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Medical Data Entry

Location:
Laguna Niguel, CA
Posted:
August 19, 2013

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Resume:

Mirna Sanchez

Bronx, New York *****

Cellular: 646-***-****

************@*****.***

_

Education

**/****-*/**** ***** College Bronx, NY

**/****-*/**** ****** Community College

Basic Immigration Law Bronx,

NY

Experience:

Amidacare Health Plan Bronx, New York 8/2012- Present

Bronx Borough Manager

Supervise and evaluate Member Services Field Representatives activities in the field.

Manage the Bronx Office (Satellite Office).

Inform DOH on the schedule of the field representatives at PCP sites.

Maximizing Field Representatives roles and Responsibilities while recording their outreach.

Maintain and improve relationships with key personnel at PCP site.

Provide outreach services in the field and PCP Sites.

Summarize weekly, monthly, quarterly and annual outreach for Representatives.

Constant communication with Representatives on improvement plans.

Conduct, coordinate and monitor orientation for new members.

Execute monthly calendar with Representatives assignments.

Monitor the Enrollments and Dis-enrollments.

Monitor the Voluntary and In-voluntary Dis-enrollments.

Meet with Members to discuss details of their specific plan.

Attend Borough Managers Meeting along with Member Services Director and Member Services

Manager.

Attend Health Fairs and Events.

Assist with LYL events and Life Celebrations.

Attend meeting with PCP sites and staff on Amidacare Benefits.

Data entry in Pegasys Database. (Royal Health).

E-pace look-up. (Medicaid State System).

Data Entries on Amidacare Data Base.

Meeting with Providers on the any issues with the health plan and/or claims.

Amidacare Bronx, New York 06/2011-07/2012

Member Services Field Representative

Liaison between the Members and PCP.

Assist members with issues on their Health Plan.

Data Entry in the computer system.

Assist in the LYL Events.

Schedule Initial medical appointments.

Followed-up with calls confirming members with Medical appointments.

Provide assistance to Medical staff and PCP sites with Amidacare Members.

Assist Medical staff and PCP with Pre-Authorization phone numbers for medications.

Provided Pharmacy assistance issues on behalf of Members.

Provide assistance to members for DME Equipment.

Provided referrals to Case Management Dept. within Amidacare.

Request Members Medical ID cards.

Complete Transfer forms for new members.

Provide orientations to new members on Amidacare Benefits.

Conduct presentations at Community agencies and PCP sites on Amidacare Benefits.

Provide a presence on a weekly basis at PCP sites to assist Amidacare Members with questions.

Amidacare Bronx, New York 12/1/2010-5/2011

Marketing Representative

Conduct one on one marketing interactions with prospective enrollees.

Schedule initial Medical appointments.

Document all member interactions in the database.

Prepare and conduct marketing events.

Obtain HIV verification for prospective enrollees from the Primary Care Physician.

Provide new members with an orientation on the health plans benefits.

Assist with New Member Luncheons and attend LYL events.

Communicate commitment to improving health care for persons with HIV/AIDS.

Complete all required enrollment documents.

Assisted prospective members in the selection of the PCP.

Coordinate the activities of and supervise Peer Marketing Assistants in their participation in marketing

activities.

Provid feedback to the Marketing and Enrollment Supervisor in regards to the effectiveness of

Marketing approaches and marketing materials.

Report all member complaints and follow-up on the reports under investigation.

Hispanic AIDS Forum; New York, NY 02/2007- 11/2010

Senior Housing Technician

Maintain a steady client caseload.

Provide referrals to legal attorneys for clients with Immigration matters.

Scheduled workshops for support groups.

Supervised and supported team of Housing Technicians.

Audit Housing applications on all members.

Conducted training sessions to participating agencies and their personnel.

Conducted Data entries in the URS (Uniform Reporting System) for record keeping and statistical

purposes.

Assist referring agencies and navigate service delivery network.

Request rent checks on a monthly basis for Housing clients.

Maintain and monitored detailed client database and charts.

Provide Quality Assurance in all areas.

Assist in preparation of reports on programmatic and other activities.

Schedule EFAC meetings and training sessions.

Escort and advocate for clients in Immigration and housing court.

Promoted public awareness on agencies mission, goals and programs.

Provided Case Management services to individuals and families.

Conducted home visit and inspections.

Meet with home owners, real estate agents and HASA on behalf of clients.

Referral assistance to HASA (Public Assistance for people with AIDS).

Communicated with HASA and legal Services.

Case Management services.

Interact with diverse populations.

Offered advocacy.

Conducted HIV testing and counseling

Hispanic AIDS Forum; New York, NY 09/2001- 2/2007

Housing Technician

Receive and review housing applications.

Assist Program coordinator conducting training sessions to participating agencies.

Conduct data entry into client database system (URS and ARS).

Assist referring agencies and navigate service delivery network.

Schedule and coordinate EFAC meeting.

Conduct home visits and inspections.

Escort and advocate for clients in Immigration and Housing courts.

Communicate with home owners, real estates, as well as attorneys on behalf of clients.

Provide Case Management services.

Maintain detailed client database and charts.

Assist program coordinator in scheduling workshops.

Promote public awareness of agencies programs and services.

Hispanic AIDS Forum; New York, NY 3/2000-9/2001

Airbridge Care Technician

Serve as liaison between medical services received in New York City and Puerto Rico.

Communicate with the patient to confirm that their needs are met at their destination.

Conduct data entry with patient information and send it via computer to Puerto Rico.

Conduct outreach to organizations and hospitals to present the program.

Hispanic AIDS Forum; New York, NY 11/1997-3/2000

E. L. L. A. Outreach Worker

Conduct outreach to sex workers.

Offer sex workers health education and harm reduction activities.

Refer and escort clients to detoxification and medical appointments.

Conduct HIV/AIDS and STD’s presentations.

Facilitate support groups.

Offer individual counseling sessions.

Offer harm reduction activities to at risk communities.

Certificates & Skills

01/2008 Data Link New York, NY

AIRS Certificate

02/2007 Hostos Community College Bronx, NY

Basic Immigration Law

02/2006

HIV Rapid Testing and NYC Dept. of Health New York, NY

Counseling Training

6/1998 NYC Dept. of Health New York, NY

HIV Pre-Post Test Counselor

5/1998 NYC Dept. of Health New York, NY

HIV Medical and Technician Overview

3/1998 Latino Commission on AIDS New York, NY

Bilingual HIV/AIDS Treatment Education Program

2/1998 ADAPT Inc. Bronx, NY

Outreach Strategies Training

4/1997 VIP Community Services Bronx, NY

Peer Counseling Training

7/1999 Harm Reduction New York, NY

Harm Reduction



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