Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

Carla Hernandez

Lakewood

Summary

Dynamic Enrollment Specialist with a proven track record at Denver Health CMAP, excelling in customer service and documentation management. Bilingual and adept at critical thinking, I consistently achieved a call goal of 21+ calls daily while ensuring compliance and delivering exceptional support to clients navigating complex healthcare programs.

Overview

8
8
years of professional experience
1
1
Certification

Work History

Enrollment Specialist

Denver Health CMAP
09.2023 - Current

-Completing MA application, Buy In Working Adult with Disability, Buy in Children with Disability, Medicare Saving Program and Long Term Care.

-Answering inbound calls Monday - Friday from 8:30am to 5:00pm.

-Verifying citizenship with SAVE.

- Explaining income limit to client if denied then referred client to Connect for Health Colorado Market.

-CMAP goal 21+ calls per day.

-Attending to monthly QA coaching meeting to review cases goal 95% and above.

-Committed to delivering excellent customer service while woking in a fast-paced environment.

-Attending to meeting with Supervisor regarding any changes or follow ups.

-Multi-tasking using more then two website to complete an application and complete data entry.

Patient Access Specialist

Denver Health
04.2021 - 09.2023

-Greeted and assist patients with check-in appointments.

-Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.

-Collected and validated patient demographics and insurance information.

-Prepared patient identification band and completed admissions papers.

- Scheduling follow up appointments from primary doctor request or complete a referral.

-Collection co-payment insurance.

-Placing a medication request re-fills to a medical provider.

-Communicate with Medical Assistance and Medical Providers.


Lead Room Service Coordinator/Nutrition Assistant

Children Hospital of Aurora
03.2017 - 04.2021

- Answering calls from Room Service patients and family to place an order (Anschutz, Highland Ranch and Broomfield).

- Room Service Choice: Coordinators are able to access all campus from one website.

-Creating menus for out patients Eating Disorder, Ketogenic diet, Diabetes, Gluten Free etc.

-Clinical Diet Nutrition: Speak with Eating Disorder RN to create a meal plan to reach the Provider Calories goal daily

-Ensured accurate record-keeping of patient information, including food allergies, preferences, and dietary restrictions.

-Provided nutritional counseling to patients and families to improve overall health and wellbeing.

Education

Associate of Applied Science - Business Administration

Metropolitan State University of Denver
Denver, CO
05-2027

High School Diploma -

Manual High School
1700 E 28th Ave Denver,CO 80205
05-2014

Skills

  • Exceptional communication
  • Documentation management
  • Reporting and analytics
  • Customer service expertise
  • Data entry skills
  • Critical thinking

Certification

Long Term Care

Languages

English
Spanish

Timeline

Enrollment Specialist

Denver Health CMAP
09.2023 - Current

Patient Access Specialist

Denver Health
04.2021 - 09.2023

Lead Room Service Coordinator/Nutrition Assistant

Children Hospital of Aurora
03.2017 - 04.2021

Associate of Applied Science - Business Administration

Metropolitan State University of Denver

High School Diploma -

Manual High School
Carla Hernandez