Onassis Rosario
Harrisburg
Summary
Dedicated health insurance enrollment specialist with expertise in Medicaid, commercial, and CHIP insurances. Proven background in quality improvement, adept at closing care gaps for patients, including children needing annual well-child visits and individuals with chronic conditions such as hypertension and diabetes. Skilled in tracking patient measurements to ensure they remain at healthy levels, enhancing quality of care while simultaneously driving revenue growth. Committed to fostering access to healthcare and improving patient outcomes through effective enrollment strategies and quality management practices.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Enrollment Navigator/ Care Gap Management Specialist
Choice Consulting, LLC/ UPMC & Family First Health
05.2024 - Current
- Evaluate eligibility for enrollment and aid in the completion of initial and renewal applications for Medicaid, CHIP, and Pennie
- Managed over 2,000 patient care gaps through effective tracking and intervention strategies using UPMC's Novillus platform, ensuring timely follow-ups and enhanced patient engagement
- Conducted data entry on UPMC’s Contact Center Dashboard, maintaining accurate records for quality improvement.
- Tracked health metrics for patients with diabetes and hypertension, ensuring adherence to treatment plans and optimizing management for chronic conditions.
Financial Counselor
New York Health & Hospital Lincoln Medical Center
09.2021 - 04.2024
- Build patient case files, gather information and advise them on select health insurance options based on individual needs.
- Provide patients with guidance on effective strategies to reduced hospital bills, and inform them about various payment plans that are available to them.
- Utilizing Epic Systems software to manage patient case files, ensuring accuracy and identifying issues promptly while maintaining HIPAA Compliance.
Data Entry Specialist/ Job Coach
JobPath NYC
01.2020 - 02.2021
- Utilizing Epic Systems software to manage patient case files, ensuring accuracy and identifying issues promptly while maintaining HIPAA Compliance
- Manage daily schedules for individuals with disabilities, provide counseling and direction while exceeding daily goals
- Filing and sorting documents and performing data entry tasks accurately to receive Medicaid funding
- Responsibilities include maintaining confidential patient records and generating monthly progress reports
Education
Associate's - Applied Science in Human Services
CUNY BOROUGH OF MANHATTAN
New York, NY01-2021
Skills
- Technical: Microsoft Office, Google Suite, Athena, Epic Systems, Novillus, Pennie & COMPASS
- Healthcare Compliance: HIPAA, HEDIS, Insurance Verification, Medical Terminology, Novillus
- Languages: English (Fluent), Spanish (Fluent)
- Soft Skills: Customer Service, Data Analysis, Cultural Competence, Data Entry
References
- Richa Leitzell, 717-356-2203 EXT: 4511, rleitzell@familyfirsthealth.org, Family First Health
- Tina Conde, 717-379-1634, tina@choiceconsul.com, Choice Consulting, LLC
Certification
- Pennie Assister Certified
- COMPASS Certified
Timeline
Enrollment Navigator/ Care Gap Management Specialist
Choice Consulting, LLC/ UPMC & Family First Health
05.2024 - Current
Financial Counselor
New York Health & Hospital Lincoln Medical Center
09.2021 - 04.2024
Data Entry Specialist/ Job Coach
JobPath NYC
01.2020 - 02.2021
- Pennie Assister Certified
- COMPASS Certified
Associate's - Applied Science in Human Services
CUNY BOROUGH OF MANHATTAN
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