Drusilla Delapenha

917-***-****

E-Mail: ad4q9m@r.postjobfree.com

Summary

Well-organized, driven, and detail-oriented administrative professional with excellent track record supporting senior

management and teams. Takes pride in work and effectively manages time and projects to a standard of excellence,

without sacrificing deadlines. Excels in a team environment and works well independently.

Work Experience

Community Health Center of Richmond, Staten Island NY 03/2017 – Present

Managed Care Coordinator – Credentialing Responsibilities (11/2019 – Present)

Maintain Provider CAQH database, as needed to ensure complete and accurate physician files.

Screen Practitioners’ applications and supporting documentation to ascertain their eligibility.

Ensure compliance with applicable laws, regulations, clinical procedures & training, and policies.

Ensure each provider has the proper State license ID to practice, making sure all certifications are updated, education, hospital privileges, malpractice coverage, board Certifications, DEA certificates, Medicaid, and Medicare compliance, CME’s, & NPDB

Submit documentation for credentialing to all participating Managed Care Insurance vendors.

Track credentialing and re-credentialing deadlines for credentialing and privileging and insurance enrollment

Act as customer Service liaison coordinating communication issues between Senior Management and Physicians regarding credentialing process.

Outreach and Enrollment Specialist (03/2017 – Present)

Provide eligibility information and enrollment assistance to community residents who lack access to healthcare and health insurance.

Provide information about health insurance options, as available through NYState Health Plan Marketplace

Identified, enrolled, and increased the number of eligible children for Medicaid coverage by assisting them to apply for coverage successfully.

Conducted outreach, marketing, education in a manner that is culturally and linguistically appropriate to the needs of the population being served.

Provide front desk assistance with registering, confirming patient’s insurance and appointments.

Answering high call volume

Reviewing patients charts to ensure that quality measures are being met.

SEARS/LANDSEND - Brooklyn, NY 03/2014 – 01/2017

Department Manager

Accountable for achieving monthly sales goals.

Provide feedback and developmental coaching to Lands’ End associates to drive selling behaviors and

Achievement of individual goals

Motivate team, recognize, and celebrates exceptional customer service and selling behavior

Create weekly schedule for the Lands’ End team which reflect budget and guidelines

Participate in recruitment and interviews with Lands ’End job applicants

Plan the execution of and direct the team on seasonal visual merchandising resets

MAMONIDES MEDICAL CENTER - Brooklyn, NY 11/2013 – 08/2014

Volunteer - Neurology Department

Perform a variety of clerical duties including filing patient’s demographic data

Work with staff to verifying patient’s insurance

reaching out to patients to confirming schedule appointments

Provide front desk assistant

CABLEVISION CORPORATION – Bronx, NYC Contact Center 11/2006 – 10/2013

Coordinator - HR Support (09/2009 – 10/2013)

Prepare correspondence, for daily attendance resulting in corrective action

updating employee’s records for FMLA, benefits, and employees’ reviews

Maintain payroll processing utilizing ADP E-Time Enterprise (Ver.6.3) for over 400+ employees

Maintain strict confidentiality of all payroll information. (Ex. Accrual vacation, sick or personal time,

Garnishment, payroll deductions, tax exemptions, hours worked, Holidays)

HR front desk assistant

Coordinator – Operations Support (11/2006 – 09/2009)

Assisting Business Controls and Customer Service with various functions to meet business needs.

Responsible for the short-range planning and updating of eWFM exceptions for overtime, same day vacation

Retail Sales support for inbound and outbound customers

Deliver superior customer service by explaining overall value, features, and benefits of all products and services

Resolving customer issues and concerns

Updating employees request, schedules, days-off and holidays

Luxevo Vacations - Travel Coordinator (3/2021 – 4/2022)

Researching various destinations for individuals meeting their expectations

Making travel arrangements for clients, including flights, accommodations, transportation, and all activities

Acting as liaison between clients and establishments while on their travels

Computer Skills

Proficient in MS Office (Outlook, Word, Excel, PowerPoint) Proficient in GroupWise, ADP E-Time (version. 6.3),

Brass Ring, eClinicalWorks

Education

New York City Technical College Completed 39 CR towards - Associate degree

MTI Business School Certificate

John Hopkins University – COVID-19 Contract Tracing Certificate

George Washington Wingate H.S. High School Diploma

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