OLIVIA GALINDO
Buckeye,Arizona
Summary
Seeking to secure and sustain a full-time position that presents professional challenges, making use of interpersonal, time management, and problem-solving skills. As an organized and reliable individual, I excel at juggling multiple priorities with a positive outlook. I am eager to assume additional responsibilities to achieve team objectives. Compassionate Special Needs Paraprofessional with background in providing support and assistance to students with disabilities. Have facilitated individualized education plans while maintaining safe, inclusive environments conducive to learning. Strengths include strong communication skills, patience and the ability to quickly adapt teaching strategies based on each student's needs. Previous roles have shown significant improvements in student engagement and progress towards academic goals.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Special Education Paraprofessional
Litchfield Elementary School District
Litchfield Park, Arizona
11.2024 - Current
- Supported the development of social skills through modeling appropriate behavior and interactions with peers.
- Provided personalized accommodations, additional support and conducted educational assessments.
- Provided feedback on how well a student is progressing towards meeting their IEP goals.
- Administered assessments as directed by teachers or other school personnel.
- Advised instructor on student behavior or issues requiring immediate attention.
- Supervised students during lunch periods, recesses, and field trips, ensuring their safety at all times.
- Assisted neurodiverse students with classwork and activity preparation.
- Demonstrated appropriate behaviors using behavior modeling and positive reinforcement techniques.
- Assisted with transitioning from one activity to another throughout the day as needed by the student.
- Escorted students to restroom cafeteria, outside to playground and on field trips.
- Provided support and guidance to colleagues to maintain a collaborative work environment.
Utilization Management Processor
Avesis
Phoenix, Arizona
04.2013 - 04.2023
- Assisted team lead in anesthesia reports
- Performed task on corrective claims Reviewed proper documentation and contracts
- Reviewed member coverage and limits Transmit claims for payment or further investigation The capability to manage multiple and shifting priorities effectively.
- Works closely with Wellcare for GA Medicaid Hospital Cases
- I reviewed and processed the continuation of care benefits for orthodontic cases originating from various plans.
- Verified accuracy of dental claims for completeness and compliance with insurance policies and regulations.
- Resolved discrepancies between insurance companies and patients regarding payments, fees, and benefits.
- Evaluated patient eligibility for services based on plan documents and state regulations.
- Reviewed insurance policy language to ensure accurate interpretation of benefit entitlements.
- Responded to inquiries from providers regarding claim status, payment issues.
- Analyzed denied claims for potential resubmission or appeal opportunities.
- Provided support related to appeals processes by researching medical records, coding manuals.
- Assisted claimants, providers and clients with problems or questions regarding claims.
- Collaborated with fellow team members to manage large volume of claims.
Dental Claims Processor
Avesis
Phoenix, Arizona
04.2011 - 11.2013
- Ensured the application of correct dental coding and stop codes for claims involving dental procedures that were not covered benefits or had reached their maximum coverage at the time of claim submission.
- Worked closely with other departments when there was an issue with benefit codes not working properly in the system so that the issue can be resolved and not process a claim incorrectly
- Manually entered in paper claims
- Made contact with insurance carriers to discuss policies and individual patient benefits
- Communicated verification and authorization status updates with [Type] department to facilitate decision-making for patient admissions and insurance coverage
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt
- Calculated adjustments, premiums and refunds
- Assured timely verification of insurance benefits prior to patient procedures or appointments
- Communicated effectively with staff members of operations, finance and clinical departments
- Assisted members with plan coverages
- Evaluated patient eligibility for services based on plan documents and state regulations.
- Resolved discrepancies between insurance companies and patients regarding payments, fees, and benefits.
Customer Service Rep.
Avesis
Phoenix, Arizona
10.2010 - 04.2011
- Answered customer inquiries and provided accurate information regarding products and services.
- Assisted with customer inquiries, complaints, and requests for information regarding insurance policies.
- Verified accuracy of customer data entered into the system.
- Actively participated in training sessions to stay up-to-date on changes in regulations related to insurance policies.
- Collaborated with colleagues from other departments to resolve escalated customer issues.
- Responded promptly to emails and phone calls from customers seeking assistance.
