Summary
Overview
Work History
Education
Skills
Timeline
Generic

MELISSA PINO

The Bronx,NY

Summary

Experienced professional with 14 years in the hospital industry, a 2-year break from work, and 1 year in a business environment. Seeking career opportunity that matches skill set and values.

Overview

10
10
years of professional experience

Work History

Benefits Associate

1199 Seiu Benefit Funds
06.2024 - Current

• Responsible for reconciling and processing Summer Day Camp and Holiday Program provider invoices
• Open, review and process, Summer Day Camp Reimbursement and Cultural Arts Stipend forms for member reimbursement and provider payments
• Reconcile, post and apply member co-payments to related programs, maintain members and provider payment files
• Respond to member and provider inquiries via email, fax and phone and assist walk-in members as needed
• Research and follow-up with members regarding copayments, outstanding balances and vendor disputes,
• Present at the service provider workshops and member trainings; and cross-train to assist with after school and day care voucher processing
• Perform additional duties and projects as assigned by management

Administrative Coordinator

Baystate Children's Hospital
05.2022 - 12.2022
  • Answered phone calls and responded to inquiries from customers, vendors and other external contacts.
  • Facilitated smooth day-to-day operations by anticipating needs, proactively addressing potential issues, and efficiently resolving problems as they arose.
  • Maintained a well-organized filing system to ensure easy access to important records and documents.
  • Managed and maintained electronic and paper-based filing systems to keep essential documents and information easily accessible and organized.
  • Proactively identified opportunities for improving administrative processes, implementing changes that led to increased efficiency and effectiveness.
  • Assisted in the recruitment process by screening resumes, scheduling interviews, and facilitating onboarding activities for new hires.
  • Enhanced communication between departments with timely and accurate preparation of reports and documents.
  • Collaborated closely with department heads for strategic planning purposes while ensuring their alignment with overall organizational goals.
  • Managed calendars, scheduled appointments, and coordinated travel arrangements for senior staff members.
  • Streamlined office operations by implementing efficient administrative processes and procedures.

Social Worker Assistant

MMC UBA
12.2018 - 07.2021
  • Provided care coordination and comprehensive case management to health home clients with a range of chronic medical and mental health conditions and/or substance abuse.
  • Duties included care coordination, community outreach, referrals to community-based services, client engagement, advocacy, health promotion and field work.
  • Assisted clients with meeting their health care goals by gathering data and completing and updating basic assessments and plans of care per DOH regulations.
  • Duties also included processing forms and data entry in state required computer systems.
  • Assisted social workers with developing, organizing, and conducting programs to prevent and resolve problems relevant to substance abuse, human relationships, rehabilitation, or dependent care.

Senior Secretary II

Outreach Cardiology MMC
09.2015 - 12.2018
  • Performed secretarial and routine administrative duties.
  • Prioritized assignments and organized functions to insure effective office operations as well as performed related work required.
  • Utilized effective interpersonal skills to communicate and collaborate effectively with executive staff.
  • Strong secretary who is able to multitask.
  • Participated in meetings and transcribe minutes/notes.
  • Worked with Division director and physicians, coordinated expenses i.e. petty cash, travel reimbursement, check request.
  • Managed multiple physicians calendars including on-call schedule and internal and external organizations.
  • Authorizations: Cooperated with Medicare, Medicaid and private insurance providers to establish relationships and resolve approval and denial issues.
  • Customer Service: Handled patient concerns effectively by quickly identifying needs and delegating, gaining trust, approaching complex situations and resolving problems to maximize efficiency while abiding by the laws of confidentiality.
  • Data Reporting: Compiled statistical data, such as patient admissions, discharges, deaths, births and types of treatment given.
  • Scheduling: Corresponded with patients through phone, fax, email and in person to schedule appointments and answer inquiries.

Education

Bachelor's - Psychology

The College of New Rochelle
Bronx, NY
05.2017

Skills

  • Microsoft Office
  • Bilingual- fluent Spanish
  • Case Management
  • Cultural sensitivity from years of working in hospital settings
  • Benefits analysis
  • Healthcare benefits
  • Benefits administration
  • Onboarding support
  • Verbal and written communication
  • Written and oral communication
  • Problem-solving abilities
  • Multitasking Abilities
  • Organizational skills

Timeline

Benefits Associate

1199 Seiu Benefit Funds
06.2024 - Current

Administrative Coordinator

Baystate Children's Hospital
05.2022 - 12.2022

Social Worker Assistant

MMC UBA
12.2018 - 07.2021

Senior Secretary II

Outreach Cardiology MMC
09.2015 - 12.2018

Bachelor's - Psychology

The College of New Rochelle