Dedicated and focused, who excels at prioritizing, completing multiple tasks simultaneously and following through to achieve project goals. Seeking a rule of increased responsibility and authority.
Willing to relocate: Anywhere Authorized to work in the US for any employer
Brings proven track record of success in determining eligibility and resolving complex cases. Works professionally with clients to develop and implement successful strategies for maximizing services and benefits. Skilled in problem-solving and identifying solutions meeting clients' needs.
Overview
10
10
years of professional experience
Work History
Eligibility Specialist
Legacy Community Health Services
11.2023 - Current
Performs calculations to determine income, duplication of benefits, and award.
Determining individuals' eligibility for various government programs such as Medicaid, Medicare, and food assistance.
Often conduct detailed interviews and gather necessary information to assess applicants' eligibility based on income, resources, and availability of government resources.
Confirm Appointments
One on one with patients
Communicated with people from various cultures and backgrounds on application process.
Reviewed applications for different aid programs and determined which qualification criteria for individuals.
Scheduled appointments with applicants to gather information and explain benefits processes.
Interviewed applicants and explained scope of different available benefits.
Engaged wider departments in accurate, timely paperwork completion.
Processed and certified documents for accuracy and compliance with government regulations.
Assisted clients with completion of applications and paperwork.
Demonstrated respect, friendliness and willingness to help wherever needed.
Strengthened communication skills through regular interactions with others.
Worked well in a team setting, providing support and guidance.
Customer Care Advocate
Vitacare prescription services
10.2022 - 09.2023
Help with prescription fills
Follow different scripts
Transferring in and out prescriptions to different pharmacies
Navigate multiple computer applications
Multi task
Verifying what type of Insurance covers certain medications
Follow up emails
Microsoft word, Excel
Make adequate and good notations on every account
Medicare, Medicaid, commercial insurance
Microsoft Teams
Quick learner
Remote
Contact Tracer/Epidemiologist Call Center Representative
Harris County Public Health
05.2020 - 09.2022
Trace and monitor contacts of infected people. Notify them of their exposure.
Support the quarantine of contacts. Help ensure the safe, sustainable and effective quarantine of contacts to prevent additional transmission.
Expand staffing resources.
Strong work ethic
Use digital tools.
Navigate multiple computer applications
Provided patients their Covid results
Assist in creating a system for end of day Report on Excel Word Programs
Notate and file Information given
Multi task
Register patients for vaccines
Schedule/ cancel appointments
Excel Sheet
Hybrid
Performed record keeping by logging client information within secure contact-tracing software.
Developed and implemented training classes to educate team members and community residents.
Collaborated with local organizations to expand health services and resources.
Communicated with documented COVID-19 patients and other exposed persons via phone call, text, e-mail and other platforms.
Investigated and identified confirmed and suspected coronavirus cases, also documenting potentially affected contacts.
Adv customers on their electricity invoices, as well as sales and incentives. Also helped customers understand their usage and rates.
Personal Banker
First Convenience Bank
11.2017 - 01.2019
Personal banker committed to providing comprehensive customer and financial sales services.
Experienced at identifying personal banking and financial needs, processing and storing financial information. specialized at product and financial service marketing.
Medical Administrative Assistant
Continuum Integrated
09.2015 - 11.2017
Schedule appointments, microsoft word, excel, answer calls, make calls, translate spanish to english, check blood pressure, complete Doctor notes , talk to patients professionally.
Documented patient medical information, case histories, and insurance details to facilitate smooth appointments and payment processing.
Called patients to confirm scheduled appointments day in advance.
Verified insurance coverage to prepare for upcoming patient appointments.
Supported office staff and operational requirements with administrative tasks.
Scheduled patient appointments and placed reminder calls to deliver exceptional customer experience.
Conducted insurance verification and preauthorizations and managed patient charts.
Collaborated with healthcare professionals to maintain high-quality care across departments.
Answered incoming calls, routed messages and resolved patient inquiries within target timeframes.
Coordinated patient scheduling, check-in, check-out and payments for billing.
Education
Diploma - Medical
Everest Institute
Houston, TX
01.2015
High School Diploma - undefined
Willowridge High School
06.2014
Skills
Customer Service
Bilingual
Customer Support
Insurance verification
Microsoft Excel
Research
Microsoft
Customer service
Organized
Cashier
Self oriented
Financial planning
Data entry
Data management
Marketing
Problem solving
Process account transactions
Account opening sales (3 years)
Cash register
Sales
Medical terminology
Customer service
Insurance sales
Negotiation
Financial planning
Supervising experience
Computer skills
Medical office experience
English
Communication skills
Hospitality
Guest services
Organizational skills
Typing
Phone etiquette
Resource information
Applicant support and service
Documentation and paperwork
Applicant engagement
Effective communication skills
Recordkeeping and data input
Public assistance programs
Advocacy and counseling
Interviewing
Verbal communication
Telephone etiquette
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
Eligibility Specialist
Legacy Community Health Services
11.2023 - Current
Customer Care Advocate
Vitacare prescription services
10.2022 - 09.2023
Contact Tracer/Epidemiologist Call Center Representative