Manuel P. Email and Phone Number

Assistance to senior residents in an independent living setting. The main objectives are to enhance residents' quality of life by addressing their daily needs, promoting a safe and healthy environment, and facilitating recreational and social activities that foster a sense of community and engagement. Organize and facilitate recreational and social activities that promote physical, mental, and social well-being. - Encourage resident participation in community events and activities, fostering a sense of belonging and community spirit.- **Safety and Health:** - Conduct regular safety inspections and wellness checks within the living spaces to ensure residents' health and safety. - Implement and adhere to health and safety protocols, including emergency response procedures.Assisting residents in addressing Medica-cal and Medicare enrollment and questions. Screening residents in SNAP eligibility and Medical-cal renewal as well as Medicare open enrollment questions

Reviewed Medicare applications following Medicare standards. Reviewed MCS TRR codes (data) and generated reports for dis-enrollments and new enrollments. Communicated in a professional manner with providers regarding claims and advocated process for their payment. Engaged with employees in training and educated members and referred to appropriate departments. Supervised staff in the department.

Selling Molina Medicare Advantages plans to individuals who qualify for coverage in 17 states Molina operates. Providing information to customers about their Medicare plans and coverage optionsReviewing applications to determine if applicants are eligible for coverageExplaining the benefits of Medicare Advantage plans, which allow subscribers to receive all their healthcare services through one companyExplaining how Medicare works in conjunction with private insurance policies for those who are not yet eligible for MedicareProviding information about eligibility requirements for government programs such as Medicaid.Helping patients choose a Medicare plan that meets their medical needs and budgetExplaining Medicare Advantage plan coverage, including drug coverage and supplemental benefits such as dental and vision careAdvising customers about available discounts on prescription drugs and helping them enroll in prescription drug coverage plans

CoveredCa, commercial insurance, ADAP, HIPP, PrEP, PEP, Insurance eligibility, SSI, coordinations of benefits.

Administer benefits enrollment, changes, terminations and annual open enrollment process for clients health,dental,vision,401K plans and other benefits. Runs eligibility reports, notifies as appropriate and sends enrollment materials. Prepares communication and material for optimal enrollment presentation to potential employers. Additional jobs also include enrolling patients on PrEP as a part of package benefits.

Benefits Counselor helps clients navigate the complex private and public benefits system, including the AIDS Drug Assistance Program (ADAP), General Assistance, Food Stamps, Medi-Cal (California's Medicaid program), Medicare, CARE/HIPP, and Social Security. Our skilled counselors provide one-on-one advocacy, assessing what benefits clients are eligible to receive, and can also assist in the application process.

Educate Californians on the benefits of having health insuranceMaximize enrollment of Californians in Covered CaliforniaEncourage insured Californians to retain their existing coverageContinue to ensure the availability of affordable health insurance for all eligible Californians

Interviewing clients in a hospital setting and/or home visits to assist them in obtaining maximum benefit coverage.Completing applications for state and federal program, reviewing medical records and taking all actions necessary to expedite benefit approval.Maintain ongoing communications with government agencies regarding the status of claims.Provide updates and assistance to hospital personnel and other staff as needed.Maintain documentation of status of claims and client contact via computer system.

Help qualify patients/claimants for governmental benefits (Medi-Cal, VOC, SSI, etc.) within established guidelines. Responsibilities include telephone or in-person screening, completing applications, follow-up with customers and county workers for successful completion of cases, submitting applications to appropriate offices, and updating information in computer database.

Utilize consultative approach in an effort to present the value of products and services with the purpose of retaining core products and customers, and selling products and services to existing customers. Receive high volume of incoming phone calls and respond to inquiries in a manner which meets high quality, productivity and other performance standards. Retain and upgrade cable services in accordance with company requirements and customer needs. Save customers from disconnecting or downgrading service; present benefits of products and services on all calls including billing, technical, collections, and other types of inquiries