Monique A

Monique A Email and Phone Number

Health Benefits Analyst Supervisor (Work Out of Class) @ County of San Mateo
Monique A's Location
San Francisco Bay Area, United States, United States
About Monique A

I work hard, and stay motivated. I am kind, understanding and reliable. I take pride in everything I do. I have created high standards for myself, which I aspire to reach everyday. I accept change and thrive under stressful situations. I work great independently and in a group setting.

Monique A's Current Company Details
County of San Mateo

County Of San Mateo

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Health Benefits Analyst Supervisor (Work Out of Class)
Monique A Work Experience Details
  • County Of San Mateo
    Health Benefits Supervisor (Woc)
    County Of San Mateo Aug 2021 - Present
    Redwood City, Ca, Us
    Supervise staff performing a variety of tasks involved in determining eligibility of patients for and enrollment to healthcare financial assistance programs; plan and coordinate program and administrative services; develop and implement program goals and procedures; and ensure compliance with departmental goals, policies and procedures. Duties may include, but are not limited to, the following: Plan, assign, review and supervise the work of assigned staff; train staff in work procedures; ensure the professional development of staff; and develop individual and team performance. Evaluate employee performance, counsel employees and effectively recommend initial corrective action and other personnel decisions. Train staff in County policies and procedures and State and/or Federal laws, rules and regulations. Support, assist and guide workers in difficult situations. Develop and implement program goals for assigned functions. Monitor quality of work, identify problems and recommend corrective action. Foresee and implement change. Coordinate assigned functions with other County staff and departments. Collect and analyze information, draw sound conclusions and prepare effective recommendationsPrepare a variety of special and periodic reports.Assist the public with enrollment in various health care coverage programs such as Medi-Cal, Healthy Families, Healthy Kids, Family Planning, Access, Care and Treatment Program (PACT), Cancer Detection Program (CDP), Access and Care for Everyone (ACE), WELL, and Discounted HealthCare Program (DHC).Provide final determination for the County financial assistance programs such as the WELL and DHC programs. Interact with staff from community-based organizations, the Health Plan of San Mateo, the Human Services Agency, the Public Health Division, and labor organizations. Assist patients who have billing issues, including re-coding visits, recalling accounts from Revenue Services and processing refunds for WELL and DHC programs.
  • County Of San Mateo
    Lead Health Benefits Analyst
    County Of San Mateo Mar 2021 - Aug 2021
    Redwood City, Ca, Us
    Assist in the supervision of the Health Benefits Analysts (HBAs) assigned in the San Mateo Medical Center for health coverage enrollment assistance the outreach, enrollment assistance, eligibility, and case management of SMMC high-cost patients; Provide lead assistance as needed for SMMC HCU team special projects such as the Inpatient-High Cost unit and the Uninsured Emergency Department Referral project; Assist in the review of client health coverage cases as part of the HCU Quality Assurance Process; Assist as needed with the HCU hotline operations.
  • County Of San Mateo
    Benefit Analyst Ii/ Intake Worker
    County Of San Mateo Dec 2019 - Mar 2021
    Redwood City, Ca, Us
    Eligibility Technicians perform a variety of tasks for recipients of public assistance including providing customer service in a call center environment, interviewing clients for initial and continuing eligibility for one or more types of aid programs in accordance with established procedures/guidelines; referring customers who are in need of service to the appropriate resource in the community; preparing and maintaining records/reports; utilizing data processing systems; and preparing mathematical calculations to determine eligibility for social service programs.
  • County Of San Mateo
    Benefit Analyst Ii/ Call Center
    County Of San Mateo Feb 2018 - Dec 2019
    Redwood City, Ca, Us
    Eligibility Technicians perform a variety of tasks for recipients of public assistance including providing customer service in a call center environment, interviewing clients for initial and continuing eligibility for one or more types of aid programs in accordance with established procedures/guidelines; referring customers who are in need of service to the appropriate resource in the community; preparing and maintaining records/reports; utilizing data processing systems; and preparing mathematical calculations to determine eligibility for social service programs.
  • County Of San Mateo
    Health Benefits Analyst Ii/ Health Coverage Unit
    County Of San Mateo May 2014 - Feb 2018
    Redwood City, Ca, Us
    Interview clients to obtain pertinent information regarding eligibility for healthcare financial programs. Assist the public with enrollment in programs to assist with medical coverage such as Covered CA, Medi-Cal, Healthy Kids, Family Planning, Access, Care and Treatment Program (PACT), Cancer Detection Program (CDP), Access and Care for Everyone (ACE), and Discounted HealthCare (DHC). Provide a variety of routine to difficult patient services office support within the Health Department and San Mateo Medical Center. Serve as the initial contact for many low-income clients seeking free or low-cost insurance and will help guide them through the enrollment process. Provide final determination for County healthcare financial assistance programs such as the ACE program and Discounted HealthCare. Final eligibility for Medi-Cal will be determined by a Benefits Analyst unit at the Human Services Agency.. Work closely with out-stationed Human Services Agency Benefits Analysts and clinic staff in order to finalize eligibility determinations for Federal, State and County funded programs. Participate in policy trainings for all programs, One-e-App training and all relevant refresher courses. Interact with staff from the community-based organizations, the Health Plan of San Mateo, the Human Services Agency, the Public Health Division, and labor organizations. Attend staff meetings as assigned. Re-code and recall visits Attend Invision/CORE Training. Collect enrollment fees for the ACE Program. Participate in outreach events in coordination with community-based organizations to disseminate information regarding health plans; also includes off-site hours at community centers and school sites to give access to parents interested in signing up for programs. Administer utilization and retention activities in regards to healthcare programs to ensure families understand program benefits and that covered services are being accessed.
