Nohemi Ayala Email & Phone Number

New York, Ny, Us

United States

New York City Metropolitan Area

The Community Health Advocate role is responsible for increasing patient engagement through direct member outreach in the community, including in hospitals, sub-acute facilities, long-term care settings, and door to door canvassing of eligible patients.SUMMARYIdentify innovative strategies to enroll patients into the Landmark Health program.Develop the relationship between Landmark and hospital personnel, patients, physicians, community organizations, retirement communities,… Show more The Community Health Advocate role is responsible for increasing patient engagement through direct member outreach in the community, including in hospitals, sub-acute facilities, long-term care settings, and door to door canvassing of eligible patients.SUMMARYIdentify innovative strategies to enroll patients into the Landmark Health program.Develop the relationship between Landmark and hospital personnel, patients, physicians, community organizations, retirement communities, assisted living, primary care, and skilled nursing facilitiesCoordinate meetings with community providers, home health providers, facility discharge planners, and health plan case managers; including preparation and delivery of presentations on Landmark’s services. Uses critical thinking skills to create outreach strategies that are designed to maximize patient awareness and registration into Landmark’s program. Leverage reporting and dashboards to prioritize telephonic and field-based outreach to membersSuccessfully meet and/or exceed engagement monthly targets Show less

New York, New York, United States

responsible to educate and provide Healthfirst members support in obtaining financial entitlements for which they are eligible.This enables members to maintain the highest level of independence both at home and within their communities.Education within Medicare, the Medicare Savings Program (MSP), assist our members in applying and continuous follow up.Contacted member or primary caregiver by phone or letter to arrange a telephonic or in person interview to assess… Show more responsible to educate and provide Healthfirst members support in obtaining financial entitlements for which they are eligible.This enables members to maintain the highest level of independence both at home and within their communities.Education within Medicare, the Medicare Savings Program (MSP), assist our members in applying and continuous follow up.Contacted member or primary caregiver by phone or letter to arrange a telephonic or in person interview to assess Medicaid/Medicare/Medicare Savings Program eligibility.Ensured all calls are in accordance to approved Healthfirst scriptsHas full and complete access to patient records and reports as well as to personal/financial profiles and documents, always calling for the utmost integrityServes as an advocate between all parties maximizing the participant's support network and obtaining needed servicesResearch ePACES and/or Marx for Medicaid and Medicare eligibility, exclusion, and exemption codesConsult with Human Resource Administration (HRA)/Local Department of Social Services (LDSS) Medicaid staff as needed and report to supervisor any need for HRA/LDSS consultationTrack the Medicaid/Medicare/MSP status for all members on an ongoing basis until all member entitlements are gainedCompletes Medicaid/MSP application in a timely, organized fashion and assists participant or primary caregiver in the completion of the applicationAssists in collecting all required documents for applicationsSubmit documentation to HRA/LDSS within specified timeframe to assure Medicaid coverage for participantMonitor all applications according to HRA/LDSS/Social Security office/Medicare time framesDocuments all client calls /outcomes in database system and spreadsheetsPrepared/submitted monthly reports to Management Show less

Greater New York City Area

The Field Retention Representative conducts telephonic and field outreach which includes assistance at community events, provider and community office sites and home visits to new and existing members and must be able to effectively explain, communicate, and assist with all Fidelis Care products•It is the responsibility of the Retention Field Representative to ensure compliance with all regulatory, audit and corporate policies•Provide member resolution by researching, analyzing… Show more The Field Retention Representative conducts telephonic and field outreach which includes assistance at community events, provider and community office sites and home visits to new and existing members and must be able to effectively explain, communicate, and assist with all Fidelis Care products•It is the responsibility of the Retention Field Representative to ensure compliance with all regulatory, audit and corporate policies•Provide member resolution by researching, analyzing and documenting inquiries regarding program eligibility•Answer application and/or service questions regarding the programs and services in order to maintain/attract membership•Conduct outreach and follow up calls to educate members about Fidelis Products and serves as a liaison between the member and the different Fidelis departments•Ability to meet and exceed quality assurance standards•Have the ability to conduct a needs based analysis to better understand the best course of action based on those needs and be able to answer product feature and benefit questions and provider network questions for members both within and outside of their region•Develop and maintain relationships with existing members by providing guidance and assistance throughout the year•Demonstrate passion for members by identifying unfulfilled needs and providing necessary education and assistance to promote the value and benefits offered by Fidelis Care•Modify delivery skills accordingly to overcome objections and retain members•Identified solutions to issues and concerns•Document all interactions in the appropriate system (Sales Force, Facets) including marketing leads Show less

Queens, New York, United States

first level supervisor for a group of approximately 6 to 15 Field Representatives, responsible for data collection in a geography that included some hard to count areas. Monitored various performance metrics.

Bachelor Of Science - Bs, Community And Human Services

Education record