Marcos Alcala-Flores
Woodland,United States
Summary
Enrollment Specialist known for maintaining high productivity and efficiently completing tasks. Specialized in navigating complex enrollment systems, developing effective communication strategies, and implementing process improvements to enhance workflow. Excel in problem-solving, time management, and adaptability, ensuring smooth enrollment processes and positive outcomes for all parties involved.
Overview
4
4
years of professional experience
1
1
Certification
Work History
Enrollment Specialist
Western Health Advantage
Sacramento
07.2024 - Current
- Operated various office equipment such as scanners, printers. when required.
- Scanned documents into appropriate databases for storage purposes.
- Utilized specialized software applications related to the job role.
- Maintained confidentiality of patient information in accordance with HIPAA regulations.
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
- Processed paperwork associated with open enrollments, terminations, life events and other related activities.
- Checked source documents against entered data to ensure accuracy.
Billing and Fulfillment Specialist
Western Health Advantage
Sacramento, CA
04.2023 - 07.2024
- Sorted and distributed incoming mail.
- Assisted in the preparation of outgoing mail by weighing packages, affixing postage, and completing necessary documentation.
- Received and sorted incoming mail, packages, and courier deliveries.
- Loaded letters into automated processing equipment and maintained continuous flow when feeding letters to be sorted.
- Bundled, labeled and routed sorted mail to designated areas depending on destinations and according to established procedures and deadlines.
- Track all incoming and outgoing mail using Excel.
Eligibility Specialist
Holman Group
Los Angeles, CA
06.2021 - 11.2022
- Maintained comprehensive knowledge of program regulations, policies, and procedures.
- Developed strategies to improve efficiency in the processing of applications and customer service delivery.
- Processed client applications in accordance with established guidelines.
- Verified applicant's identity and other relevant documents such as birth certificates or Social Security cards.
- Gathered financial information from clients regarding income, assets and debts.
- Entered client information and files into databases for further review and tracking.
Education
Associate of Arts - Social And Behavioral Science
Woodland Community College
Woodland, CA04-2019
Skills
- Data entry skills
- 10 key proficient
- Insurance and billing knowledge
- Customer service skills
- multi tasking
- Flexible
- Advance computer skills
Languages
Spanish
Limited
Certification
- Mandated Reporter Certified
- Sexual Harassment Prevention Certified
- Certified 53 WPM
Timeline
Enrollment Specialist
Western Health Advantage
07.2024 - Current
Billing and Fulfillment Specialist
Western Health Advantage
04.2023 - 07.2024
Eligibility Specialist
Holman Group
06.2021 - 11.2022
Associate of Arts - Social And Behavioral Science
Woodland Community College