Committed college student prepared to build a successful future by means of advancing in education and experiences. Bilingual, fluent in English and Spanish, able to utilize efficient communication skills to achieve attainable goals. Hard working and responsible individual that is willing to lead and collaborate with others. Flexible and dedicated with a solid work ethic ready to contribute. Motivated leader and active problem-solver focused on improving any company or organization.
Experienced in Medi-Cal eligibility, managed care, and financial budgeting. Assisted in developing the Medi-Cal Newborn Gateway Program at ARMC. Skilled in using Medi-Cal and IEHP portals to streamline processes and enroll newborns. Maintains close communication with eligibility workers for updates. Proficient with hospital software (Epic, Meditech) and secure patient data management. Strong time-management skills to meet deadlines and collaborate across departments for program efficiency.
Monitor hospital work queues and patient insurance choices. Stay current on HIPAA, claims processing, medical terminology, and procedures. Resolve issues blocking auto-adjudication and ensure accurate provider coding in EPIC. Follow up on clinical requests, missing information, and denied cases. Verify patient eligibility via the Medi-Cal Providers Portal and update documentation for claims. Maintain confidential case records and review insurance claims for accurate coding and revisions.
Bilingual in Spanish
Organization
Problem resolution
Communication
Leadership
Interpersonal skills
Critical thinking
Team collaboration
Microsoft Office Software
Volunteer at Arrowhead Regional Medical Center | Colton, CA | August 2021-August 2022
Answered visitor questions, offered directions and escorted patients to their destinations. Utilized hospital data bases in the Emergency Room while assisting patients who requested temporary Medical insurance. Assisted nurses in numerous clinics in maintaining patient contact and ensuring organization of the clinic. Explained Medical coverage options to potential insurance holders, answered any questions or concerns, stayed current on benefits claims, and eventually aid them into securing the medical insurance that best met their needs.