Care Giver
Arizona Mentor
Phoenix, Arizona
11.2008 - 10.2010
- Built strong relationships with clients to deliver emotional support and companionship
- Engaged patients in meaningful conversation, socialization, and activity while providing personal care assistance
- Assisted with dressing guidance, grooming, meal preparation, and medication reminders
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives
- Cleaned house, ran errands, managed laundry, and completed weekly grocery shopping
- Maintained clean personal areas and prepared healthy meals to support client nutritional needs
- Provided safe mobility support to help patients move around personal and public spaces
- Assisted clients with daily living needs to maintain self-esteem and general wellness
- Assisted patients with self-administered medications
- Recognized and reported abnormalities or changes in patients' health status to case manager
- Transported individuals to events and activities, medical appointments, and shopping trips
- Supported daily hygiene needs of patients by assisting with bathing, dressing, dental care and personal grooming
- Assisted patients with bathing, grooming, dressing, and oral hygiene care both in private residences and facilities
- Accompanied
- Assured proper nutrition by preparing meals, grocery shopping and monitoring food consumption levels.
Caregiver
Aires
Phoenix, Arizona
10.2008 - 10.2010
- Provided direct care and support to individuals with special needs in a residential setting.
- Assisted individuals with daily activities such as dressing, eating, and hygiene.
- Monitored clients' physical and emotional well-being and reported any changes to supervisor or other appropriate personnel.
- Administered medications as prescribed by physician or psychiatrist.
- Encouraged independence and self-advocacy among clients through positive reinforcement strategies.
- Facilitated communication between clients, families, caregivers, and professionals involved in the care plan process.
- Participated in community outings and social events with clients to increase their quality of life experiences.
- Provided transportation services for medical appointments or other necessary errands when needed.
- Maintained accurate records of tasks completed including progress notes detailing client interactions and behaviors observed.
- Redirected poor behavior using positive reinforcement.
- Observed, reported and documented patient status and care provided.
- Maintained cleanliness of clients' environment by cleaning surfaces and washing clothes or dishes.
- Monitored health and well-being of clients and reported significant health changes.
- Assisted clients with maintaining good personal hygiene.
- Helped clients get in and out of beds and wheelchairs.
Special Needs Paraprofessional
Accel
Phoenix, Arizona
02.2006 - 04.2009
- Provided individualized instruction to special needs students in a one-on-one or small group setting.
- Assisted with the development and implementation of Individual Education Plans.
- Monitored student progress, behavior, and social interactions in accordance with IEP goals.
- Collaborated with teachers, administrators, and other professionals to ensure proper support for students' educational needs.
- Supported classroom teachers by monitoring student behavior and providing assistance as needed.
- Maintained records of student progress using appropriate documentation tools.
- Helped develop strategies for managing challenging behaviors in an effective manner.
- Utilized positive reinforcement techniques to motivate student learning and participation in activities.
- Participated in professional development activities related to special education topics.
- Attended team meetings, workshops, seminars, and conferences as required.
- Met one-on-one with autism students and implemented targeted behavioral plans.
- Demonstrated appropriate behaviors using behavior modeling and positive reinforcement techniques.
- Consulted with teachers regarding student progress, IEP adjustments and classroom needs.
Education
Diploma - Dental Assisting
The Bryman School
Peoria04.2005
High School Diploma -
Carl Hayden High School
Phoenix, AZ05.2002
Skills
- Utilization Management
- Telephone inquiries
- Customer service
- Dental terminology
- Data Entry
- Eligibility Determination
- Insurance Claim Forms Review
- Medicaid Knowledge
- Insurance Coverage Verification
- Prior Authorization Processing
- Denied Claims Identification
- Patient Rapport
- Organizing and Prioritizing Work
- Attention to Detail
- Collaborative Relationships
- Claims Adjustment
- Claims Processing
- Critical Thinking
- Policy and Procedure Explanations
- Information Verification
- Coverage Determination
- Patient Contact
- Teamwork and Collaboration
- New Policies Processing
- Active Listening
- Policy Review
- Problem solver
- Multitasking and Organizing
- Document Review
- Personal Hygiene Assistance
- Student Supervision
- Verbal and written communication
- Classroom Organization
- IEP goals
- Lesson Plan Implementation
- Special needs
- Behavioral plan management
- Activities Oversight
- Classwork oversight
- Teacher Assistance
Certification
- CPR/AED/FIRST AID
- Fingerprint Clearance card
- Paraprofessional test completed and passed
Timeline
Special Education Paraprofessional
Litchfield Elementary School District
11.2024 - Current
Utilization Management Processor
Avesis
04.2013 - 04.2023
Dental Claims Processor
Avesis
04.2011 - 11.2013
Customer Service Rep.
Avesis
10.2010 - 04.2011
Care Giver
Arizona Mentor
11.2008 - 10.2010
Caregiver
Aires
10.2008 - 10.2010
Special Needs Paraprofessional
Accel
02.2006 - 04.2009
Diploma - Dental Assisting
The Bryman School
High School Diploma -
Carl Hayden High School