Julio Montalvan

As a Patient Resource Worker in the Patient Access Center: Day to day operations of the department; Assists registering and interviewing patients and or their family members to determine financial eligibility for a variety of Federal, State and County medical assistance programs including Medicare and Medi-Cal; Assist patients with actual preparation of application of application for various Governmental medical assistance programs and complete the necessary documents with in a time limit specified by the appropriate governmental agency for reimbursed of medical services rendered.

Verify insurance coverage prior to patient’s clinic visit for medical care, obtaining proof of eligibility. Responsibilities included scheduling, rescheduling and canceling appointments via the Hospital Information System.

Conduct detailed research for financial insurance verification for hospital Inpatient Admissions medical service reimbursement. Verify existing governmental and private insurance coverage plans (PPO & HMO); and determine a patient’s eligibility for Medi-Cal, Medicare, Out of Country

Contact patient’s insurance Utilization Risk Management to inform of member hospital admission and obtain authorization for hospital stay.

Interact with various departments and hospital staff including Utilization Risk Management, Medical

Assists Administration and supervisor in completing statistical monthly reports, time keeping and special report projects for the Outpatient Financial Services and Registration Department.

Interviews patients to obtain information, financial and other eligibility data; determines the patient's potential eligibility to enroll in specific health care programs based financial eligibility. Interact professionally and effectively with difficult costumers. Evaluates financial to determine the patient's ability to reimburse the County for health care services; verifies existing governmental coverage for health care services, and screens for the patient's potential eligibility to receive Medi-Cal or other no-cost/low-cost programs. Refers patients without existing financial resources or with complex financial eligibility issues to a Patient Financial Services Worker or facility staff member. Initiates and/or processes applications for a variety of reduced no-cost/low cost programs, such as ATP. Greets and registers patients in person or over the phone. Provides forms to patients and completes paperwork for requested services. Determines when language interpretation is needed. Orients patients to health services by providing direction to appropriate locations for services. Re-verifies eligibility in the month of the appointment to financially clear patients for appointments, conducts patient outreach by phone and/or mail, explains coverage options, refers the patient to member services as needed, and cancels appointments. Checks-in patient for appointment to explain payment options, obtains signatures, keeps records of insurance and patient identification.

Monitor people coming and going through the Patient Service Center. Greet all costumers entering the PSC. Maintain the visitor Log-In Form and ensure all costumers sign-in. Determine customers' needs and direct to the correct person for assistance. Provide direction and way finding instruction to other areas of the hospital when costumer access the PSC in error. Ensure a back up is available before leaving the Reception Desk. Interact professionally and effectively with difficult costumers. Answer telephone, check medical insurance with Medi-Cal website and Orchid to screen patient, preparing documentation before speaking to PFSW.

As an intermediate clerk , duties included but not limited to: receive and make calls from/to patient to make specialty appointments using Orchid and EConsult, verified insurance in the Medi-Cal website, approve or deny referrals, write and send letters to patients regarding appointments. Special projects upon supervisor request.

Received and reviewed applications for Medical, Cal works, Food stamps, from participants for future process using Leader system to verify application status for participants; also my work was to assist with enabling the Department of Public Services to transition from paper case environment to an electronic and online process. I would scan documents such SAR/QR7 reports send it by participants via Image Formula Scanner, in order of receipt. I would review, validate and release documents into the electronic case.

In charge of the small package receiving and distribution for their overseas shipment. Data entry, giving control number and process information of merchandise for future overseas shipment, supervising personal in the area, participate in yearly company inventory control and department inventory control.

Engineer and maintains small patrol boat deck equipment and machinery, basic firefighting, prepare and applies primers and paints, supervise cargo handling, maintain hull records, printing records, and inventory of equipment, tools, and paint, supervise personnel, maintain discipline, serve as master-at-arms and police petty officer and supervises safety and training programs. Track inventory to ensure an adequate supply of parts and equipment. Work at Chief of the Watch store as storekeeper and supplies buyer, accomplished the organization, cleaning and prepare report of inventory of the storage room. As a Petty Officer 2nd class supervise personnel to do proper job.