Melissa Esquivel Email and Phone Number

Assist with pay roll, enter monthly sales, use of QuickBooks, general administration duties

•Met monthly call goals completing telephonic assessments to Star Kids members. •Provided a holistic evaluation of the member's individual dynamics, needs and preferences while providing education and health-related information to the member, the member's legal authorized representative (LAR), and the member's support network.•Conducted timely follow-up contacts over the phone to determine if services meet member’s needs. •Coordinated member care through collaboration with community outreach and member advocates, assigned service coordinators, and/or case manager.

•Assisted as Program Coordinator for the MBCC and Star Kids IDD departments for all Service Delivery Areas.•Conducted Initial phone assessments on new members monthly to determine level of care. •Maintain Excel spreadsheets for CFC, New Members, MBCC departments and send in to point of contact for reporting purposes.•Work with community outreach/member advocates to coordinate member care.•Quarterly shadowing of home visits.

•Initiated authorization requests for output or input services in keeping with the prior authorization list. •Screened members for eligibility and benefits and verify in Amisys monthly.•Performed transition of care duties to include but not limited to, contact the member’s attending physician, member or medical power of attorney, other medical providers (home health agencies, equipment vendors) for information pertaining to special needs. •Maintained Excel spreadsheets for weekly reports for department.

•Verified new and current out-patient & in-patient insurance benefits for all patients by phone and fax•Requested and tracked authorizations/out-patient treatment requests forms for all out-patient Therapists and Psychologists.•Gathered and documented billing information on appropriate forms and or the EMR (Electronic Medical Record).•Discussed benefits and basic financial information with patients/guardians.•Served as a back-up for the Clinical Receptionist - duties included knowledge of routine office procedures to include customer service, telephone etiquette, efficient and effective filing, posting of payments, checking in patients, and releasing prescriptions.

•ICD-9CM/ICD-10 medical coding, to classify diseases/external causes of injury and procedures. Conversion of ICD-9 CM codes into ICD-10•Data collection for research information and statistical reporting, retrieved and filed medical records, x-rays and death certificates•At the School of Aerospace Medicine, generated memos, various letters. Put TDY orders in the DTS system, ordered and maintained department supplies, maintained Supervisors daily/weekly calendar, screened calls, and visitors, and directed to proper department.Brooks AFB closed and moved to Wright Patterson AFB