Summary
Overview
Work History
Education
Skills
Timeline
Generic

Maria Colunga

Pasadena,TX

Summary

Compassionate Community Health Worker committed to serving community members improve wellness through hands on support, education and advocacy.

Overview

19
19
years of professional experience

Work History

Community Health Worker

Suvida Healthcare
08.2024 - Current
  • Provide exceptional customer service to patients by actively listening to their needs and addressing any concerns with empathy and understanding.
  • Assist patients in navigating complex healthcare systems, improving their ability to obtain necessary medical care and social services.
  • Participate in patient care by obtaining authorizations, providing referrals, scheduling appointments, coordinating transportation and providing community resources.
  • Efficiently manage multiple lines of communication, including phone calls, emails, texts and faxes.

Concessions Manager (1099/Part Time)

Absolute Volleyball Academy Of Texas
02.2022 - Current
  • Train and supervise concession staff, resulting in improved performance.
  • Maintain clean and sanitary concessions area by enforcing strict hygiene guidelines and regular cleaning schedules.
  • Manage inventory effectively, reducing waste.
  • Increase overall customer satisfaction by implementing efficient service standards and streamlining concession operations.

Community Health Worker (Remote)

Equality Health
09.2021 - 11.2023
  • Assisted Medicaid, Medicare and CHIP Perinatal members both in person and by phone in navigating complex healthcare system.
  • Completed SDOH with members in order to identify immediate needs, providing both community resources and referrals with sense of urgency and understanding.
  • Enhanced member outcomes by providing education on disease prevention and healthy lifestyle choices.
  • Assisted members with completion of eligibility applications, followed up with reminder call ensuring applications were filed timely.
  • Developed and maintained collaborative relationships with both clinical operations team and local organizations to coordinate health and social services.


Bilingual Patient Scheduler (Contract)

The Methodist Hospital
01.2021 - 06.2021
  • Enhanced patient satisfaction by efficiently scheduling appointments, maintaining accurate records and insurance information.
  • Provided compassionate support to patients during their healthcare journey, addressing concerns and answering questions about appointments promptly.
  • Maintained confidentiality of patient information to comply with HIPAA regulations and protect patient privacy.

Expeditor/CSR

Wholesale Electric Supply Co. Of Houston, Inc.
01.2014 - 07.2017
  • Inspected stocks to identify shortages, replenish supply and maintain consistent inventory.
  • Collaborated with cross-functional teams to align production plans with customer requirements.
  • Researched lost or late freight with carriers and sought timely resolutions in order to meet desired deadlines.


Member Advocate/Complaints and Appeals

Molina Healthcare Of Texas, Inc.
07.2006 - 07.2011
    • Advocated for members' rights through utilization of Molina's Complaints and Appeals Process.
    • Maintained open communication with internal departments and regulatory agencies in order to resolve complaints according to regulatory guidelines.
    • Responded to telephone inquiries from both members and providers regarding Medicaid and CHIP benefits, eligibility verification, PCP assignment, claim inquiries, healthcare access and grievances.
    • Acquired, organized and participated in community-based health fairs geared to promoting program initiatives, health education and awareness of enrollment opportunities.
    • Maintained confidentiality of patient information to comply with HIPAA regulations and protect patient privacy.

Education

High School Diploma -

Charles H. Milby High School
Houston, TX

Skills

  • CHW Certification/License #16012
  • Bilingual, English/Spanish
  • Outreach/Health Education/Advocacy
  • Effective Communication Skills
  • Timely Complaint Resolution
  • Organized and Detail-Oriented
  • Adherence of HIPAA Regulations
  • Adult Mental Health First Aid Certified
  • Dementia Friends Certificate
  • Microsoft Office Suite/Outlook/Teams/ZOOM
  • EPIC/Next Gen Healthcare/HPOTS/QNXT
  • Peachtree/AS400/10 Key By Touch

Timeline

Community Health Worker

Suvida Healthcare
08.2024 - Current

Concessions Manager (1099/Part Time)

Absolute Volleyball Academy Of Texas
02.2022 - Current

Community Health Worker (Remote)

Equality Health
09.2021 - 11.2023

Bilingual Patient Scheduler (Contract)

The Methodist Hospital
01.2021 - 06.2021

Expeditor/CSR

Wholesale Electric Supply Co. Of Houston, Inc.
01.2014 - 07.2017

Member Advocate/Complaints and Appeals

Molina Healthcare Of Texas, Inc.
07.2006 - 07.2011

High School Diploma -

Charles H. Milby High School
Maria Colunga