Summary
Overview
Work History
Education
Skills
Languages
References
Timeline
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Liz Negron

Jacksonville,Florida

Summary

Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals.

Overview

14
14
years of professional experience

Work History

Member Outreach Census Specialist

iluMed
Jacksonville, FL
01.2024 - 09.2024
  • Collaborated with cross-functional teams to connect patients with relevant care professionals and educate patients on available benefits.
  • Communicated with Social Workers and Case Managers to alert if critical care patients in need of hospital care coordination to provide education to reduce re-admissions
  • Contributed to Census team goals of scheduled appointments and collaborations with Social Work Team
  • Ensured accuracy and completeness of collected patient data by cross referencing with existing records in EMR system, verifying information and correcting discrepancies
  • Optimized inpatient outreach, care coordination and pre-discharge follow up scheduling, contributing to a 60 % scheduling success rate
  • Was responsible for recognizing and coordinating transportation services for patients who are transportation disadvantaged
  • Adhered to patient privacy laws and regulations such as HIPAA while handling and process sensitive patient information
  • Provided exceptional service to patients by promptly answering phone calls.

Care Management Support (DCF Access Partner)

Humana / Conviva Care Solutions
Jacksonville, FL
03.2019 - 01.2024
  • Processed applications via the DCF access portal for wholly owned and IPA patients, as well as members within the community for food assistance and Medicaid programs
  • Worked closely with health insurance agents to ensure proper Medicare advantage enrollment for special needs plan
  • Assisted members with additional resources regarding HUD, Section 8 housing vouchers, and government cell phones
  • Conducted marketing events and senior expos to promote Access
  • Perform virtual in-service for new hires and providers, as well as monthly reporting to leaders.

Member Outreach Specialist

MCCI / Conviva Care Solutions
Jacksonville, FL
01.2018 - 03.2019
  • Performed a high level of patient advocacy and work closely with the care team
  • Educated patients on medication adherence to ensure quality measures and closing gaps
  • Updated daily census on admitted patients, schedule hospital follow-up appointments and transportation
  • Assisted patients and members in the community with new and recertification for food assistance and additional benefits via DCF.

Administrative Coordinator

Montefiore Medical Center
New York
02.2011 - 12.2017
  • Provided administrative support to the executive team, including scheduling meetings and managing calendars.
  • Created travel arrangements for senior managers according to their requirements.
  • Prepared expense reports on behalf of executives in accordance with company policies and procedures.
  • Organized and maintained filing systems for physical and electronic documents, ensuring accuracy and confidentiality of records.
  • Maintained office supplies inventory by checking stock to determine inventory level; anticipating needed supplies; placing and expediting orders for supplies.
  • Ensured efficient operation of office equipment such as printers, copiers and fax machines.
  • Assisted with the planning of special events by arranging catering services, securing venues and ordering promotional materials.

Education

Associates in Business Administration - Business Management

Bronx Community College
New York
05.2005

Skills

  • Microsoft (Excel, Word, Power Point, office 365, Outlook)
  • EPIC, Althena EMR, eCW, Power BI, DataHUB, Kronos payroll system
  • HMO, PPO, Medicare & Medicaid Regulations
  • HIPPA compliant, HEDIS, CMS, STARS, Medical Coding
  • Certified DCF Access partner
  • Communication, Follow-up, Customer Service, Analysis, Marketing, Customer relationship management, Sociability, Responsible-tasking, Proactivity, Empathy, Tenacity, Compliance, Team Collaboration, Adaptability and Flexibility

Languages

Spanish
Native/ Bilingual

References

References available upon request.

Timeline

Member Outreach Census Specialist

iluMed
01.2024 - 09.2024

Care Management Support (DCF Access Partner)

Humana / Conviva Care Solutions
03.2019 - 01.2024

Member Outreach Specialist

MCCI / Conviva Care Solutions
01.2018 - 03.2019

Administrative Coordinator

Montefiore Medical Center
02.2011 - 12.2017

Associates in Business Administration - Business Management

Bronx Community College

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