Andre G. Email & Phone Number

San Diego, CA, US

San Diego, CA, US

Holistic Project Engagement: Lead the charge in all project phases, from requirements gathering to testing, training, and stabilization.Policy and Procedure Mastery: Gather and document UC policies, collective bargaining agreements, and procedures, laying the groundwork for insightful requirement sessions.Process Optimization: Define current and future.

Oakland, California, US

Focuses on case resolution with emphasis of coverage issues to ensure no discrepancies exist among systems, with our members’ complaints.Supports daily Business Case Development through timely analysis and resolution of member complaints by performing research and review through multiple systems.

San Diego, California, US

• Conducted hundreds of interviews with confirmed infectious disease cases, demonstrating adept data extraction skills to gather crucial information vital for an in-depth analysis of disease spread patterns within the.
• Utilized San Diego County's advanced infectious disease software to methodically curate and manage complex datasets, encompassing lab reports and referrals directed to key entities, including the Center for Disease.
• Orchestrated a meticulous documentation process for infectious disease cases, covering the entire span from the initiation of the exposure period to the conclusion of the communicable phase. These meticulously captured.
• Collaborated closely with multifaceted teams, including contact tracers, case managers, CDC officials, and esteemed public health professionals. Together, we designed and executed a systematic approach that.

Oakland, California, US

• Execute data maintenance and collection strategies for Kaiser Permanente's insurance beneficiaries: HMO, POS, Medicaid & Medicare beneficiaries, adhering to stringent standards and protocols.
• Monitor, track, and oversee file transmissions between regions, ensuring the timely and secure delivery of sensitive data to our print vendor, while meticulously mitigating any potential breaches of protected health.
• Manage and maintain a comprehensive record of insurance card inventory, collaborating closely with vendors to ensure consistent availability and appropriate stock levels.
• Serve as the primary point of contact for incoming insurance card inquiries and requests, delivering prompt, accurate, and professional responses while upholding the highest standards of customer service.
• Develop and generate monthly and weekly financial reports, meticulously detailing costs nuances to assist with proper budgeting. These reports were instrumental in informing data-driven decision-making processes.

San Diego, CA, US

• Solely responsible for a comprehensive financial analysis in order to secure funding for over 30 in-house patients during a week-long period for both uninsured and underinsured patients, evaluating eligibility for.
• Collaborate synergistically with a multidisciplinary team encompassing social workers, case managers, and physicians to orchestrate seamless discharge planning and coordinate patient care, optimizing resource.
• Leverage my data-driven process to educate patients on the intricacies of their health insurance benefits, empowering them to make informed decisions in relation to any healthcare services allotted in their benefits..
• Demonstrate data proficiency by providing self-pay patients with meticulously calculated estimates, utilizing DRG, CPT, and ICD-10 codes for both inpatient and outpatient procedures and provide all details for patients.
• Slashed patient procedure estimates costs by over 30% by negotiating financial aid with funding sources by highlighting patient financial data and responsibilities, while ensuring the continuation and enhancement of.

San Diego, CA, US

Obtains and processes patient demographics, visit, and financial information in order to facilitate maximum financial reimbursement and promote premier customer service. Verify insurance eligibility, perform in depth benefits analysis, and assist with obtaining pre-authorization. Provide patients with financial obligations. Pre-billing: objectifying.

San Diego, CA, US

Perform in depth financial analysis of individual's financial status for the purpose of evaluating the individual's eligibility for public funding. Assist the underinsured and uninsured patients in securing governmental, commercial and or private funding to cover healthcare costs. Works in collaboration with physicians, social workers, and case managers.

Assist the Program Director with the management of the program operations Conduct individual, group, and milieu therapy sessions with clients Assist with management of program staff, including training, scheduling, and participating in hiring process Assist with program development, discharge planning, quality assurance, chart review, improvement.

Mentor and Tutor high school students at Berkeley High School. Academic and social mentorship was provided. Students were chosen from a selective application process from a pool of low-income college bound students in grades 9th-12th. Academic tutoring ranged in all school subjects; I mainly focused on math: algebra 1, algebra 2, pre-calculus, calculus and.

Obtains client information by answering telephone calls; interviewing clients; verifying information.Determines eligibility by comparing client information to requirements.Establishes policies by entering client information; confirming pricing.Informs clients by explaining procedures; answering questions; providing information.Maintains communication.