Marcella Mendoza

Obtained information about patients medical health to established a payer source. Obtained information from patient to find funding by interviewing. Made referrals to social service agencies depending upon patient needs. Maintained confidentiality of patient information Evaluated and assessed patients needs and eligibility based on established criteria and income guidelines. Authorize and approved services for the following programs; MIA,KMCHIP, DED, PRUCOL, and COVERED CA. Maintain accurate documentation and organize case files for patients receiving services. Interview patients either by phone or in person to offer programs to explain the purpose rules and regulations. Referred patients to ADAP and Impact. Served as a liaison between internal and external agencies. Entered and retrieved a variety of data and information from a variety of databases. Inmate enrollment at Lerdo's Matrix classes for Medi-Cal. Interviewed patients at bedside or workstation to determined possible state funding. Used payer resources and websites to explore and access eligibility. Worked in collaboration with all areas of revenue cycle and reported ideas of improvement to supervisor. Entered a variety of fiscally related information into database; maintain fiscal records and files. Responded to request of information and inquiries related to patient access processes, policies, an/or related information: researched and resolve customer complaints. Serve as resource to staff for questions and problem solving. Supervised and trained employees.

Conducted client interviews via phone and in-person to assess eligibility for public assistance programs. Verified accuracy and completeness of submitted documents for annual eligibility reviews within federal poverty guidelines.