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Enrollment Specialist Administrative Assistant

Location:
San Diego, CA
Posted:
March 07, 2023

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Resume:

Hiba Shihab

*** ********* ***

Chula Vista, California 91914

Mobile: 619-***-****

E-mail: ****.********@*****.***

Country of Citizenship: United States of America

Availability: Permanent

SUMMARY OF SKILLS AND QUALIFICATIONS

9+ years of diverse medical experience

Strong communication skills at all professional levels

Confident and practiced in training new staff

Efficient and detail-oriented problem-solver

Proficient in Microsoft Office Suite

Bilingual: English, Arabic

PROFESSIONAL WORK EXPERIENCE

PACE Business Development Representative 11 May 2022- Current

Family Health Center PACE

Promote the PACE Program marketing plan in achieving referral and conversion goals.

Develop, manage, and maintain qualified leads through referrals, telephone canvassing, face-to-face meetings, cold calling, email and networking.

Conduct research in developing new referral channels, prospects, and qualified leads.

Create and conduct effective presentations.

Develop and maintain communication documentation to reflect follow-through efforts with referral sources and differentiating referral sources.

Develop strong business relationships with referral sources to effectively educate on the PACE Program services offered using technical selling skills and in-depth program information.

Identify the needs of each potential PACE Participant in aligning to the values and services that the PACE Program provides. Demonstrate an empathetic understanding based on strong listening skills.

Participate and contribute to the development of the PACE Program related educational programs offered to referral sources, potential PACE Participants and their families.

Ensure accurate records are maintained of all marketing and prospecting activities to include calls, presentations, closed transactions, and follow-up. Report outcomes, successes, and failed attempts on a weekly basis.

Collaborate with members of the Interdisciplinary Team (IDT) and enrollment team as necessary during the enrollment process.

Lead tours of the PACE Center for potential participants, family members, and referral sources.

Perform other duties as assigned.

Enrollment Specialist March 2018- May 2022

San Ysidro Health/ Pace Health insurance

The PACE Enrollment Specialist is responsible for the initial screening and coordination of new participants to the San Diego PACE (Program of All Inclusive Care for the Elderly) program.

Eligibility screening, intake, education and enrollment assistance activities to initially determine participant needs and eligibility for enrollment.

Coordinates with potential participants and/or their families to conduct initial screenings and assessments in the homes of the potential participants.

Completes appropriate documentation related to participant assessments as required

Coordinates communications of eligibility decisions, approvals or disapprovals with participant or their family members.

Participates in the interdisciplinary team (IDT), management team and other related meetings and activities as needed.

Participates in outreach and marketing activities in conjunction with the PACE Marketing Manager.

Collects and data enters the daily referral, intake, enrollment, marketing and outreach activities notes with submission of weekly and monthly reports to PACE Marketing Manager.

Provide tours of PACE center(s) to interested family members, potential participants, community partners and providers.

Facilitates referral from SYHC and community resources for assistance with other needs and complex issues

Provides responsive, high quality service to patients, SYHC employees, representative of County and outside agencies and members of the public by providing accurate, complete and up-to-date information in a courteous, efficient and timely manner.

Translate all the documents from English to Arabic, face to face translations

Establish and maintain effective interpersonal relationships with all levels of staff, other departments, agencies, providers and the general public

Complies with all department, organization and government policies & procedures. Attends meetings and trainings as required

Promote the PACE Program marketing plan in achieving referral and conversion goals.

Develop, manage, and maintain qualified leads through referrals, telephone canvassing, face-to-face meetings, cold calling, email and networking.

Conduct research in developing new referral channels, prospects, and qualified leads.

Create and conduct effective presentations.

Develop and maintain communication documentation to reflect follow-through efforts with referral sources and differentiating referral sources.

Develop strong business relationships with referral sources to effectively educate on the PACE Program services offered using technical selling skills and in-depth program information.

Identify the needs of each potential PACE Participant in aligning to the values and services that the PACE Program provides. Demonstrate an empathetic understanding based on strong listening skills.

Participate and contribute to the development of the PACE Program related educational programs offered to referral sources, potential PACE Participants and their families.

Ensure accurate records are maintained of all marketing and prospecting activities to include calls, presentations, closed transactions, and follow-up. Report outcomes, successes, and failed attempts on a weekly basis.

Collaborate with members of the Interdisciplinary Team (IDT) and enrollment team as necessary during the enrollment process.

Lead tours of the PACE Center for potential participants, family members, and referral sources.

Mentored a coworker to obtain PACE marketing certification through weekly training sessions and one-on-one advising. Also training new staff by creating new training modules, and leading monthly instructional sessions.

Perform other duties as assigned.

Patients Care Coordinator– Referrals June 2016—March 2018

La Maestra Community Health Centers, San Diego

Specializes in patient referrals and communication with clinic providers.

Manages processing of all new referrals and both prior and pre-authorizations.

Expedites appointments through extensive clinical knowledge of CPT and ICD-9/10 codes.

Coordinates a high volume of referrals across multiple clinic locations.

Practiced use of clinical and administrative judgment to assess all levels of patient-care need.

Calmly manages heavy call volume from patients, doctors, and insurance providers.

Extensive experience with multiple medical systems, including EHR and i2i.

Regularly serves as interpreter for patients and staff.

Interpreter

Patients Services Representative January 2015—Jun 2016

Neighborhood Healthcare, San Diego

Provided exemplary customer service to patients in a front-desk position.

Accurately verified all patient information before entering it into a central database.

Became familiar with medical jargon and personnel to best assist patients.

Performed multiple administrative duties, including scanning, scheduling, filing, and accounting.

Clearly communicated billing procedures to patients, as well as overseeing payment.

Responded flexibly and confidently to temporarily assigned duties.

Became fluent in the use of EC-Works.

Medical Interpreter January 2014—January2015

International Rescue Committee, San Diego

Provided English-Arabic interpretation for multiple staff and departments.

Liaised between patients and staff in emergency rooms, hospitals, and phone conversations.

Multi-tasked by performing administrative duties in addition to interpretation.

Microenterprise Business Counselor/Interpreter January 2013—January2014

International Rescue Committee, San Diego

Assisted in program outreach, eligibility assessment, and recruitment.

Provided one-on-one business counseling and management assistance to new and existing refugee-owned businesses.

Conducted "offsite" technical assistance visits to program participants.

Attended regular meetings as part of the program’s evaluation and maintenance process.

Coached refugee entrepreneurs to create loan applications, business plans, and financial statements.

Assisted in the planning and execution of classroom activities and special events.

Development Account Administrative Assistant November 2011—November2012

Alliance for African Assistance, San Diego

Assisted the Program Manager with grant-writing for refugee clients.

Obtained and filed all necessary documents required to process grants.

Trained customers to create business plans for childcare as required to obtain grants.

EDUCATION

Certificate in Business Management (2013)

Southwestern College – San Diego, CA

Undergraduate Degree 3 Years (2003)

Mansour University (Business Management)- Baghdad, Iraq

LANGUAGES

Secondary Language: Arabic

Spoken: Excellent

Written: Excellent

Reading: Excellent



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