Marcela Monita
Rosemead,CA
Summary
Professional with strong background in eligibility assessment and client service. Skilled in analyzing applications, verifying information, and ensuring compliance with regulations. Known for effective teamwork, adaptability, and achieving results. Proficient in managing caseloads, problem-solving, and maintaining confidentiality with focus on accuracy and efficiency.
Authorized to work in the US for any employer
Overview
11
11
years of professional experience
1
1
Certification
Work History
Eligibility Specialist Lead
Elica Health Centers
Sacramento, CA
11.2022 - 06.2025
- Check eligibility for patients' appointments
- HIPAA verification
- Outbound calls
- Athena
- Insurance verification
- Sliding Fee Program
- Every Women Counts Program
- Patient translation
- Epic
- Assist my supervisor to manage our staff
Eligibility Specialist
Elica Health Centers
Sacramento, CA
02.2019 - 11.2022
- Check eligibility for patients' appointments
- HIPAA verification
- Outbound calls
- Athena
- Insurance verification
- Sliding Fee Program
- Every Women Counts Program
- Patient translation
- Epic
Patient Service Representative
Elica Health Centers
Sacramento, CA
09.2017 - 02.2019
- HIPAA verification
- Inbound/ Outbound calls
- Athena system experience
- Next-Gen system experience
- Insurance verification
- Inbound calls
Eligibility Clerk
Elica Health Centers
Sacramento, CA
10.2016 - 09.2017
- Check eligibility for patients' appointments
- HIPAA verification
- Outbound calls
- Athena system experience
- Next-Gen system experience
- Insurance verification
- Patient translation
Patient Service Representative
California Health and Wellness
Sacramento, CA
02.2016 - 07.2016
- Records management
- Completing insurance forms
- Inbound/ Outbound calls
- HIPAA verification
- Assist members with general information
- Assist members with Provider Search
- CRM system experience
- Process return mail
Customer Service Representative
Maximus
Sacramento, CA
12.2014 - 01.2016
- Complete medical choice form
- Outbound calls
- Patient translation
- HIPAA verification
- Helped beneficiaries to enroll into a medical manage care plan
- Helped beneficiaries with general information/questions
- Capable of accepting 80-100 inbound calls
- Meds system experience
- Volunteered to be a training coach to new agents
Education
Medical Assistant -
Kaplan College
05.2014
Skills
- Autoclave/Wrapping
- Data Entry (10 years)
- Athena Health
- Filing Alpha/numerical
- Hemoglobin & Glucose Testing
- Multi-line telephones
- Translation
- HIPAA/ OSHA
- Audiometer/Eye chart
- Vitals
- Venipuncture/butterfly
- Eligibility (10 years)
- Tray set-ups
- Medical Terminology
- Bilingual English/Spanish
- Optum
- EKG's
- Bandaging/ First Aid
- EMR Systems
- UA/ Microscopic UA
- HIPAA
- CPR Certified
- Patient Care
- Insurance authorization
- Scheduling appointments
- Epic
- Positioning and Draping
- Medical Scheduling
- Bilingual English/Spanish customer service representative (10 years)
- Sterilizing Equipment & Instruments
- Medical Office Experience
- Customer service
- Visual acuity/ Snellen chart
- Strep/ mono tests
- Data entry
- Administering injections
- ICD-9 & CPT coding
- Patient charting
Certification
- CPR Certification
- First Aid Certification
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Timeline
Eligibility Specialist Lead
Elica Health Centers
11.2022 - 06.2025
Eligibility Specialist
Elica Health Centers
02.2019 - 11.2022
Patient Service Representative
Elica Health Centers
09.2017 - 02.2019
Eligibility Clerk
Elica Health Centers
10.2016 - 09.2017
Patient Service Representative
California Health and Wellness
02.2016 - 07.2016
Customer Service Representative
Maximus
12.2014 - 01.2016
Medical Assistant -
Kaplan College