Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
26
26
years of professional experience
Work History
Benefits Coordinator
Phoenix Indian Medical Center
Phoenix, United States
01.2023 - Current
Works closely with all Phoenix Indian Medical Center staff in the identification and utilization of all alternate resources available to the Indian population
Establishes eligibility of potential Medicare eligible by working with the Social Security Administration (SSA), on both the local and regional levels
Assist patients with enrollment into Medicare, State Medicaid, and other programs they may be eligible for
Contact outside agencies and companies to verify eligibility and enrollment
Utilize applications such as Inovalon, My Ability, Novitasphere, and State Medicaid Enrollment website
Works closely with the local County Department of Welfare, Department of Human Resources, and/or with other appropriate agencies, and Tribal Offices to establish eligibility for Medicare, Medicaid, Supplemental Social Security Income, etc
Interviews all patients eligible for Medicare and Medicaid benefits to ensure they understand their entitlements in Indian Health Service facilities
Work closely with Purchased and Referred Care Department assuring patient has necessary coverage or apply for necessary coverage
Maintains a tracking system of pending applications for various Medicare or Medicaid programs to ensure the enrollment of patient to said programs
Compile monthly reports to be distributed to Supervisor & Lead for review.
Contact Representative
Phoenix Indian Medical Center
PHOENIX, United States
02.2019 - 01.2023
Main Duties: Interview patients for potential eligibility for services and to obtain registration information relating to alternate resources such as Medicaid, Medicare and Private Insurance
Determine the eligibility of patients seeking health care services
Identify, verify, and assist in contacting various Federal, State, and County agencies for eligibility
Completes admission forms for scheduled admissions from information provided by the patient
Advocate for patient for other resources outside of PIMC
Advise patients of current policies and procedures at IHS/PIMC
Interview patients for eligibility for services and obtain documentation
Assist patients with completing forms to ensure accuracy and completeness of application for services
Respond to patient complaints and/or direct patient complaint to appropriate staff
Explain and provide guidance to coworkers regarding current policies and procedures of Dental Clinic
Orally notify patients of any pending or missing registration items or information requested
Present information to patients about possible services available outside of PIMC
Daily: Check in patients at the Main Dental clinic
Review chart to assure proper documentation has been filed
Review and verify Medicaid, Medicare, and Private Insurance
Log all charts updated daily and provide monthly reports to Supervisor
Assist patients with application form and other forms as necessary
Communicate with all staff including Dental Assistants, Dental Providers and Dental Supervisors on a daily basis regarding any patient issues or questions
Direct patient to appropriate office for other assistance
Use of self monitor sheets, Word documents, Excel spreadsheets, Outlook, Dentrix, AHCCCS Website daily
Logging all work completed daily
Request for Release of Information sent to appropriate persons
Resolve patient complaints by offering alternative suggestions or solutions, or redirecting to appropriate staff
Accomplishments include serving on the UPC team, completing all necessary yearly training, and earning a high rating on my last PMAP
I also volunteer for overtime during the weekend at the Emergency Room front desk, as well as Fast track
Train new Dental office employee for coverage in our area
Served as Acting Lead Contact Representative from July 2022 to September 2022.
Server
Texas Roadhouse
Yuma, United States
08.2015 - 12.2019
Greeted guests and provided menus.
Performed opening and closing duties such as setting up the dining area, restocking supplies..
Handled money transactions accurately while following company procedures for handling cash payments.
Operated POS terminals to input orders, split bills and calculate totals.
Provided excellent customer service to ensure satisfaction.
Assisted in training new servers.
Maintained knowledge of current menu items, garnishes, ingredients and preparation methods.
Prepared drinks according to standard recipes.
Took orders from customers accurately and in a timely manner.
Checked food before serving it to customers.
Delivered food orders promptly and courteously.
Monitored dining room for cleanliness and proper set-up at all times.
Responded efficiently to guest inquiries and complaints in a professional manner.
Accurately recorded orders on cash register and point-of-sale system.
