Heather G.

Heather G. Email and Phone Number

Heather G.'s Location
San Francisco, California, United States, United States
About Heather G.

Schedule and interview clients in the offices of the Department of Social Services, in the client’s home, or in hospitals and various institutions to determine new or continuing program eligibility. When assigned to hospital, admit and register patients for hospital care; obtain demographicinformation. Coordinate transfers of patients between counties; inform clients of procedures and necessary reports. Explain eligibility programs, qualification standards, policy and procedure to clients; assist clients in completion of applications, forms and reports when necessary; review and evaluate applications for completeness and accuracy; prepare client budget to determine eligibility. Apply legal criteria to determine eligibility; provide recommendations regarding financial eligibility for assistance programs; determine eligibility and grant amount according to established policies and procedures; review and determine re-certification. . Prepare case records related to client eligibility information and financial assistance received; update case records; submit required reports. Investigate statements and information received from applicant through the use of telephone or written verifications. Investigate and resolve client problems involving non-receipt of benefits. Review cases with supervisor in assessing the quality of the eligibility determination process and procedure. Compose and prepare correspondence to clients, references, and State agencies; gather statistical data and prepare reports as required. . Answer questions and provide information to clients and the general public regarding assigned program area. 12. Refer clients in need of case work services to members of social service staff; may provide limited referrals to resources within the community on matters related to income maintenance; refer clients to appropriate agencies according to established procedures.

Heather G.'s Current Company Details
TRAUMA FOUNDATION INC SAN FRANCISCO GENERAL HOSPITAL

Trauma Foundation Inc San Francisco General Hospital

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Medical Assistan Phlebotomist
Heather G. Work Experience Details
  • Trauma Foundation Inc San Francisco General Hospital
    Hospital Eligibility Worker
    Trauma Foundation Inc San Francisco General Hospital Oct 2024 - Present
    San Francisco Bay Area
  • Lifelong Brookside San Pablo Health Center
    Front Office Administrative
    Lifelong Brookside San Pablo Health Center Sep 2014 - Present
    San Pablo, Ca 94806
    • Supported the Prenatal and Pediatrics department• Checked patients in and out, verified demographics and insurance eligibility for any updates /changes prior to scheduled appointments, and collected copayments • Knowledge of verification of insurance for HMO, PPO, Medicare and Medi-Cal • Managed patient flow from front to back to ensure organization flow and time for the benefit of patient, doctor and staff• Ensured office inventory and prescription refills were completed, and incoming calls were triage for same day and routine appointments
  • San Francisco Audiology
    Patient Account Representative
    San Francisco Audiology Sep 2016 - Jan 2018
    San Francisco Bay Area
    Prior authorization specialist, insurance verification rep, patient account rep, front desk receptionist• Supported Otolaryngology and Audiology department • Monitored all delinquent accounts and managed collection activity • Answered all incoming calls and transferred them to proper extensions • Administered credit balances and coordinated with customers to answer inquiries about patient payment plans • Scheduled 30-40 patients per day for Ear, Nose and Throat follow up appointments • Responsible for verifying 25-30 insurances daily• Knowledge of verifications of insurances for Anthem Blue Cross, HMO, PPO, Health Choice, United Health Care, Medicare, Medi-Cal, Health Physician, CHDP, UMR and Blue Shield via phone and through portals • Scanned and transferred hard copy patient charts into EPIC and sycle inclusive of patient identification cards, insurance cards and medical records • Explained patient benefits such as deductibles, share of cost, reimbursements and purchase of hearing aids • Responsible for obtaining authorizations for hearing aid devices
  • Summit Hearing Aid Center, Llc
    Patient Service Representative
    Summit Hearing Aid Center, Llc Sep 2015 - May 2016
    350 30Th St, Ste 311, Oakland, Ca
    Prior Authorization Specialist, Patient Service Rep.
  • Sutter Health
    Patient Service Representative/ Insurance Verification Representative
    Sutter Health Jun 2015 - Apr 2016
    Berkeley
    • Floated between front desk and back office answering calls and working with insurance verifications • Knowledge of verification of insurances for HMO, PPO, United Health Care, Blue Cross, Blue Shield, Medicare, and Medi-Cal via phone and online portals • Gathered financial documents from patients such as W2 and paystubs to determine eligibility for state funded programs: Family Pact, CHDP, and Gateway • Ensured authorizations were in place for surgeries; Neurology, Pain Management and Gastroenterology• Followed up on denied authorization and corrections for ICD-9 and ICD-10 and CPT codes, wrong provider, and tax ID
  • San Franciso General Hospital
    2903 Eligibility Worker
    San Franciso General Hospital Oct 2012 - Feb 2014
    San Francisco Bay Area
    Hospital Admissions and Eligibility, obtained necessary documents and update demographic information to determined eligibility status and qualifications. Prepared documents, interview and referred patients seeking public assistance services based on economic status and any qualifying circumstances.  Coordinated any transfers and/or scheduling of patients from hospital or various institutions. Reviewed cases with Supervisor on an as needed basis. Completed CHPD assessment forms,SOFP, presumptive eligibility
  • Native American Health Center
    Medical Receptionist
    Native American Health Center Dec 2003 - Oct 2011

Heather G. Education Details

Frequently Asked Questions about Heather G.

What company does Heather G. work for?

Heather G. works for Trauma Foundation Inc San Francisco General Hospital

What is Heather G.'s role at the current company?

Heather G.'s current role is Medical Assistan Phlebotomist.

What schools did Heather G. attend?

Heather G. attended Mission Language & Vocational School, City College Of San Francisco, Bryman Of San Francisco, Ca.

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