CONTACT

Address : Chandler Az *****

Phone : 602-***-****

Email : ad4k4g@r.postjobfree.com

PROFESSIONAL SUMMARY

Hard working and professional Eligibility

Analyst with 10 plus years' experience in

administrative duties Core competencies

include Customer Service, Leadership,

and Office Skills and Data entry Excel,

Team player Enthusiastic and Positive

Attitude Represents the organization on

projects and may perform in project

leadership role Leading by Example

Bilingual Spanish English

Compassionate direct support

professional with 10 years of

performance supporting all populations.

Interacts with patients in diverse

settings, including community, family, or

individual homes and adult care

facilities. Administers medications and

supports ADLs aligned with care plans

and provides companionship to promote

overall health and wellbeing. Excellent

Customer Service Clerical Data Entry 45

WPM Healthy Plus Arizona Expert Time

Management To seek and maintain

topfull-time position that offers

professional challenges utilizing

interpersonal skills, excellent time

management and problem-solving skills.

SKILLS

• Applicant Interviewing

• Effective Communication Skills

• Paperwork and Documentation

• Individualized and Group Training

• Eligibility Requirements

• Telephone Etiquette

• Project Requirements

• Client Interviews

EDUCATION

College Case Management

Gadsden High School - Anthony

Government 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 2005

Rio Salado Community College - Phoenix, AZ

• Awarded State Team Player for Arizona Department of Economic Security WORK HISTORY

Member Care, 04/2020 to Current

Member Care

Eligibility Specialist Lead, 09/2018 to 03/2020

McKesson

• Solidarity HealthShare

Maintain 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 escalation

•

Completed guidance with members to provide pending documents, made outreach calls to providers to obtain Procedure Codes and or Diagnosis Codes, Tax Id

•

Provided Resolution to Providers and Members and educated members process

•

Assisted members with correcting account, service, and system issues by educating on required forms and technical processes

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Learned and maintained in-depth understanding of product and service information to offer knowledgeable and educated responses to diverse customer questions

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Learned internal systems and related service role duties to provide skilled team backup in handling customer demands

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Constantly de-escalated calls from Providers and PatientsFirst-Call Resolution

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• 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 services

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AIDA MEDINA

• Crisis Situations

• Intakes and Assessments

• Data Entry

• Public Assistance Programs

LANGUAGES

Spanish

Full 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 environment

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Demonstrated strong organizational and time management skills while managing multiple projects

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Conduct 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

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• 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

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Contact this candidate