Jasmine Aileen Rizo Ornelas

• Answered multiple phone calls from national brokers - in regards to broker certification status, application submittals, enrollments, plan benefits, Medicaid and Medicare eligibility status, accomplishing the goal of firstcall resolution
• Educate brokers on plan benefits in the markets as well as Molina brokers portal and sites for brokers
• Made sure CMS requirements were being met in the aforementioned process

Answered incoming calls from members inquiring about health plan, benefits and medical coverage. Resolving members complaints and concerns. Coordinated benefits with other insurance carriers. Assisted member initiating claim appeals and grievances.

Prepared meals, snacks and refreshments for child according to dietary needs and restrictions. Communicated with parents about daily activities and any concerning behaviors. Balanced schedules to promote optimal rest, play and educational periods.

Scanned and sorted packages according to destinations and service type using handheld scanner. Resolved conveyor system issues by clearing jams and blockages. Examined and inspected containers, materials and products to meet packing specifications.

Preparing and feeding meals to the recipent, Accompanied the recipent to the grocery store, post office and doctor's appointments, and Maintained a clean, healthy, safe environment

Greet incoming patients, phone scheduling, data entry, submission of medical claims. Perform visual acuity to patients. Customer care advocate which includes; listening to any patient or customer complaint, taking steps to elicit necessary change to avoid future issues.

Process, prepare and verify all inbound and outbound shipment documents. Supervise dispatching of goods to customers at their designated addresses.

Post and reconcile insurance and patient payments. Research and resolve incorrect payments, EOB rejections, and other issues with outstanding accounts.

Contacted insurance providers to verify insurance information and obtain billing authorization.

Coordinated communications between patients, billing personnel and insurance carriers.

Collected, posted and managed patient account payments.

Managed all payments processing, invoicing and collections tasks.