Jhonattan C Maria
New York,NY
Summary
Bilingual professional driven to tackle numerous Financial Counseling tasks within a fast-paced health care environment. A Dedicated team player committed to building cohesion across diverse groups. Excel in communication, empathy, and problem-solving to effectively impact facets of the Revenue Cycle process.
Overview
18
18
years of professional experience
Work History
Clerical Associate - L IV
NYC Health + Hospitals - Bellevue
New York, NY
04.2020 - Current
- Provide financial counseling services to individuals and families seeking financial assistance related to medical care.
- Responsible for screening uninsured and under-insured patients to identify insurance coverage eligibility.
- Conduct data intake interviews for use and entry in various systems' databases.
- Ensure all required data and documentation are complete for the processing of insurance applications.
- Effectively communicate insurance eligibility determination and individual health plan enrollment options (Medicaid/Emergency Medicaid, Essential Plans, Qualified Health Plans, and premium tax credits).
- Assist patients who do not qualify for health insurance with charity care programs.
- Scan and process documents obtained for financial assistance cases within the Epic system.
- Follow up on the status of the insurance application, charity care program approvals, denials, and appeals until case completion.
- Communicate billing information, educating on terms like co-pays and deductibles, in-network vs. out-of-network, PAR vs. Non-PAR, workers' compensation, and third-party liability accounts.
- Supervise the Finance Department front desk, and provide training and guidance to team members on operational procedures and best practices.
- Perform all other duties as assigned by the Patient Access Manager, or Supervisor.
Clerical Associate - L III
NYC Health + Hospitals - Bellevue
New York, NY
06.2019 - 04.2020
- Conduct patient interviews to obtain identifying information, e.g., demographic, biographic, health insurance status, and verifying the accuracy of data for entry into the EPIC system.
- Obtain signatures on registration forms, including TPO, Bill of Rights, HIPAA Notice of Privacy, Health Care Proxy, and General Consents.
- Scan insurance cards, photo IDs, and other supporting documentation in the EPIC system.
- Generate medical record numbers for new patients.
- Interpreted conversations between Spanish-speaking patients and English-speaking pharmacy staff members.
- Provide guidance to patients regarding hospital policy, such as the document requirements for insurance screening and/or financial assistance.
- Process patient payment or refund transactions of cash, debit, and credit cards within the Outpatient Pharmacy Department.
- Issue payment or refund receipts via Unity POS cash management functions.
- Conduct daily outpatient pharmacy closing procedures and cash handling.
- Reconcile all payment or refund transactions issued, prepare daily proof of reconciliation reports.
- Sign and submit the daily reconciliation report to the department cash office for review.
Customer Service Associate
The Walgreen Company
Bronx, NY
06.2015 - 02.2019
- Supported customer service goals and enhanced relations through welcoming, knowledgeable, and positive communication.
- Informed clientele of special pricing, company offerings, promotional events, and rewards program benefits.
- Signed off and received the shipping and delivery of merchandise, verifying against the warehouse manifest with the use of an electronic scanner.
- Logged daily shipping and receiving orders, and compiled weekly merchandise reports for the store manager.
- Assisted overnight pharmacy staff to serve Spanish-speaking clientele with medication needs and health insurance conflicts.
Color Specialist
Essex Works Ltd.
Brooklyn, NY
04.2014 - 02.2015
- Under the supervision of the Project Manager, I produced and selected tile samples of various sizes, colors, and finishes for client submission prior to production contracts.
- Maintained and updated a library of cataloged records of client-approved samples used as references for concrete project productions.
- Modified existing color formulas within record books, tested batching and mixing procedures to ensure the accuracy of approved sample colors.
- Prepared and maintained complete quality control records.
- Reviewed daily inventory levels and placed orders to replenish supplies, e.g., cement, sand, concrete pigment powder, building materials, and finishing chemicals.
Prep-Assistant
Essex Works Ltd.
Brooklyn, NY
06.2013 - 03.2014
- Prep assistant to the in-house team of sculptors, mold makers, color specialists, operations managers, carpenters, and engineers in the process of concrete sculptural productions.
- Organized materials and supplies needed for the daily production of targeted goals.
- Operated various machinery and equipment, including forklifts, to perform daily operations.
- Used discretion and sound judgment in using company materials and supplies.
- Adhered to company safety policies and procedures.
Customer Service Representative
The Pay-O-Matic Corp.
Bronx, NY
03.2011 - 09.2012
- Processed customer transactions, including but not limited to cashing checks, check verification procedures, Western Union money transfers, bill payments, and the sale of a wide variety of pre-paid products and services.
- Opened and updated customer accounts, issued enrollment cards, and maintained error-free records by updating photos, addresses, phone numbers, and account numbers.
- Managed precise and adequate cash stock, balanced cash registers, NY Lotto Machines, and inventory vault balances.
- Upheld privacy and security requirements established by financial and federal regulatory agencies.
- Performed store opening and closing duties, including counting cash vaults/drawers, and troubleshooting all equipment for proper functioning.
Customer Service Associate
Virgin Entertainment
New York, NY
01.2007 - 08.2009
- Greeted customers with enthusiasm and offered immediate, knowledgeable service based on individual needs in English and Spanish.
- Answered phone calls from customers promptly and courteously.
- Developed relationships with key clients through regular contact and follow-up communication.
- Handled cash register operations accurately during peak times.
- Sought opportunities to upsell and add additional merchandise based on related areas of interest.
Education
High School Diploma -
Jane Addams VHS
Bronx, NY09-2002
Some College (No Degree) - Liberal Arts And Sciences
CUNY - Bronx Community College
Bronx, NYSkills
- Healthcare regulations
- Patient registration and scheduling
- Financial counseling, payment calculations, and collection
- Patient interviewing skills
- Spanish and English fluency
- Data entry and case management
- Insurance coverage verification
- Administrative and office support
- Certified NYSOH Marketplace Insurance Application Counselor
- EPIC system operations
- Staff supervision and training
- HIPAA compliance
Timeline
Clerical Associate - L IV
NYC Health + Hospitals - Bellevue
04.2020 - Current
Clerical Associate - L III
NYC Health + Hospitals - Bellevue
06.2019 - 04.2020
Customer Service Associate
The Walgreen Company
06.2015 - 02.2019
Color Specialist
Essex Works Ltd.
04.2014 - 02.2015
Prep-Assistant
Essex Works Ltd.
06.2013 - 03.2014
Customer Service Representative
The Pay-O-Matic Corp.
03.2011 - 09.2012
Customer Service Associate
Virgin Entertainment
01.2007 - 08.2009
High School Diploma -
Jane Addams VHS
Some College (No Degree) - Liberal Arts And Sciences
CUNY - Bronx Community College