Hardworking and versatile Administrative Assistant with proven organizational skills and thorough knowledge of corporate policies and procedures. Excellent communication and people skills with extensive strategic planning capabilities.
Overview
9
9
years of professional experience
Work History
Enrollment Specialist
San Ysidro Health
San Diego, CA
12.2022 - Current
Updated, entered, and reviewed customer data.
Coordinated enrollment processes for diverse patient populations, ensuring compliance with health regulations.
Implemented outreach strategies to increase community awareness of available health services and programs.
Communicated effectively via telephone, email, and in person with participants and/ or Family
Enhanced customer service by promptly addressing inquiries and resolving issues in a timely manner.
Understood and thoroughly explained services provided to customers and potential Applicants
Enhanced team productivity through effective time management and prioritization techniques during peak enrollment periods.
Administrative Assistant
San Ysidro Health Center
Chula Vista, CA
01.2021 - Current
Receives notification of interest for Community Based Care Management program enrollment from Toll-Free number, Transition of Care documentation, referral form, fax line, e-mail, mail, and/or external facilities.
Checks Community Based Care Management program eligibility requirements.
Tracks, monitors, and reviews program availability or waitlist status for potential participants.
Obtains Community Based Care Management program documentation from DHCS via phone, writing, or electronic media. In addition, follows-up on missing documentation to obtain enrollment approval or scheduling when appropriate.
Files, uploads, and keeps up to date assigned patient files.
Medical Assistant Externship
San Ysidro Health Center
06.2021 - 08.2021
Collecting Vital Signs
Interviewing and Documenting Medical information into patient chart
Showed patient to examination rooms and prepare them for Physician.
Explained treatment procures, medications, diets and appointments to patients.
Used of EKG machine
Faxing, Copying and reading information for patients.
Referral Specialist
San Ysidro Health Center
National City, CA
06.2017 - 01.2021
Receives and processes authorizations in a timely manner. Schedules all requests for referrals and treatment authorizations.
Obtains authorizations from various insurance carriers via phone, in writing or electronic media.
Schedules appointment for specialty care, special studies or other ancillary services as requested by the primary care physician.
Coordinates care within the guidelines of multiple health plans, contracts or insurance types.
Responds to inquiries as to current status of authorization by assessing the request and evaluating the circumstances to provide the correct information.
Initiates the appropriate documentation of requests from specialties offices for ongoing care.
Follow-up on missing documentation to obtain authorization or scheduling when appropriate.
Uses various modules of the computer system to obtain information, schedule appointments, query information and obtain authorizations.
Education
Medical Assistant -
UEI College
Chula Vista, CA
08-2021
Associate of Arts - Criminal Justice
ITT Technical Institute
San Diego, CA
06-2011
Skills
Multi-line telephone operation
Insurance Verification
Bilingual (Spanish/English)
Pre-authorizations
Appointment Scheduling
MS Office
Medical terminology and basic computer, Nextgen and FAX