Developed rapport with guests and assisted in generating repeat business by providing exceptional customer service.
Customer Service Representative
Convey Health Solutions
Yuma, United States
07.2013 - 08.2015
Assist Medicare health insurance customers with many aspects of their accounts
Research and assist with billing, explanation of benefits, claims processing issues, payments, prescriptions refill issues
Review and orally explain Out-of-Pocket costs, copays, deductibles, coverage to members
Assist member with Coordination of Benefits issues or provide explanation of issue
Troubleshoot COB problems with Medicare and other Third Party payers
Respond to member complaint by providing options for a grievance or appeal, or other resolution
Advise members of the appeals process and route call to appropriate third party using a warm transfer
Advise member of Grievance process as well as initiate grievance process on behalf of member
Notify member of Denial or Approval decisions of appeals process
Serve as Medicare liaison for members
Provide member information to apply for third party resources or organization
Contact third party to see member was approved or denied for services
Interpret information regarding regulations for member's Medicare Advantage plan
Orally notify members of decisions, problems, or further action needed for claims and appeals issues
Maintain customer accounts with accurate notation of every call
Data Entry
Assistant to Supervisor as needed
Provide call assistance and guidance to coworkers
Fill in for Supervisor or Lead as needed
Take Supervisor calls as needed.
Customer Service Representative
GC Services
Chandler, United States
11.2008 - 08.2009
Answer telephone calls regarding Apple customer accounts and orders
Give detailed information about the order
Resolve issues with billing information
Process payments and perform manual credit card authorizations by directly contacting the banking institution
Report fraudulent orders by following process documents
Document all phone calls coming in and going out
Maintain customer satisfaction at all times.
Assistant Property Manager
PRS Rentals
Chandler, United States
01.2008 - 06.2008
Receive telephone calls from client, prospective clients/owners, current or prospective renters
Build and maintain client relationships
Assist in rental application process
Review and research information on application for completeness and accuracy
Conduct credit checks and background checks
Update MLS photos and information on listings
Update Property Manager's calendar
Accept rental payments and deposits in office and/or using automated pay systems
Schedule maintenance
Resolve tenant complaints and concerns for maintenance
Call utility companies to turn on or off services
Data entry, filing
Use of MS Outlook, Excel, Word, and Access.
Secretary
Internal Revenue Service
NA, United States
08.2006 - 09.2007
Receive telephone calls; give routine and non-routine information, answer questions and direct calls and visitors to appropriate person or office
Receive and control mail and suspense items, routing them directly to the appropriate person or office for action
Prepare and type a variety of correspondence, reports, forms, requisitions, requests for personnel actions, etc., using word processor
Organize and maintain files, records, manuals, handbooks, and other related materials
Maintain supervisor's calendar; schedule appointments and engagements, prepare notes regarding topics to be discussed; and prepare travel vouchers.
Production Controller
U.S. Army Yuma Proving Grounds
NA, United States
04.2005 - 08.2006
Receive work requests for automotive and tactical vehicles
Review and process each work request with verified work order number and vehicle or tactical serial number
Input verified information into database
Update work requests daily using computer software
Have knowledge of automotive vehicles and artillery nomenclature in order to satisfy production data logging requirements
Separate customer copies and file shop's copies accordingly.
Electronics Technician I
Northrup Grumman
NA, United States
09.2003 - 10.2004
Assisted with temporary project rolling out 400 computers to employees of Yuma Proving Grounds
Installed new XP operating systems, printers, software and transferred old hard drives to the new computers
Also assisted with questions and concerns regarding the use of new operating system.
Supply clerk
ORI Services
NA, United States
10.2003 - 09.2004
Complete multiple clerical tasks performed in a prescribed sequence
Learn rules, regulations, and terminology relating to Supply procedures
Clerical tasks included, but not limited to; extensive filing and maintenance of regulated documentation
Post information to individual accounts according to specified information; which includes daily data entry
Transfer appropriate information on an as required basis
Furnish information to customers or other personnel
Prepare transmittal for personnel on computer
Answer customers questions and concerns and assist with pulling documents.
