Veronica Guila

Interviewed applicants by phone to gather and evaluate financial, personal and social information to determine eligibility and benefit levels for one or more public assistance programs. Review applications and forms to ensure information provided is accurate and complete. Maintained case records and documentation to comply with established timelines. Determine the correct amount of benefit or assistance , explained eligibility determination to clients and applicants.

Responsible for a high volume of inbound and outbound calls from patients who needed assistance with medication refills, insurance questions and referrals. I discussed their telederm results and recommendations . I also assisted in calling in or sending prescriptions to the pharmacy. Noted each call in the EMR system and always met my daily quota of calls to assist per day.

Received orders from hospitals and doctors offices for oxygen and sleep therapy. I was responsible for reviewing the chart notes to ensure that all required documentation was provided , if an order was incomplete I was responsible to follow up and gather missing information and then input in the system. I verified insurance , called the patient to explain breakdown of benefits and dispatched the order to the tech in a fast and courteous manner.

Received referrals from two local hospitals in which I screened non insured patients over the phone or in a hospital setting to assist with county programs. Collected all required verifications and assisted with the medi-cal applications and forms. I was then responsible to follow through with the account until an answer was obtained from the HSA office. I maintained communication with the case worker and the patient to ensure a positive outcome for the patient to receive medical coverage.