Jennifer Miranda
La Care Health Plan
Los Angeles,CA
14
years of professional experience
Knowledgeable Enrollment Specialist with proven track record in managing health services operations and enhancing patient care processes. Recognized for implementing effective coordination strategies that streamline service delivery and improve patient satisfaction. Demonstrated proficiency in team collaboration and problem-solving to address complex healthcare challenges.
Work History
Behavioral Health Services Coordinator II
3 Years 2 Months- Assist members with intakes for ABA services for members under 21 y/o
- Documented member interactions and care coordination in CCA to ensure comprehensive service delivery
- Supplied eligible members with a list of ABA providers to facilitate access to necessary services
- Assist members and providers in checking referral status for ABA services in Synergy (approval/denials)
- Requested Termination Reports from ABA providers for Continuity of Care
- Documented all activities I had with members in CCA
- Maintained a detailed spreadsheet to track daily tasks
- Supported members in securing autism spectrum disorder services and additional therapy options.
Certified Enrollment Counselor
1 Year 7 Months- Facilitated changes to primary care providers for patients to ensure proper healthcare access.
- Facilitated patient applications for medical programs including Medical, Covered CA, MHLA, and IHSS, ensuring accurate and up-to-date client records in eClinicalWorks system.
- Followed up on enrollment applications for status on approvals
- Tracked enrollment applications and communicated status updates to patients, enhancing transparency in the enrollment process.
- Guided Medicare patients in understanding their plans and coordinated referrals to agents for further enrollment assistance.
- Two months before their release date, assisted inmates in the California Department of Corrections and Rehabilitation Program (CDCR) and the Community Reentry Program (MCRP) applied for Medi-Cal, GR, and CalFresh.
- Assisted patients enrolled in the Mental Health Department applying for medical benefits through the Benefits Cal Portal and Covered CA.
- Participated in outreach events to raise awareness of clinic services and engage the community.
- Assist patients with troubleshooting medical applications by calling DPSS.
- Attended outreach events promoting clinic services
Enrollment Specialist
5 Years 3 Months- Screened clients for eligibility and assisted with enrollment/re-enrollment in Covered CA, Medi-Cal, CalFresh, CalWORKs, Medicare, MHLA, Ryan White, and ADAP/OA-HIPP, along with accessing Public Benefits.
- Followed up on troubleshooting enrollment and re-enrollment applications to resolve client issues.
- Conducted comprehensive benefits and qualified health insurance assessments for clients while maintaining and updating records in EClinicalWorks, responding to inquiries regarding eligibility for qualified health plans and Public Benefits.
- Coordinated primary care physician appointments for new members to ensure timely access to healthcare services. for new members assigned to APLA. Checked eligibility for Medical and Behavioral Health Department.
- Matched new behavioral health patients with psychologists based on individual needs and treatment requirements. to a psychologist who best fit their needs.
Medical Scheduler
1 Year 9 Months- Evaluated scheduled visits for medical processes and updated medical records to ensure accuracy and compliance.
- Maintained strong communication with registered nurses and pharmacists regarding patient needs and treatment plans
- Provided service support to patients who requested our care and those referred to by physicians.
- Maintained organized filing system for in-house and discharged residents, facilitating efficient record retrieval and access.
- Completed administrative tasks supporting office staff, documenting patient medical information, case histories, and insurance details to streamline appointment scheduling and payment processing.
Education
A.A degree - Psychology
Graduated
High School Diploma
Graduated
Skills
Healthcare management
Health services management
Care coordination
Quality improvement
HIPAA
Accomplishments
- Achieved medi-cal enrollments through effectively helping with more than forty individuals in less than a week having access to medical coverage
Timeline
Behavioral Health Services Coordinator II
La Care Health Plan
08.2023 - CurrentRead More
Certified Enrollment Counselor
Kedren Community Care Clinic
01.2022 - 08.2023Read More
Enrollment Specialist
APLA Health Wellness
05.2016 - 08.2021Read More
Medical Scheduler
Coram Health Infusion
02.2013 - 11.2014Read More
Excelsior Charter High School
High School Diploma
Read More
Los Angeles City College
A.A degree from Psychology
Read More