Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Skilled in rapidly acquiring new knowledge and applying it effectively. Driven by a passion for continuous learning and successfully navigating change.
Overview
12
12
years of professional experience
Work History
Patient Benefits and Insurance Officer I
Porterville Developmental Center
Porterville, CA
06.2021 - Current
Provide supervision to Program Technician II and Office Technicians in the General Treatment Area and the Secured Treatment Area Trust Offices.
Schedule employees, ensuring coverage for both Trust Offices to run sufficiently to provide services.
Complete performance reports for my staff.
Review Absence and Timed Worked Reports (STD.634) for accuracy and approval.
Complete quarterly attendance reviews for staff, for clarity and awareness of time usage.
Set up and carry out interviews for new hires, and coordinate with the training office for New Employee Orientation.
Open/close the vault, check daily cash receipts, and deposits.
Conduct bank business of deposits and reimbursements.
Make updates to the client wage report, and submit quarterly reports to Tulare County.
Oversee and carry out debit card transactions as needed.
Communicate with various agencies, client relatives, conservators, guardians, and representative payees, giving and securing client information regarding benefits.
Conduct monthly audits of all new admissions and discharges of clients to ensure all benefits have been researched and applied for, and that all agencies have been notified.
Evaluate the eligibility potential of each client for benefits.
Correspond with representative payees and assess the client’s income, assets, disability, and age factors as required under the Medi-Cal program, and determine the client’s eligibility for benefits.
Interpret and Apply Regulations and Policies to Client Accounts.
General office duties, and other duties as required.
Program Technician II
Porterville Developmental Center
Porterville, CA
02.2017 - 05.2021
Create client Trust Office files.
Create a client asset card.
Contact agencies to verify income and health benefits.
Apply for or deny benefits for clients.
Enter and update information into the AS400 and CRS systems.
Contact Regional Centers to obtain any pertinent information, documents, or funds for the client.
Mail out family update letters.
Update the asset card with the most current client information.
Keep and update multiple trackers of client data.
Complete annual Medi-Cal redeterminations.
Complete and enter NOA's, Magi's, and COC's into the CRS/AS400 systems.
Apply for birth certificates.
Apply for Social Security cards.
Apply for death certificates.
Complete Social Security Disability Update Reports.
Complete VA Fiduciary Reports.
Complete and submit the monthly P&I Report.
Process medical bills to be sent for payment.
Close client Trust Office file.
Notify agencies of any changes to clients' status and eligibility.
Apply to become a Representative Payee when applicable.
Monitor the daily census for movement and status changes.
Note and update any changes in the asset card.
Work on the Wage Report for biweekly client paydays when providing backup coverage.
Process debit card billing for payment.
Type checks when needed.
Review checks and paperwork to be submitted for signature.
Prepare and submit the Census Report, and the Monthly Admit Report, to Headquarters.
Prepare and submit the Social Security and Birth Certificate Report to upper management.
Update and run MEDS for all Medi-Cal-eligible clients.
General clerical duties such as answering phones, filing, faxing, scanning, making copies, and writing letters.
Customer Service Representative
Bermad Inc.
Porterville, CA
11.2015 - 02.2017
Customer Service.
Answering phones and emails.
Directing phone calls.
Order entry.
Shipping/Freight setup and entry.
Count the inventory.
General clerical duties such as filing, faxing, making copies, and writing letters.
Salon Owner/Operator
Self Employed- Cosmetologist
Porterville, CA
06.2013 - 11.2015
Adhered to state laws and regulations regarding licensure, sanitation standards.
Resolved customer complaints quickly and efficiently while maintaining professionalism.
Used verbal skills to engage customers in conversation and effectively determine needs.
I cleaned and organized my workstation regularly.
Ensured that all safety protocols were followed in the salon at all times.
Completed thorough opening and closing functions to maintain operational standards each day.
Maintained salon finances, including budgeting, and bookkeeping.
Assessed inventory needs for hair care products.
Maintained relationships with vendors and suppliers who provide necessary items for running the salon.
Formed and sustained strategic relationships with clients.
Organized and scheduled appointments for clients.
Provided excellent customer service to ensure repeat business from satisfied clients.
Ordered supplies and equipment needed for daily operations.
Education
High School Diploma -
Monache High School
Porterville, CA
06-2001
Some College (No Degree) - Business Administration
Porterville College
Porterville, CA
Skills
Interpret and apply policies and procedures
Manage time effectively
Act independently, or as a team player
Maintain accurate records
Detail-oriented
Operate standard office equipment, computers, and software
Maintain confidentiality of sensitive information
Write reports
Customer service
Reliability
Multitasking capacity
Records management
Staff management
Accomplishments
State of California, Department of Developmental Services, Porterville Developmental Center -Superior Accomplishment Award 2019.
Timeline
Patient Benefits and Insurance Officer I
Porterville Developmental Center
06.2021 - Current
Program Technician II
Porterville Developmental Center
02.2017 - 05.2021
Customer Service Representative
Bermad Inc.
11.2015 - 02.2017
Salon Owner/Operator
Self Employed- Cosmetologist
06.2013 - 11.2015
High School Diploma -
Monache High School
Some College (No Degree) - Business Administration
Porterville College
Similar Profiles
Miguel Mejia-RuizMiguel Mejia-Ruiz
Licensed Psychiatric Technician at Porterville Developmental CenterLicensed Psychiatric Technician at Porterville Developmental Center