Experienced in leadership and a Social Work Professional experienced optimizing productivity, efficiency and service quality across various environments. Highly dependable, ethical and reliable support specialist and leader that blends advanced organizational, technical and business acumen. Self driven to stay connected and cultivate a sense of community within the must vulnerable populations. Works effectively with cross-functional teams in ensuring operational and service excellence.
Hi, I’m
Sara Pizarro
Cape Coral,FL
Summary
Overview
19
years of professional experience
Work History
Centene
Provider Engagement Administrator I
03.2022 - Current
Job overview
- Serve as the primary liaison between The Healthcare Network and the participating provider community who service our members in multiple product lines throughout Southwest Florida
- Conduct on-site visits, telephone conversations and written communications with individuals including Hospital executives, Patient Account Managers, Physicians, Office and Billing Managers.
- Build and maintain strong relationships with providers by offering excellent customer service to assigned primary care, and specialty care physicians with routine and targeted education visits for the purpose of continued education regarding policies/initiatives. Service also includes supply deliveries and prompt follow up regarding claims, benefits and procedural guidelines for authorization of services.
- Represent the Provider Relations Department and Practice Transformation Specialist in work groups and committees that address both internal and external customer concerns regarding the operations of The Healthcare Network as it pertains to the provider community.
Florida Cancer Specialists
Patient Financial Navigator Supervisor
05.2019 - 03.2022
Job overview
- Lead 38 Patient Financial Navigator members in achieving department financial goals and delivering quality patient care.
- Participate in In-Service programs, orientations, quality assurance, and performance review activities as a Leadership team member.
- Helped address client complaints through timely corrective actions and appropriate referrals. Facilitated communication between patients and various departments and staff.
- Implement, monitor, and analyze report data to effectively manage support coverage performance of KPIs, metrics, customer satisfaction, and audits.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
Florida PACE Centers
Senior Eligibility Specialist
04.2018 - Current
Job overview
- Successfully implemented eligibility screening process and in-service training to effectively track Medicaid applications and minimize denial outcomes and that policies are up to date.
- Review and complete audits on the eligibility specialists to ensure that all documents and notes are uploaded and captured timely and efficiently.
- Process and oversee Medicaid applications that require a Qualify Income Trust, assets issues or have an attorney involved. Request and appeal all denial cases with The Department of Children and Families. Follow up with all escalations from the eligibility specialists.
- Primary liaison between the Department of Children and Families, Social Security Administration and other local agencies to assist resolving or providing additional assistance to our future prospects and current participants.
- Promoted to Senior Eligibility Specialist and oversee the Eligibility Specialists.
Memorial Healthcare Systems
Patient Eligibility Counselor
04.2016 - 04.2018
Job overview
- Assisted self pay patients with Medicaid, financial assistance or establishing disability eligibility assistance, case management, referrals or related function. Performed as the liaison between the patient and social workers to ensure the discharge plan was set accurately and assist with obtaining health coverage for ongoing treatment.
- Completed Social Security application and obtained interview for potential disabled patients. Completed Medicaid applications and ensure to provide all verification documents to the Department of Children and Families for determination.
- Top performer in advocacy of patients, converting the highest number of self-pay patients to securing medical coverage
- Educated and precisely explained Medicaid, Social Security disability eligibility criteria and requirements to patients and families.
State Of Florida - DCF
Public Assistance Eligibility Specialist
03.2007 - 03.2016
Job overview
- Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
- Documented all communication with applicants and inputted information into system using the Florida System, DMV, SSA (DES0) and Immigration.
- Interviewed applicants and explained scope of different available benefits.
- Served as the Lead Bilingual representative to assist Spanish-speaking clients and provide customer support, case management, and government assistance referrals: SNAP, Medicaid and TANF
- Documented case notes, process eligibility changes, overpayments, adjustments, and restore benefits using government system
Education
Florida Gulf Coast UniversityFort Myers, FL
Bachelor of Science from Healthcare Administration
05.2024
University Overview
Miami Dade CollegeMiami, FL
Associate of Arts from Social Work
05.2019
University Overview
Skills
- Business Leadership
- Community Outreach Programs
- Client Advocacy
- Presenting Information
- Effective Customer Communication
- Spanish Interpreting
- Employee Coaching and Motivation
- Individualized and Group Training
- Telephone Etiquette
Timeline
Provider Engagement Administrator I
Centene
03.2022 - Current
Patient Financial Navigator Supervisor
Florida Cancer Specialists
05.2019 - 03.2022
Senior Eligibility Specialist
Florida PACE Centers
04.2018 - Current
Patient Eligibility Counselor
Memorial Healthcare Systems
04.2016 - 04.2018
Public Assistance Eligibility Specialist
State Of Florida - DCF
03.2007 - 03.2016
Florida Gulf Coast University
Bachelor of Science from Healthcare Administration
Miami Dade College
Associate of Arts from Social Work
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