Maria Ramos
Miami,US
Summary
Dedicated Social Worker provides exceptional professional care and implements appropriate interventions. Utilizes variety of resources to identify unique needs and assist vulnerable populations. Adept at establishing strong rapport with individuals from diverse backgrounds.
Overview
11
11
years of professional experience
Work History
Medicaid Benefit Counselor
Alliance For Aging
12.2021 - Current
- Provide Long Term Care education to individuals seeking services for Home Community Based Services.
- Assist individuals with eligibility process for the State Medicaid Managed Care Long Term Care Program by utilizing eCIRTS (Client Information and Registration Tracking System), Florida System, and FMMIS (Florida Medicaid Management Information System).
- Advocate for client’s by coordinating with CARES and DCF/ACCESS staff to resolve in a timely manner any eligibility issues that arise during the eligibility determination process.
- Collect, review, and maintain accurate Medicaid eligibility determination by tracking data to ensure completeness, accuracy, and timeliness
- Gather and collect required information and documents for Medicaid application with the Department of Children and Family.
- Build relationships with and educate service providers, professional entities, and other professionals, to facilitate referrals and increase awareness of Medicaid resources.
Intake, Screening, & Triage Specialist
Alliance For Aging
04.2021 - 12.2021
- Provided efficient, timely and consumer friendly services to elder population to facilitate 701S screenings
- Educated clients and caregivers on Statewide Medicaid Managed Care Long Term Care Program (SMMCLTCPC), Community Care for the Elderly (CCE), Home Care for the Elderly (HCE), and Alzheimer’s Disease Initiative (ADI)
- Entered client’s 701S into CIRTS (Client Information and Registration Tracking System) and managed client’s records by reviewing notes, record time, and logging events in Refer Net.
- Billed accounts according to time spend on screenings by utilizing Refer Net recording time.
- Managed Alzheimer’s Disease Initiative (ADI) releases by using the eligibility guidelines of the program
Claims Processor
Change Healthcare
03.2020 - 04.2021
- Processed claims assigned daily in Pace and sent forms and verifications to the Department of Children and Families and Social Security Administration
- Performed clerical functions which included opening, sorting and distributing incoming mail and processing outgoing mail, filing and assisting the unit and supervisor in multiple projects using expert time management with little supervision
- Assisted members, physicians and hospitals with inquiries and concerns on accounts.
- Reviewed electronic claims and processed data as required by the claims system
Paralegal/Legal Assistant
Law Offices of Mario M. Lovo, P.A
03.2018 - 03.2020
- Answered incoming phone calls, and in-person inquires and referred to appropriate parties when appropriate.
- Conducted consultations with new and current clients by setting appointments and cancelling when needed
- Entered confidential documents using ACT to effectively manage clients data.
- Prepared documents to be filled with immigration and provided copies to client when needed.
- Assisted the attorneys by translating documents, preparing packages to be sent to USCIS (United States Citizenship and Immigration Services), and managed copies for clients' files for follow ups.
Intern Case Manager
Florida Center for Survivors of Torture
01.2019 - 07.2019
- Managed a caseload of 10 individuals.
- Determined client’s requirements by completing intake interviews; determining needs and goals by using psychosocial assessment.
- Maintained clients’ records by reviewing case notes; logging events and progress.
- Connected clients with resources within the community to have a better life and to become self sufficient individuals.
- Prepared clients’ discharge by reviewing discharge plans; and coordinated discharge and post- discharge requirements.
Supervisor
Johnny Rockets Dadeland
06.2014 - 03.2018
- Completed all closing and/or opening procedures to company standards
- Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
- Improved customer satisfaction with timely response to inquiries, addressing concerns, and finding effective solutions.
- Oversaw daily operations of the department, ensuring smooth workflow and timely completion of tasks during shifts.
- Manged food inventory at the end of every shift and handled deposits for morning and/or night shifts.
Education
Bachelor of Science - Social Work
Florida International University
Miami, FL07.2019
Associates of Arts - Nursing
Miami Dade College
Miami, FL07.2017
Skills
- Bilingual in English and Spanish
- Pace
- CIRTS
- Case Management
- Avatar
- ECIRTS
- Outlook
- PowerPoint
- Conversational in Italian
- Technical: Proficient in Microsoft Word
- Refer
- Excel
- Intake Experience
- ACT
Timeline
Medicaid Benefit Counselor
Alliance For Aging
12.2021 - Current
Intake, Screening, & Triage Specialist
Alliance For Aging
04.2021 - 12.2021
Claims Processor
Change Healthcare
03.2020 - 04.2021
Intern Case Manager
Florida Center for Survivors of Torture
01.2019 - 07.2019
Paralegal/Legal Assistant
Law Offices of Mario M. Lovo, P.A
03.2018 - 03.2020
Supervisor
Johnny Rockets Dadeland
06.2014 - 03.2018
Associates of Arts - Nursing
Miami Dade College
Bachelor of Science - Social Work
Florida International University
Similar Profiles
Yahoska MoreiraYahoska Moreira
Administrative Assistant at Alliance For AgingAdministrative Assistant at Alliance For Aging
Jamie PorterJamie Porter
General Manager at Serotonin Anti-AgingGeneral Manager at Serotonin Anti-Aging
D'andre GabrunD'andre Gabrun
Volunteer at Home for the AgingVolunteer at Home for the Aging
JOSE ESPINOSAJOSE ESPINOSA
Inside Group Retiree Sales Supervisor at UnitedHealth GroupInside Group Retiree Sales Supervisor at UnitedHealth Group
MARIA REDONDOMARIA REDONDO
REALTOR at The Keyes CompanyREALTOR at The Keyes Company