Jose Cantu
Donna,TX
Summary
Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
8
8
years of professional experience
Work History
Medical Eligibility Specialist III ( Trainer)
Health and Human Services Commission
12.2024 - Current
- Developed and implemented successful onboarding program.
- Utilized variety of instructional design methodologies to create effective learning experiences.
- Facilitated virtual, in-person and blended learning sessions.
- Provided coaching and mentoring to employees.
- Developed lesson plans, instructional materials and Job aids to help teach new employees the agency system and programs offered to clients
- Trained and mentored 2-4 new personnel (per class) hired to fulfill various roles.
- Created detailed progress reports for management, evaluating new hires’ performance during training and providing insights on development areas and training effectiveness.
- Mentored new hires, resulting in stronger staff development and increased productivity.
Medical Eligibility Specialist OWP II
Health and Human Services Commission
06.2022 - 12.2024
- Supported Business Office Managers across five nursing facilities by providing assistance with client financial services.
- Responded to inquiries regarding client benefits and Benefit coverage, ensuring accurate and timely information.
- Assisted in processing Medicaid applications and securing economic assistance for clients, helping streamline eligibility and approval processes.
- Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
- Resolved discrepancies with client Copays and adjusted payment amounts using SASO
Medical Eligibillity Specialist
Health and Human Services Commission
12.2021 - 06.2022
- Conversed with people from different cultures daily, providing high level of respect and patience with each interaction.
- Performed careful reviews of applicant data to ascertain compliance with eligibility criteria for Medicaid assistance.
- Conducted interviews with applicants, explaining benefits process and which programs were available.
- Granted, modified, denied, or terminated assistance based on key information and eligibility determination.
- Maintained confidential patient documentation to prevent data compromise and comply with HIPAA regulations.
Medical Allergy Specalist
United Allergy Services
01.2019 - 03.2020
- Administered allergen immunotherapy and immunoglobulin therapy to treat immune conditions.
- Educated patients about conditions and provided information about potential treatments to assist with making appropriate medical decisions
- Maintained strong relationships with healthcare providers to encourage client referrals and promote continued collaboration.
- Delivered persuasive service presentations to potential clients, effectively communicating benefits and securing new admissions.
- Acted as a liaison between providers, clients, and internal teams to ensure satisfaction and high-quality service delivery..
- Met budget targets and quality standards by proactively leading team members and monitoring operations.
Medcial Redcords Clerk
Nuestra Clinica del Valle
02.2018 - 12.2019
- Performed basic administrative duties by answering calls, taking messages, data entry, typing tasks and locating files upon request.
- Created or updated records with new files or information.
- Maintained high accuracy between physical and digital records through daily cycle counts and monthly inventory audits.
- Registered patients and scheduled appointments.
- Scheduled appointments for patients via phone and in person.
- Collected information, verified insurance and collected co-payments for patients as part of check-in process.
Education
Master of Science - Healthcare Administration
The University of Texas Rio Grande Valley
Edinburg, TX05.2021
Bachelor of Science - Biology
St. Edward's University
Austin, TX08.2018
Skills
- Effective communication
- Problem-solving skills
- Customer engagement
- Troubleshooting expertise
- Experienced with Microsoft Office applications
- Performance evaluations
- Policy and procedure development
- Staff training and development
Languages
Spanish
Timeline
Medical Eligibility Specialist III ( Trainer)
Health and Human Services Commission
12.2024 - Current
Medical Eligibility Specialist OWP II
Health and Human Services Commission
06.2022 - 12.2024
Medical Eligibillity Specialist
Health and Human Services Commission
12.2021 - 06.2022
Medical Allergy Specalist
United Allergy Services
01.2019 - 03.2020
Medcial Redcords Clerk
Nuestra Clinica del Valle
02.2018 - 12.2019
Bachelor of Science - Biology
St. Edward's University
Master of Science - Healthcare Administration
The University of Texas Rio Grande Valley
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