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Click here or scroll down to respond to this candidateCONTACTAddress : Chandler Az Street Address
Phone : PHONE NUMBER AVAILABLEEmail : EMAIL AVAILABLEPROFESSIONAL SUMMARYHard working and professional EligibilityAnalyst with 10 plus years' experience inadministrative duties Core competenciesinclude Customer Service, Leadership,and Office Skills and Data entry Excel,Team player Enthusiastic and PositiveAttitude Represents the organization onprojects and may perform in projectleadership role Leading by ExampleBilingual Spanish EnglishCompassionate direct supportprofessional with 10 years ofperformance supporting all populations.Interacts with patients in diversesettings, including community, family, orindividual homes and adult carefacilities. Administers medications andsupports ADLs aligned with care plansand provides companionship to promoteoverall health and wellbeing. ExcellentCustomer Service Clerical Data Entry 45WPM Healthy Plus Arizona Expert TimeManagement To seek and maintaintopfull-time position that offersprofessional challenges utilizinginterpersonal skills, excellent timemanagement and problem-solving skills.SKILLS Applicant Interviewing Effective Communication Skills Paperwork and Documentation Individualized and Group Training Eligibility Requirements Telephone Etiquette Project Requirements Client InterviewsEDUCATIONCollege Case ManagementGadsden High School - AnthonyGovernment Services Customer Skills and dealing with Behavior SMI Clients/ Patients Keeping records and managed cases and processed promptly, Assisted in projects of Billing and Finance Completed contract forms with Government Agencies such as Health E Arizona DES, AHCCCSSocial Security Administration SOARS Expertise Affordable Health Care ActPerformed intake 2005Rio Salado Community College - Phoenix, AZ Awarded State Team Player for Arizona Department of Economic Security WORK HISTORYMember Care, 04/2020 to CurrentMember CareEligibility Specialist Lead, 09/2018 to 03/2020McKesson Solidarity HealthShareMaintain and restore good relationships with Members and Providers and de-escalate issues. Taking ownership of calls maintaining Solidarity Mission Call Center Representative assisted Members and Providers with the status of bills pending to be processed and completed, processing escalationCompleted guidance with members to provide pending documents, made outreach calls to providers to obtain Procedure Codes and or Diagnosis Codes, Tax IdProvided Resolution to Providers and Members and educated members processAssisted members with correcting account, service, and system issues by educating on required forms and technical processesLearned and maintained in-depth understanding of product and service information to offer knowledgeable and educated responses to diverse customer questionsLearned internal systems and related service role duties to provide skilled team backup in handling customer demandsConstantly de-escalated calls from Providers and PatientsFirst-Call Resolution Verify eligibility for Healthcare Providers, Doctors Health Facilities Performed intake and assessment for new applicants for financial and health care programs to determine eligibility for servicesAIDA MEDINA Crisis Situations Intakes and Assessments Data Entry Public Assistance ProgramsLANGUAGESSpanishFull Professional Eligibility Specialist Supervisor, 01/2013 to 09/2018 Integrated Health Management Services / Maricopa Hospital Coordinated system changes for assistance additions, modifications, and terminations and organized associated paperwork. Excellent communication skills, both verbal and written Managed time efficiently in order to complete all tasks within deadlines Proved successful working within tight deadlines and a fast-paced environmentDemonstrated strong organizational and time management skills while managing multiple projectsConduct client interviews for intakes and reviews on assigned caseloads. - Managed over 50 customer calls per day. Approve or deny applications following state and federal statutes. Training new employees, managing team or department, and reporting to more senior management Written and verbal communication. Knowledge of many social programs. Data entry. Spreadsheets and reports. Medical billing. Personable. Filing documents. Resolved problems, improved operations, and provided exceptional service. Exercised leadership capabilities by successfully motivating and inspiring others |
