Community Outreach Health Insurance
Resume:
WORK EXPERIENCE
Member Advisor I March **** – Current
National Care Dental
Responsible for establishing and strengthening member relationships by acting as a trusted advisor in identifying Dental and Vision plans. Process payments and explain the Breakdown of Benefits. Assist providers to process claims and the eligibility of members. Community Outreach/Engagement Rep. August 2022 – March 2023 Cano Health
Collaborated with other team members to plan, implement, and evaluate community activities and events. Scheduled, coordinated, and participated in enrollment events, ensuring all efforts were directed towards building Medicare, Medicaid, and the Marketplace membership to effectively move relationships through the enrollment pipeline. Delivered presentations, attended meetings, and distributed educational materials to members and potential members.
Certified Application Counselor February 2020 – July 2022 Nuestra Clinica del Valle
Helped patients enroll or renew their health insurance, including assistance with Medicaid, CHIP, and Marketplace applications. Educated them to understand their coverage. Did outreach by going out into the community and talking about the services that the clinic offers.
Recertification Specialist April 2020 – June 2021
Benelynk
Re-certified clients and notified them of their Medicaid renewal. Provided them with community programs that assist with daily living. Input client information to update profile to pre-qualify them for Medicaid benefits.
Contractor June 2016 – December 2019
The LIBRE Initiative
Develop and execute strategies to educate the public about public policy issues and initiatives. Plan community meetings to recruit volunteers for canvassing and phone banking.
Youth Care Worker August 2014 – April 2016
Lutheran Social Services
Supervised undocumented teens. Provided daily educational activities and maintained a disciplined and safe environment for them. Made sure all logs were properly maintained and turned in to immediate supervisor. Transported teens all over the United States to unite them with their family members, providing a constant safe environment throughout the transport.
Program Specialist September 2012 – July 2014
RGV Empowerment Zone
Put together life skill activities that help teens build their self-esteem. These programs guided the teens to become better students and responsible young adults in their community. The activities consisted of community clean up, outdoor/indoor sports, and doing their homework.
Partner/Manager March 2010 – December 2013
A&R VIDA DME
Visited doctor’s offices to present the business. Worked with insurance companies such as Molina, Superior, Health Springs and TMHP on claims and billing. Maintained relationships with doctors and staff. Made some equipment deliveries and made sure that all routes were being taken care of. Managed all activity in the office such as payroll and billing. Randy Sanchez
1814 Peace Ave.
Mission, TX 78572
ad5odp@r.postjobfree.com
I am experienced in counseling and
interviewing individuals for job
placement. I also worked as a project
specialist and prepared mentoring and
life skills sessions for troubled teens. I
have worked in child and adult day
care centers for over 15 years. I
provided consultation to various
healthcare facilities in organizing
paperwork and reports for audits.
Education
- STC – 2 years college
- San Antonio Medical & Dental
School
- Mission High School – Diploma
Certifications
- Texas Health & Human Services
Commission – Case Assistance
Navigator, Dec. 2021
- Texas Health & Human Services
Commission – Application
Assistance Navigator, Dec. 2021
- Health Insurance Marketplace –
Certified Application Counselor,
Dec. 2021
- Medical Assistant Certification –
1998
Special Skills
- Knowledgeable in Electronic
Medical Records (EMR & ECW).
- Knowledgeable in Athena.
Extracurricular & Volunteer Work
- Taught music (different instruments)
and choir to teens and adults.
- Assisted Palmview Choir Director as
a Piano Accompanist.
- Participated in Summer Youth
Camps as Camp Counselor.
- Board Member for Luz Para Las
Naciones Church in Mission, TX.
References
- Jorge Martinez – Texas Coalitions
Director, The LIBRE Initiative
Tel: 956-***-****
- Romeo Gonzalez – Purchasing,
La Joya ISD
Tel: 956-***-****
- Leticia Sanchez – Adult Education
Supervisor, Region I
Tel: 956-***-****
Contact this candidate