Assessment Technology Technician
Colorado River Indian Tribes
Parker, United States
06.2002 - 12.2002
Assisted clients/applicants with job placement or training opportunities
Assisted our clients/applicants with computer based assessments
Trained clients to use computer systems
Troubleshoot technical issues
Worked closely with Director of program
Communicate orally and in writing
Produce and submit correspondence
Gather employment documents such as resume, job application, and identification documents
Review applications and other documentation for completeness and accuracy
Other duties included answering incoming calls from clients, sorting incoming mail, filing and maintaining confidential documents, extensive data entry, and provided transportation to clients
Participated in training seminars.
Office Assistant Trainee
Colorado River Indian Tribes JTPA
Parker, United States
11.1998 - 04.1999
Successfully completed job training program to acquire the skills necessary for an office assistant position
Assisted office with various duties including answering phones, sorting mail, filing documents, fax documentation, and extensive data entry with use of MS Outlook, Word, Access, and Excel
Assisted with client intake procedures such as obtaining necessary documentation from clients for employment, submitting applications, and payroll
Produce and submit correspondence.
Education
Bachelor of Science - Business
Yavapai College
Prescott, AZ
05-2025
Associate's degree - PC/Networking
Collins College
10.2002
Technical or occupational certificate - Information Systems Specialist
Lamson College
06.2000
Associate's degree - Business
Arizona Western College
Skills
Proficient in Microsoft Office, Teams, Skype, Zoom
Benefits interpretation
Verbal and written communication
Documentation And Reporting
Relationship Building
Job Related Training
Workplace Communication Skills (Rio Salado) - Completed Course in June 2022
Internal Customer Relations Training- Arizona Western College - Completed April 7, 2006
Administrative CPE (IRS Related) - Completed August 2006
Fundamentals in Health Care Delivery (Rio Salado) - Completed Course in Fall 2010
Intro to Human Communication (Rio Salado) - Completed Course in Spring 2008
Workplace Behaviors in Healthcare (Rio Salado) - Completed Course in Spring 2007
References
Tina Escobar, Phoenix Indian Medical Center, Supervisor, 602-531-3489, tina.escobar@ihs.gov
Kyla Hosteen, Phoenix Indian Medical Center, Lead Benefits Coordinator, 602-339-3253, kyla.hosteen@ihs.gov
Patricia Saenz, Phoenix Indian Medical Center, Patient Business Supervisor, 623-850-2977, patricia.saenz@ihs.gov
Rebecca Moffett, Phoenix Indian Medical Center, Lead Contact Representative, 602-488-7911, rebecca.moffett@ihs.gov
Kimberly Harvey, Phoenix Indian Medical Center, Contact Representative, 623-219-3512, kimberly.harvey@ihs.gov
Timeline
Benefits Coordinator
Phoenix Indian Medical Center
01.2023 - Current
Contact Representative
Phoenix Indian Medical Center
02.2019 - 01.2023
Server
Texas Roadhouse
08.2015 - 12.2019
Customer Service Representative
Convey Health Solutions
07.2013 - 08.2015
Customer Service Representative
GC Services
11.2008 - 08.2009
Assistant Property Manager
PRS Rentals
01.2008 - 06.2008
Secretary
Internal Revenue Service
08.2006 - 09.2007
Production Controller
U.S. Army Yuma Proving Grounds
04.2005 - 08.2006
Supply clerk
ORI Services
10.2003 - 09.2004
Electronics Technician I
Northrup Grumman
09.2003 - 10.2004
Assessment Technology Technician
Colorado River Indian Tribes
06.2002 - 12.2002
Office Assistant Trainee
Colorado River Indian Tribes JTPA
11.1998 - 04.1999
Bachelor of Science - Business
Yavapai College
Associate's degree - PC/Networking
Collins College
Technical or occupational certificate - Information Systems Specialist
Lamson College
Associate's degree - Business
Arizona Western College
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