Lucy Alcantara

· Assisting Medicaid recipients in completing required enrollment documentation for the Consumer Directed Personal Assistance Program (CDPAP) for New York State.

· Educating individuals and their representatives on self-directed care, including program benefits and responsibilities.

· Conducting follow-ups to address potential enrollment barriers and resolving issues efficiently.

· Collaborating with internal teams and external stakeholders to facilitate a smooth enrollment process.

· Maintaining accurate records and tracking participant enrollment status.

· Ensuring compliance with program policies and procedures while meeting quality assurance standards.

· Supporting participants in navigating online platforms, service portals, and time-tracking systems.

· Identifying and reporting any suspected cases of fraud, abuse, neglect, or exploitation.

· Upholding a high standard of customer service, providing compassionate and effective support.

· Providing Dental Front Desk coverage on a temporary basis at various dental practices and contributing to the growth and productivity of the practices.

· Collaborating with dental staff on tasks such as checking patients in and out, having patients complete medical history forms, taking and posting payments, registering patients, and answering phone calls.

· Utilizing dental software such as Dentrix, Carestack, Open Dental and Mogo to perform job duties such as scheduling, uploading patient documents, medical records, patient demographics, and payment information to improve office workflow daily.

· Managing insurance benefits: Collecting, verifying, and managing patient insurance benefits, patient accounts, and financial arrangements.

· Analyzing insurance policies: Determining insurance coverage for dental procedures and services.

· Preparing Insurance benefit breakdowns which include patients' coverage for each specific dental procedure by dental codes to determine patients' and insurance payment responsibility.

· Maintaining documentation: Keeping records related to insurance by uploading storing and faxing them to Open Dental and appropriate parties.

· Scheduling/confirming appointments: Coordinating patient appointments by phone and at the office.

· Providing customer service: Assisting patients with customer service, answering calls, and taking messages.

· Covering for Patient Care Coordinator/Front Desk staff when needed.

· Performing opening and closing office procedures at the start and end of the shift.

· Working at Montefiore Medical Center's Orthodontics practice, helping with 5000+ patients' medical records, registering patients, patient intakes, insurance authorizations, and verification, checking patients in/out, patient follow-ups, insurance eligibility, and appointments confirmation.

· Scheduling patient appointments for treatment, answering 50+ calls per day, taking messages, and directing calls to appropriate parties.

· Providing English/Spanish translation and interpretation services between doctors/staff and patients/parents.

· Scanning and printing documents, and uploading insurance information, treatment approvals/denials, consent forms, and treatment plan documentation from QSI, CPS, and Data Ark databases to Dolphin database.

· Collaborating in the transfer, conversion, and update of patient data (demographics and insurance information) from QSI, CPS, and Data Ark Dental Databases to Dolphin Database to streamline the patient workflow.