HILDA ANGEL
Palmdale,CA
Summary
Professional individual with 10 plus years of experience in customer service and managed care services with recognized strength and ability to interact with culturally diverse clients by utilizing my proven work skills and leadership experience. I will improve customer service experience, promote communication and performance for the betterment of the organization. Enthusiastic with ability to train, and motivate others to improve productivity and excellent knowledge of L.A Care Health Plan Mission, Vision and Values.
Experienced with community outreach and public health education, providing vital support to improve community well-being. Utilizes strong communication and interpersonal skills to engage and educate diverse populations. Knowledge of local healthcare resources and systems ensures comprehensive and accessible health services for all community members.
Overview
17
17
years of professional experience
Work History
Community Health Worker II
L.A. Care Health Plan
04.2022 - Current
- Collaborated in the TCS-CHW pilot program in collaboration with Supervisor and Senior Director
- Connect members with necessary social services, alleviating barriers to healthcare access, social determinants of health to improve members quality of life.
- Built trust within diverse communities through cultural competency training, empathetic communication skills, and active listening techniques.
- Address patient concerns and provided support to vulnerable demographics.
- Participated in ongoing professional development opportunities to stay current on best practices in community health work, ensuring the delivery of quality services to clients.
- Work directly with Case Managers and other departmental teams and participated in care coordination procedures.
- Manage enrollment, transportation, and paperwork for members to take advantage of community resources.
- Collect data on program effectiveness, utilizing findings to continuously improve service provision and meet members needs.
- Promote access to healthcare services for members through community outreach efforts.
- Conduct home visits to assess living conditions, provided recommendations for safety improvements and connect members with resources as needed.
- Provide members with information on health-related topics and lifestyle changes for improved well-being.
- Collaborate with external organizations to coordinate health and social services.
- Mediate communication between healthcare providers and members, facilitating better understanding of medical information and care management goals.
- Advocated for patients' rights and access to healthcare services, enhancing members satisfaction and trust in health care systems.
Community Resource Center Representative II
LA Care Health Plan
05.2017 - 04.2022
- Solid knowledge of healthcare in various managed care product lines specifically with L.A Care product lines such as MCLA, D-SNP, LACC, PASC-SEIU and Plan Partners (Anthem Blue Cross, Blue Shield Promise and Kaiser Permanente)
- Provides exceptional customer service to internal and external customers applying company policies and procedures not only to resolve and deescalate routine issues, but to escalate complaints accordingly
- Collects and inputs all visitor’s demographic data into Salesforce, schedule and confirms appointments for Enrollment Services representative, Member Health Navigator, Telehealth and internal/ external Resources and Referrals inquiries
- Collaborate with the center administrator not only coordinating meetings, special projects/assignments, but also generating reports for class participation
- Created a database to monitor inventory supplies to be able to coordinate purchasing of necessary equipment and material needed based on the center’s needs
- Created and distributed flyers to promote all classes, services, and resources for the center
- Responsible for providing practical and efficient leadership skills in the absence of CRC Manager
- Informs management of operational issues impacting L.A Care and Blue Shield Promise Members, CRC participants and L.A Care Health Plan in general
- Received training in Member Services Department with member’s eligibility verification, New Member Orientations, PCP changes, insurance ID cards and general information on L.A Care product lines of business
- Assisted the CRC Community Outreach Representative with community meetings, events in addition to the distribution of monthly calendars and referral pads among providers and CBOs (Community Based Organizations)
Registration Clerk II/Enrollment Counselor
Northeast Valley Health Corporation
08.2013 - 05.2017
- Greet new and establish patients, perform the completion of clinic Registration, PM160 forms and renewal of Family Pact, Every Woman Counts, Subsidy, Presumptive Eligibility and Medi-Cal- CHDP Programs
- Perform patient admission and receptionist functions and participate in cross training exercise to perform those functions as assigned/needed of Medical Records Clerk and Telephone Operator
- Initiate a patient encounter form by gathering and entering of all patient information needed, including patient demographic data and payments
- In addition to the review of patients accounts status by routing the patients to business office or eligibility department
- Answer and transfer incoming calls, make PCP changes with all Medical Health Plans
- Scan and index documents into Nextgen ICS system
- Balance daily cash receipts journal with cash collected and turn in daily bank to Business Office Supervisor
- Provide general clinic information regarding hours of operation, services and directions, receive incoming mail and deliveries and notify appropriate staff of any incoming messages
- Verify eligibility in all Medical health plans, Commercial HMO and PPO Insurances
- Certified Enrollment Counselor Certification Completion
Lead-Customer Registration Representative II
Eisner Pediatric and Family Medical Center
11.2009 - 12.2012
- Highly skilled in greeting patients in a quick and courteous matter by providing full office receptionist and administrative support for Dental, Adults and Pediatric Department not only registering patients, but also routing phone calls to correct department and confirming appointments
- Verify accuracy and completeness of patient information and insurance documentation
- Handle insurance and authorizations verification to prepare patients charts with proper information and official procedures
- Enter patient demographics and insurance information in system
- Screening patients and providing support with any inquires
- Collect co-payments
- Maintain hygienic and tidy office
Dental Assistant/Back Office Supervisor
Western Dental
10.2007 - 11.2009
- Assist the dentist during examinations and dental procedures using four-handed assisting technique
- Sterilized and disinfected instruments and equipment
- Taking, developing and processing dental x-rays and maintaining x-ray machinery
- Prepare dental materials like cements, amalgam, composite, etc
- Performed required laboratory procedures
- Followed operative instructions as directed by dentist
- Participated in in-service trainings, department and general staff meetings
- Recorded medical and dental histories and vital signs of patients
- Supervised and trained back office staff of 9 with OSHA and all dental assistant compliance
- Ensured proper working of all OSHA, Dental Board and WDS policies and procedures
- Take inventory, stock all instruments, medication and order supplies
- Provide oral hygiene instructions to patients
- Prepare and maintain treatment rooms, tools and dressing tray for dental procedures
- Ensure patient satisfaction and contribute in achieving production targets
Education
Dental Assistant -
United Education Institute
Huntington Park, CAHigh School Diploma -
Tri-Community
Los Angeles, CALiberal Arts - Health Administration
Antelope Valley Community College
Palmdale, CASkills
- Effective Time Management
- Fluent Spanish Language Skills
- Strong Organizational Skills
- Attention to Detail
- Excel Data Analysis Expertise
- Skilled in Microsoft Outlook
- Proficient in Microsoft Word
- Experienced with Office Technology
- Salesforce Expertise
- Skilled in AEVS
- Skilled in QMEIS Applications
- Skilled in QNXT Application
- Skilled in CCA
- Experience with Syntranet Tools
- Proficient Understanding of Protected Health Information (PHI)
- HIPAA Compliance Knowledge
- California Enrollment Specialist
- Certified Community Health Worker
Timeline
Community Health Worker II
L.A. Care Health Plan
04.2022 - Current
Community Resource Center Representative II
LA Care Health Plan
05.2017 - 04.2022
Registration Clerk II/Enrollment Counselor
Northeast Valley Health Corporation
08.2013 - 05.2017
Lead-Customer Registration Representative II
Eisner Pediatric and Family Medical Center
11.2009 - 12.2012
Dental Assistant/Back Office Supervisor
Western Dental
10.2007 - 11.2009
Dental Assistant -
United Education Institute
High School Diploma -
Tri-Community
Liberal Arts - Health Administration
Antelope Valley Community College
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