Meticulous Enrollment Specialist with a comprehensive background in San Ysidro Health Center. Exceptional abilities in accurate recordkeeping and maintaining customer confidentiality. Outstanding evaluation, billing, and accounting expertise.
Overview
11
11
years of professional experience
1
1
Certification
Work History
HIV Enrollment Specialist / Patient Navigator
San Ysidro Health
03.2020 - Current
Develop excellence in case management services which will enrich and enhance the quality of life, dignity and respect of people infected and/or affected by HIV/AIDS.
Provides support, advocacy, information, resources, and referrals to clients to ensure linkage to care, acting as a liaison between internal and external clients, visitors, and staff.
Engages in patient interactions via telephone and in-person to identify, advocate, and meet client needs to ensure linkage and engagement to HIV care.
Screens clients for all public and private benefit and entitlement programs such as Ryan White funded services, Medication Assistance Program, Medical, Medicare etc. and enrolls /refers accordingly.
Retrieves and enters clients’ information on assigned systems (ARIES/EPIC) and confirms and verifies clients’ current information.
Completely required documentation of services accurately, in a timely manner, and thoroughly in accordance with the department standards to ensure documentation and reporting complies with all regulations.
Advocate for clients and assist them in the procurement of benefits and services. Provide necessary information, referrals for established care plans and advocate for client’s needs.
Ensure clients are enrolled in medical care and receive appropriate referrals to needed services as established in case plan.
Collaborates with a multidisciplinary team while also interacting with a diverse group of clients, visitors, external and internal contacts.
Reviews all client forms and ensures client files are complete and in compliance with contract requirements and SYH regulations.
Assists the Program Supervisor with completing monthly reports and maintaining an up-to-date and visible monthly calendar of program activities.
Performs general clerical tasks as assigned, which may include but are not limited to, filing, processing paperwork, data entry, scanning/photocopying, agenda creation, minutes, encounter reports, scheduling, and other similar tasks and activities.
Collecting information and qualifying candidates for programs. Services or course.
Ensuring applications are completed correctly and that the required supported materials have been provided.
Maintains all areas clean, stocked, and always organized.
Adheres to SYHC and department’s attendance and punctuality policies and practices.
Maintains a flexible schedule to allow for some after hour and/or weekend work, as well as emergency coverage of shifts to meet the needs/demands of clients, service, and/or department related activities and events including but not limited to AIDS Walk, San Diego LGBT Pride Parade, Day in the Park, and Clients’ Holiday Event.
Participates in meetings and developmental training.
Performs other duties as assigned.
Welcome and register new patients, enter patient information into database.
Essential for directing and coordinating individuals within an organization to achieve its goals or mission.
Maintain a caseload of 30-50 clients or moreover depending on client’s needs and services provided by Patient Navigator.
In compliance with federal regulations regarding HIPAA.
HIV Event Production Coordination: responsible for executing on and off-site events including but limited to event team coordination, event set up.
HIV/AIDS Educator Facilitator- Provides learning education topics for HIV population (Women’s living with HIV).
Clerk Assistant / Substitute
South bay Union School District
08.2017 - 06.2019
Manage office assistant, greeting visitors and responding to telephone and in- person requests for information.
Assists other office personnel as may be required for the purpose of supporting them in the completion of their work activities.
Establishes procedures for the purpose of effective & efficient office operations.
Monitors assigned activities, tasks, and/or program components (e.g. education code, absence & vacation schedules, district requirements, program budgets, critical timelines, etc.) for the purpose of ensuring compliance with and meeting deadlines for financial, legal and/or administrative requirements.
Maintains reports (timelines, tickler files, budgets, etc.) for the purpose of meeting deadlines & complying with District, State & Federal guidelines.
Wrote reports and correspondence from dictation and handwritten notes.
Attend meetings periodically to transcribe notes.
Attention to detail, work with minimal supervision.
Customer service skills.
Good Coordination.
Site Supervisor / Supervisor Assistant
Boys & Girls Club
10.2014 - 05.2019
Manages the recruitment of Program Leaders and participates in the selection of students for the before and after-school program.
Maintains a strong connection between the school day and the after-school program.
Create program objectives consistent with organizational goals and mission; oversee the provision of day-to-day program activities in accordance with established standards and goals.
Adhere to organizational policies and procedures as described in the Employee Handbook, Ethics Policy and elsewhere.
Coordinates and develops learning and enrichment partnerships with community and youth service agencies.
Internal: Maintains close contact with Club staff, Club members, volunteers, and supervisor to receive/provide information, discuss issues, explain guidelines; instruct; and advise/counsel
Ensuring youth development principles that are incorporated into our program before and after school.
Providing guidance and discipline to ensure a safe and positive environment for our team.
Provide Office support through administrative and clerical tasks.
Guidance Staff to perform as an essential role model as leaders by meeting program expectations.
Providing excellent customer service to fulfil growth through our organization.
Microsoft office (word, excel, and PowerPoint).
Documentation and handwriting reports
Constantly in communication with staff, leads and customers.
Familiar with Radio’s frequency, and telephone system.
Proficient with emails and any other interactive communication media.
Be able to work under pressure professionally.
Education
Office Skills Certification -
Cesar Chavez Continuing ED
San Diego, CA
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Southwestern College
Chula Vista, CA
High School - undefined
Mar Vista High School
Imperial Beach, CA
01.2006
Skills
Highly organized and strong attention to detail
Strong computer proficiency
Fluent in Spanish- Bilingual
Effective Communicator and Motivational Interviewing experience
Able to multitask efficiently and effectively
Great customer service skills and team player
Ability to follow processes and procedures accurately
Good coordination
Organizational Leadership
Problem solving and critical thinking
Adaptability
Time management
Administration skills
Collaboration Skills
Accomplishments
Collaborated with team of 70 in the development of Implementation Team.
Certification
CA driver’s licensed and access to vehicle with appropriate insurance coverage.
TRAININGS
ADAP Training
OSHA Training
HIPPA Training
HIV Testing and Counseling Certification
Cultural Awareness Training
Motivational interviewing
Mental Health First Aid
Organization Training in Harassment in workplace
Patient Experience Complaints and Grievance
Heat Stress Training
Effective Communication
Trauma informed Care
DHCS Medical- Healthcare Fraud & Children Presumptive eligibility
Referral/Prior Authorization Specialist at San Diego PACE, San Ysidro HealthReferral/Prior Authorization Specialist at San Diego PACE, San Ysidro Health