and problem-solving skills to advocate for patient needs. Track record of effective collaboration and resolving patient concerns swiftly and empathetically.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Patient Advocate
El Dorado Community Health Centers
08.2023 - Current
- Coordinates referrals to pro-bono specialty care services in a timely manner to ensure appropriate referrals based on individual patient needs and insurance coverage.
- SARB Board Member: School Attendance Review Board/ El Dorado County Office of Education.
- Identifies client social support needs to help eliminate the social determinants that are
a barrier to good health outcome.
- Provide sliding fee discount application assistance and enrollment to determining eligibility to the Center’s sliding fee discount
program. Manages the sliding fee renewal process.
- Collaborated with education and social services professionals to develop appropriate agency services for students and families.
- Provides outreach, education and
determines eligibility for Affordable Care Act (ACA) specifically Covered California ™ and
the Path to Health/CMSP and Connect to Care/CMSP program and Medi-Cal.
MEDICAL REFERRAL COORDINATOR
El Dorado Community Health Centers
04.2021 - 08.2023
- Assisted with the development of protocols for managing referrals across all departments within the organization.
- Resolved issues related to patient access, insurance coverage, and other barriers quickly and efficiently.
- Obtaining Prior authorizations for referrals. Prioritized tasks based on urgency in order to meet departmental goals and deadlines.
- Assisted with coordination of patient care between primary care physician, specialist and and or facility.
- Efficiently managed a high volume of incoming calls while providing quality customer service.
- Developed extensive knowledge of insurance policies and procedures to ensure accurate prior authorization completion.
- Managed incoming calls regarding referrals in a professional manner while providing accurate information.
MEDICAL FRONT OFFICE RECEPTIONIST
El Dorado Community Health Centers
08.2017 - 04.2021
- Greeting Patients entering the Office by acknowledging them immediately.
- Team player checking patients in and out, scheduling appointments, and answering multiple phone lines.
- Excellent customer service and verbal communication skills (Bilingual).
- Assisted with check-in and check-out procedures including verifying insurance coverage, collecting payments and updating records.
- Utilized electronic medical record system to enter, update and maintain accurate patient data.
- Verified patient eligibility for services by calling insurance companies or obtaining online authorization prior to appointment.
- Prepared daily bank deposits according to established policies and procedures.
Education
CHW Cohort 5 Northern San Joaquin Valley Training Program
09-2025
High School Diploma -
El Dorado High School
Placerville, CA05-2012
Skills
- Bilingual
- Respectful
- Punctual
- Excellent Communication
- Quick learner
- Pre- Authorizations
- Medical Terminology
Certification
IHP Coach Level 1
- has successfully completed training program for the Integrative Health Practitioner Level 1 Certification. [IHP Coach], Integrative Health Practitioner Institute. Graduated 11/2023
Timeline
Patient Advocate
El Dorado Community Health Centers
08.2023 - Current
MEDICAL REFERRAL COORDINATOR
El Dorado Community Health Centers
04.2021 - 08.2023
MEDICAL FRONT OFFICE RECEPTIONIST
El Dorado Community Health Centers
08.2017 - 04.2021
CHW Cohort 5 Northern San Joaquin Valley Training Program
High School Diploma -
El Dorado High School
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