JONGE DASILVA
Brockton,MA
Summary
Skilled administrative team member with in-depth understanding of medical standards, compliance requirements and operational procedures. Practiced problem-solver with friendly and caring mentality and excellent communication skills. Expertise in inventory management, customer service and inner-office operations.
Developed strong communication, coordination, and problem-solving abilities in healthcare setting, aiming to transition into new field. Expertise in patient advocacy and care planning, with solid background in managing complex cases and collaborating with diverse teams. Seeking to leverage these skills to contribute effectively in different professional environment.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Lead Medical Discharge Planner
Correctional Psychiatric Services
Boston, MA
07.2024 - Current
- Improved patient satisfaction by carefully evaluating their needs and developing personalized discharge plans.
- Coordinated timely discharges by effectively communicating with physicians, nurses, social workers, and other relevant stakeholders.
- Advocated for patients'' best interests, working closely with healthcare providers to develop appropriate treatment plans and interventions.
- Established strong relationships with community agencies, enabling effective coordination of post-discharge support services.
- Ensured patients had active eligibility through Medicaid for post incarceration medical services.
Benefits and Eligibility Representative
Mass Health EOHHS
Boston, MA
03.2023 - 06.2024
- Assisted applicants in completing forms and provided guidance on the application
- Researched discrepancies between documents submitted by applicants and agency databases.
- Trained in assisting members of both the ongoing and HCR communities
- Performed careful reviews of applicant data to ascertain compliance with eligibility criteria for economic assistance.
- Explained eligibility details and affordability options to patients with kindness and respect.
Lead Insurance Verification Specialist
Shields Healthcare Group
Brockton, MA
05.2021 - 03.2023
- Collaborated with multi-disciplinary staff to improve overall patient care and response times.
- Communicated with cross-functional teams to report insurance company trends.
- Evaluated policies and procedures related to Insurance Verification activities.
- Participated in training sessions on new software programs used for verification purposes.
- Provided timely follow up with payers regarding payment status of claims.
- Greeted patients, determined purpose of calls and directed to appropriate staff.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Identified discrepancies in patient's insurance coverage or benefits, ensuring accuracy of data entered into system.
- Navigated through multiple online systems to obtain documentation.
Molecular Biology Lab Aid
Quest Diagnostics
Boston, MA
12.2020 - 05.2021
- Prepared all lab equipment for upcoming research experiments & managed all incoming lab inventory
- Collaborate with lab scientists & assistants to maintain efficient workflows and turnaround times
- Maintained daily experiment logs within internal database for reports and data analysis/forecasting.
- Prepared buffers and reagents for use in molecular biology experiments.
- Operated robotic liquid handling systems to perform high throughput assays.
Automotive Sales Consultant
North End Motors
Canton, MA
10.2019 - 12.2020
- Assisted inquiring clients with vehicle information, features, warranties, financing, & purchase process
- Collaborated with sales managers and finance managers to provide a smooth purchase experience.
Logistics Specialist
Quest Diagnostics
Boston, MA
08.2014 - 09.2015
- Maintained all incoming and outgoing lab specimen & testing tubes for efficient turnaround times
- Updated all patient demographic data & utilized data for analysis and health forecasting.
Education
Bachelor of Science - Psychology
Bridgewater State University
Bridgewater, MASkills
- Technical Skills
- Microsoft Office (Excel, World, PowerPoint)
- Excellent with Google Suite (Drive, Sheets, Slides, Docs, etc)
- Excellent with data entry, data analysis & data
- Project Management & Implementation
- Interpersonal Communications
- Strong Attention-To-Detail Analysis
- Strategic Workforce Planning
- Exceptional Customer Service
- HIPAA compliance
- Healthcare systems navigation
- Patient support
- Care coordination
- Community resources
- Discharge planning
- Treatment plans
- Interdisciplinary collaboration
Certification
- CPR/AED Certification
- CAC Certified
Timeline
Lead Medical Discharge Planner
Correctional Psychiatric Services
07.2024 - Current
Benefits and Eligibility Representative
Mass Health EOHHS
03.2023 - 06.2024
Lead Insurance Verification Specialist
Shields Healthcare Group
05.2021 - 03.2023
Molecular Biology Lab Aid
Quest Diagnostics
12.2020 - 05.2021
Automotive Sales Consultant
North End Motors
10.2019 - 12.2020
Logistics Specialist
Quest Diagnostics
08.2014 - 09.2015
Bachelor of Science - Psychology
Bridgewater State University