  • County Of San Mateo
    Lead Health Benefit Analyst (Woc)
    County Of San Mateo Sep 2015 - Apr 2016
    Redwood City, Ca, Us
    Update Training ManualsAssist Training SeminarsShadowing new hiresFacilitate MeetingsData CollectionCreating Lunch SchedulesAssist Patients with enrollment in Health Care Program/s
  • County Of San Mateo
    Patient Services Assistant Ii/ Innovative Care Clinic
    County Of San Mateo Apr 2009 - May 2014
    Redwood City, Ca, Us
    Register patients for ambulatory or emergency care; interview patients to obtain necessary information for billing; perform financial screening of patients and process documents to establish source of payment or to determine placement on sliding fee scale; prepare registration packets. Complete forms for hospital admission or pre-admit; review personal, financial and insurance details with patients; explain available coverage plans and calculate treatment costs under selected plan. Enter admitting, registration and billing information into a personal or on-line computer system, following specific guidelines and instructions; retrieve data and may prepare a variety of reports related to patient census and/or patient insurance and financial status. Verify insurance program eligibility for emergency and hospital admissions. Classify data on hospital and clinic documents and assign appropriate codes. Maintain records of unit productivity, patient location, unit transfers, registration, admissions and discharges. Respond to patient inquiries regarding County health care services in person or by telephone; advise patients of services available, billing procedures, regulations and other related information. May receive payments for medical services on past due bills; forward to cashier for processing. Act as a receptionist assisting patients with information regarding hospital and/or clinic policies and procedures; direct patients to appropriate medical services areas; provide factual information which may require some interpretation of rules, policies and procedures. Operate standard office equipment, including a personal or on-line computer. Provide backup for patient services support staff as assigned. Provide off hours support as required. Perform related duties as assigned.
  • County Of San Mateo
    Patient Services Assistant Ii/ Health Coverage Unit
    County Of San Mateo Apr 2008 - Apr 2009
    Redwood City, Ca, Us
    Interview clients to obtain pertinent information regarding eligibility for healthcare financial programs. Assist the public with enrollment in programs to assist with medical coverage such as Medi-Cal, Healthy Kids, Family Planning, Access, Care and Treatment Program (PACT), Cancer Detection Program (CDP), Access and Care for Everyone (ACE) and Discounted HealthCare (DHC). Provide a variety of routine to difficult patient services office support within the Health Department and San Mateo Medical Center. Serve as the initial contact for many low-income clients seeking free or low-cost insurance and will help guide them through the enrollment process. Provide final determination for County healthcare financial assistance programs such as the ACE program and Discounted HealthCare. Final eligibility for Medi-Cal will be determined by a Benefits Analyst unit at the Human Services Agency.. Work closely with out-stationed Human Services Agency Benefits Analysts and clinic staff in order to finalize eligibility determinations for Federal, State and County funded programs. Participate in policy trainings for all programs, One-e-App training and all relevant refresher courses. Interact with staff from the community-based organizations, the Health Plan of San Mateo, the Human Services Agency, the Public Health Division, and labor organizations. Attend staff meetings as assigned. Re-code and recall visits Attend Invision/CORE Training. Collect enrollment fees for the ACE Program. Participate in outreach events in coordination with community-based organizations to disseminate information regarding health plans; also includes off-site hours at community centers and school sites to give access to parents interested in signing up for programs. Administer utilization and retention activities in regards to healthcare programs to ensure families understand program benefits and that covered services are being accessed.
  • Health Advocates, Llc
    Case Worker
    Health Advocates, Llc Dec 2006 - Mar 2008
    Los Angeles, Ca, Us
    Eligibility Workers help qualify patients/claimants for governmental benefits (Medi-Cal, VOC, SSI/SSDI, TPL, etc.) within established guidelines. Responsibilities include telephone or bedside screening, completing applications, follow-up with customers and county workers for successful completion of cases, submitting applications to appropriate offices, and updating information in hospital computer database.
  • Petsmart
    Support Manager
    Petsmart Feb 2003 - Jan 2007
    Phoenix, Arizona, Us
    Provides control and headship to make sure of exceptional service to pets and Pet Parents. Must be relaxed in suggesting extra products and services to Pet Parents that will meet their wishes.Checks the inventory on a frequent basis and make sure that orders are in when they are supposed to be. Must be accountable for paying the goods which are ordered as well as keeping track of how much is spent on procuring the goods.Alarming and Disalarming the store per opening and closing shiftMaking sure all Tills and Registers Monies are accounted forPreparing the Vault for next day pick up

Monique A Skills

Leadership Powerpoint Sales Event Planning Healthcare Process Improvement Strategic Planning Eclinical Works Outlook Microsoft Word Groupwise Microsoft Excel Cross Functional Team Leadership Training Time Management Community Outreach Customer Service Management Hospitals

Monique A Education Details

  • Newark Memorial Highschool
    Newark Memorial Highschool
    High School

Frequently Asked Questions about Monique A

What company does Monique A work for?

Monique A works for County Of San Mateo

What is Monique A's role at the current company?

Monique A's current role is Health Benefits Analyst Supervisor (Work Out of Class).

What schools did Monique A attend?

Monique A attended Newark Memorial Highschool.

What skills is Monique A known for?

Monique A has skills like Leadership, Powerpoint, Sales, Event Planning, Healthcare, Process Improvement, Strategic Planning, Eclinical Works, Outlook, Microsoft Word, Groupwise, Microsoft Excel.

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