Sophia Kavoulakos-Miramontes

• Assisted clients with navigating the complexities of insurance coverage and reimbursement processes, alleviating financial stressors.
• Enhanced communication between healthcare providers and families, ensuring appropriate support for patients.
• Developed strong partnerships with community organizations, expanding available resources for clients and families.
• Advocated for clients'' rights and preferences, fostering a client-centered approach in all aspects of geriatric case management.
• Mentored new case managers, sharing knowledge and expertise in the field of geriatric care management.
• Conducted thorough assessments of clients'' medical, social, and emotional needs to provide targeted interventions.
• Streamlined documentation processes, resulting in increased efficiency and improved record-keeping accuracy.
• Improved patient outcomes by developing comprehensive geriatric care plans tailored to individual needs.
• Managed caseloads efficiently while maintaining exceptional attention to detail in all aspects of care planning and execution.
• Facilitated client access to community resources and services, empowering them to maintain independence and quality of life.
• Assisted clients in navigating housing, legal services and public benefits to gain access to valuable resources.
• Maintained detailed records of patient progress, documentation of services and case notes.
• Assisted patients in accessing housing, financial assistance and other community resources.
• Assessed risk factors of patients and made referrals for further services.
• Managed caseload to satisfy multiple patients with diverse needs.
• Assisted to schedule primary and specialist appointments.
• Explain and set up transportation services.
• Conducted interviews in person and telehealth.
• Assisted to apply and explain Calfresh, Medical,Medicare,Medicare Savings Program,Section 8 and affordable housing programs, Social Security retirement , SSDI and SSI income, meal programs.
• Assisted to apply for EDD and SDI benefits.
• Assisted to explain and enroll in Medicare Advantage plans and Medical plans.
• Verify all insurances coverage.
• Screen, evaluate and explain PACE program and submit referral.
• Answer and assist Older Adult Services call center phone line daily.
• Contact referrals to Older Adult Services and schedule appointments with Case Managers.
• Assist patients to contact Social Security office and the County of San diego for inquires and explanation.
• Review patient's correspondence.
• Conduct Complex Case Management appointments of 20 plus monthly.

Screened and assisted clients with applications for insurance programs with Medical,Covered California,CHDP,Presumptive Medical for pregnant , Sliding fee programs. OB contracts.

Performed detailed follow up on all applications.

Engaged in community outreach and provided resources to community about insurance programs.

Assign primary provider to clinic.

Assisted with Medical and Covered CA annual renewals.

Assisted to complete paperwork for Medical insurance plan selecdtion and changes.

Determined eligibility for clients who are applying for several forms of public assistance programs.

Conducted personal interviews with clients to obtain clarify and verify financial,demographics and financial for eligibility of government programs.

Entered data, updated records and files pertaining to client information,renewals and income expenses.

Interviewed clients for intake and renewals for Calfresh and Medical insurance.

Read, interpreted and explained regulations, requirements, legal rights and responsibilities to clients of diverse population.

Assisted families,pregnant woman with Medical, Covered CA,Healthy Families and AIM medical insurance applications.

Facilitated monthly enrollment calls.

Executed 6,12 and 18 months retention calls to clients.

Organized and presented presentations of health insurance programs at schools,community organizations.

Spanish translation for clients.

Assisted clients to select medical health plans and dental and vision services.

Provided resources,referrals for clients in the community.

Completed hardship funds applications for families.

• Enhanced patient satisfaction by efficiently managing registration and insurance verification processes.
• Maintained accurate patient records with diligent attention to detail and strict adherence to HIPAA regulations.
• Streamlined front desk operations for improved patient flow and decreased wait times.
• Demonstrated exceptional customer service skills, addressing concerns promptly while maintaining a professional demeanor throughout all interactions.
• Registered patients and verified insurance.
• Collected copayments,recorded and documented payments.
• Screened and interviewed patients to determine financial eligibility.
• provided referrals to appropriate agencies.
• Spanish translator and guest relations for all patient's and visitors.
• Relief PBX operator.

• transcribed doctors orders, in put orders in system.
• performed inpatient and outpatient registration.
• verified medical insurance
• collected copayments.
• transferred patients to high level hospitals.
• scanned medical records thru Electronically
• Spanish translation.
• answered multi phone line and intercom system.
• Worked guest relations for visitors and patients.