Lorraina Hernandez
Westminster,CO
Summary
Resourceful Medicaid Eligibility Specialist known for high productivity and efficiency in task completion. Skilled in navigating complex eligibility criteria, maintaining accurate client records, and interpreting federal and state policy updates. Excel at communication, problem-solving, and time management, ensuring seamless operation within fast-paced environments.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Medicaid Eligibility Specialist
Adams County Human Services
Westminster, CO
04.2024 - Current
- Responded promptly to inquiries from applicants, providers and other stakeholders concerning Medicaid services.
- Processed requests for changes in existing Medicaid cases.
- Granted, modified, denied, or terminated assistance based on key information and eligibility determination.
- Advised clients on how best to utilize available resources in order to meet their needs.
- Collaborated with other departments within the organization in order to resolve issues relating to Medicaid eligibility requirements.
- Maintained updated knowledge through continuing education and advanced training.
- Created detailed case notes regarding services provided and progress made.
- Maintained accurate records of client progress reports, case notes, assessments.
Surgical Oncology Patient Care Coordinator
Saint Joseph Hospital
Denver, CO
01.2023 - 01.2024
- Adhered strictly to HIPAA regulations when dealing with confidential information.
- Provided exceptional customer service to patients, families, and healthcare providers by promptly responding to inquiries, addressing complaints, and resolving issues.
- Performed daily administrative duties such as filing paperwork, answering phone calls from patients, providers, and insurance companies, and verifying insurance eligibility.
- Excellent communication and interpersonal skills.
- Ability to work independently and collaboratively.
Mental Health Coordinator
Mile High Psychiatry
Aurora, CO
06.2021 - 01.2023
- Educated families on how to best support their loved ones dealing with mental health challenges.
- Maintained accurate records of all patient interactions using electronic medical record systems.
- Filled out and maintained client-related paperwork, including federal- and state-mandated forms, client diagnostic records, and progress notes.
- Referred patients, clients, or family members to community resources, or to specialists, as necessary.
COVID-19 Tester
AFC Urgent Care Denver
Denver, CO
12.2019 - 06.2021
- Performed basic clinical procedures, such as vital sign measurements and point-of-care testing.
- Assisted with scheduling appointments for incoming patients based on availability.
- Completed COVID-19 screening questions for individuals entering the building.
- Assisted in the development of safety protocols and procedures for PPE maintenance and storage.
Education
High School Diploma -
Thornton High School
Thornton, CO05-2016
Skills
- Eligibility determination
- Programming
- Multitasking
- Professional relationship building
- Insurance processes
- Critical thinking
- Communication skills
Languages
Spanish
Full Professional
Certification
- Disability Awareness and Inclusion
- Basic Life Support Certification
Timeline
Medicaid Eligibility Specialist
Adams County Human Services
04.2024 - Current
Surgical Oncology Patient Care Coordinator
Saint Joseph Hospital
01.2023 - 01.2024
Mental Health Coordinator
Mile High Psychiatry
06.2021 - 01.2023
COVID-19 Tester
AFC Urgent Care Denver
12.2019 - 06.2021
- Disability Awareness and Inclusion
- Basic Life Support Certification
High School Diploma -
Thornton High School
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