VANESSA PADILLA
Bloomington,CA
Summary
Results-driven employee with strong work ethic and rapid learning ability. Adapts quickly to changing priorities and masters new skills efficiently. Delivers dependable performance with minimal supervision.
Overview
27
27
years of professional experience
Work History
Medi-Cal Eligibility Specialist
Loma Linda University Health Care
Loma Linda, California
06.2024 - Current
- Streamlined intake process for new applications while conducting routine follow-ups for Medi-Cal.
- Assessed applications for eligibility based on set criteria.
- Explained eligibility details and affordability options to promote understanding among patients.
- Collected financial data from clients to determine eligibility for assistance programs.
- Performed interviews with applicants, clarifying available benefits and programs.
- Guided clients in completing required forms for processing applications.
- Regularly communicated application status updates and policy changes to clients.
- Interacted respectfully with diverse clientele, ensuring patient-centered service delivery.
Supervisor
Loma Linda University Health Care
Loma Linda
11.2016 - 06.2024
- Directed and supervised team of 18 employees in daily operations.
- Monitored employee productivity, providing feedback and coaching to enhance performance.
- Evaluated employee performance through periodic reviews and documented results accordingly.
- Provided guidance and direction to subordinates regarding job duties and responsibilities.
- Conducted weekly meetings with team members to align on tasks and project deadlines.
- Developed and implemented operational policies and procedures to ensure efficiency and accuracy of workflows.
- Created new strategies for improving customer service standards within the organization.
- Resolved customer complaints promptly, ensuring high levels of customer satisfaction.
- Maintained accurate records of employee performance, attendance, leave requests, and disciplinary actions.
- Complied with company policies, objectives and communication goals.
Medi-Cal Eligibility Specialist
Loma Linda University Health Care
Loma Linda
07.2010 - 11.2016
- Managed intake of new applications and performed routine follow-ups for Medi-Cal.
- Reviewed applications for eligibility and determined whether applicants met the criteria to receive Medi-Cal.
- Clarified eligibility details and affordability options for patients, ensuring understanding and support.
- Collected detailed financial data from clients to assess eligibility for assistance programs. from clients regarding income.
- Conducted interviews with applicants, explaining benefits process and which programs were available.
- Assisted clients with completing forms required for processing applications.
- Provided guidance on how to apply for benefits and answered questions related to the process.
- Communicated regularly with clients regarding their application status or changes in policies or procedures that may affect them.
- Engaged with diverse clients daily, demonstrating respect and patience in all interactions.
- Delivered customer service to diverse clientele, focusing on individual needs and concerns.
- Responded to client inquiries and concerns and escalated complex problems to department supervisors.
- Entered client information and files into databases for further review and tracking.
Registration Representative
Loma Linda University Health Care
Loma Linda
01.2000 - 07.2010
- Reviewed and verified accuracy of patient information and demographic data during registration to ensure proper patient registration.
- Gathered personal and insurance information from each patient.
- Checked insurance benefits to determine patient coverage eligibility, processed payments, and issued receipts.
- Verified patient eligibility for services through various online systems or by calling the insurance companies directly.
- Assisted in verifying insurance coverage and collecting payments to streamline registration process.
- Generated forms related to registration process such as consents and financial responsibility forms.
- Utilized knowledge of Medicare and Medicaid regulations to ensure compliance with billing practices.
- Answered phones promptly and professionally; responded appropriately and courteously to caller inquiries.
- Provided exceptional customer service by addressing patient concerns promptly and professionally.
- Adhered to department policies and procedures as well as established safety protocols.
Education
Some College (No Degree) -
Chaffey College
Rancho Cucamonga, CASkills
- Complex problem-solving
- Goal-oriented mindset
- Employee motivation
- Staff management
- Customer service strategy
Languages
Spanish: Professional
Timeline
Medi-Cal Eligibility Specialist
Loma Linda University Health Care
06.2024 - Current
Supervisor
Loma Linda University Health Care
11.2016 - 06.2024
Medi-Cal Eligibility Specialist
Loma Linda University Health Care
07.2010 - 11.2016
Registration Representative
Loma Linda University Health Care
01.2000 - 07.2010
Some College (No Degree) -
Chaffey College