Sandra Espinoza
Upland,CA
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Dedicated candidate eager to leverage knowledge in social services and program development. Skilled in running social services initiatives and developing policies and procedures. Collaborative and committed to addressing social issues to improve quality of life in marginalized communities.
Overview
14
14
years of professional experience
Work History
Non-Medical Case Manager
Aids Healthcare Foundation, AHF
02.2023 - Current
- Partnered with physicians, social workers, activity therapists, nutritionists, and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
- Partnered with local organizations to expand access to social and community services.
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Collaborated with an interdisciplinary team to determine timely delivery of services.
- Enhanced communication between clients and providers through consistent follow-ups and progress updates.
- Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
Benefits Counselor/ Benefits Specialists
Aids Healthcare Foundation
02.2014 - 02.2023
- Navigate patients through public assistant programs and private insurance: Ryan White, ADAP, Aries, Casewatch, ACA, and Public Assistance.
- Ensure healthcare centers receive maximum reimbursement for services rendered
- Completion of benefit applications and make appropriate referrals for all county, state, and/or federal programs.
- Streamlined benefits enrollment process for increased efficiency and accuracy in recordkeeping.
- Collected documents and checked applications for completeness before submission.
Office Team Temp Agency
Aids Healthcare Foundation
07.2012 - 02.2014
- Processes Specialty Referral Forms
- Facilitate LOA processing with the Health Plan for non-contracted facilities
- Verify member's benefits and eligibility upon receipt of the treatment authorization request
- Data entry into EZCAP, CPS, RAM, and Authorization module accurately and completely
- Attend Managed Care Staff Meetings as well as other AHF meetings as assigned.
- Conducted research relevant to office tasks, providing valuable insights and information to support decision-making processes.
- Informed and supported business leaders through consistent communication and administrative support duties.
- Collaborated with various departments to complete assigned tasks.
- Interacted with patients by phone, email, or in person to provide information.
- Contributed to the development of office policies and procedures, helping to create a more efficient workplace for all team members.
- Provided exceptional customer service by greeting visitors warmly and ensuring their needs were promptly addressed during their visit.
- Managed daily data entry and kept clerical information accurate and up-to-date.
- Compiled and analyzed data to produce reports.
Investigation Reports
County of Los Angeles Department of Corner
10.2009 - 06.2012
- Determine whether death will be a coroner's case Sign out, Natural cause, Morgue, Mortuary pick up
- Dispatching work involving the operation of radio communication equipment; or as an operator of a telephone switchboard
- Responsibility to perform numerous tasks simultaneously or progressively
- Responsible experience in a field requiring decision-making ability and the exercise of judgment.
- Used critical thinking to break down problems, evaluate solutions, and make decisions.
- Demonstrated creativity and resourcefulness through the development of innovative solutions.
- Gained extensive knowledge in data entry, analysis, and reporting.
- Managed time efficiently to complete all tasks within deadlines.
- Completed paperwork, recognizing discrepancies and promptly addressing them for resolution.
- Skilled at working independently and collaboratively in a team environment.
- Worked effectively in fast-paced environments.
- Identified issues, analyzed information, and provided solutions to problems.
- Completed paperwork, recognizing discrepancies and promptly addressing them for resolution.
- Managed time efficiently to complete all tasks within deadlines.
- Managed time efficiently in order to complete all tasks within deadlines.
- Strengthened communication skills through regular interactions with others.
- Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Demonstrated a high level of initiative and creativity while tackling difficult tasks.
Education
High School Diploma -
Bell Gardens High School
Bell Gardens, CASkills
- Patient Assessment
- Case Management Tracking
- Referral Coordination
- Resource Management
- Crisis Intervention
- Patient Needs Assessment
- Written and verbal communication
- Care Coordination
- Documentation And Reporting
- Problem-Solving
Timeline
Non-Medical Case Manager
Aids Healthcare Foundation, AHF
02.2023 - Current
Benefits Counselor/ Benefits Specialists
Aids Healthcare Foundation
02.2014 - 02.2023
Office Team Temp Agency
Aids Healthcare Foundation
07.2012 - 02.2014
Investigation Reports
County of Los Angeles Department of Corner
10.2009 - 06.2012
High School Diploma -
Bell Gardens High School
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