Denisha Hernandez
Member Service Representative at UHealthSolutions- Claim this Profile
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Bio
Experience
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UHealthSolutions
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United States
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Hospitals and Health Care
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1 - 100 Employee
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Member Service Representative
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Mar 2022 - Present
• written and oral communication skills • Respond to a high number of inbound phone calls from members • Transferring calls to the appropriate department • Make outbound calls to assist members • Actively listening to customers and handling their requests in a kind and professional manner • Meet or exceed department established key performance indicators. • Adheres to assigned schedules to ensure appropriate phone coverage. • Maturity and ability to exercise sound judgement • Strong computer and telephone multitasking skills • Navigate through multiple systems • Accuracy in data input and documentation Show less
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Veterans Inc
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Worcester, Massachusetts, United States
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Per Diem Relief Residential Counselor
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Oct 2021 - Mar 2022
Develops and maintains positive relationships with the clients, staff volunteers and visitors. Maintains resident safety and confidentiality. Utilize the wand to check all bags as residents enter the facility; administering breathalyzer and random drug tests to all clients; and forward incoming calls for residents. Prepares and submits detailed shift and incident reports of all activities, incidents and emergencies that occur during shift. Maintains safety and security of the building, company vehicles, and all Veterans Inc. property on site. First responder for client-related emergencies, RC are trained in CPR, First Aid, and Narcan administration. Other special projects and duties as assigned. Show less
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YOU, Inc.
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United States
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Mental Health Care
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100 - 200 Employee
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Intake Coordinator
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Dec 2019 - Sep 2021
Responding to and handling all incoming calls to the Intake Department in both a timely and professional manner. Ensuring proper procedures are adhered to so that all intake appointments are appropriately booked and authorized while providing initial insurance verification prior to the client visit. Filling out client intake forms, and assigning clients to the appropriate program. Responding to and handling all incoming calls to the Intake Department in both a timely and professional manner. Ensuring proper procedures are adhered to so that all intake appointments are appropriately booked and authorized while providing initial insurance verification prior to the client visit. Filling out client intake forms, and assigning clients to the appropriate program.
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The MENTOR Network
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United States
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Hospitals and Health Care
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700 & Above Employee
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Assistant Program Director
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Jun 2018 - Dec 2019
develop short and long term goals for Adult Day Health Programdirecting and supervising all aspects of the programpersonnel management: interview and select appropriate candidates, assure orientation of all staff, assure participation in appropriate in service and certification programensure compliance with the standards established by the Department of Health and Human Serviceoverseeing program safety and emergency evaluation plans coordinate admissionscoordinate transportationestablish collaborative relationships to ensure necessary support services are available to members and their familiesdevelopment and implementation of the programs marketing plan Show less
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Social Service Coordinator
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Sep 2017 - Jun 2018
(Promoted to Assistant Director) complete quarterly notes and yearly social assessments for each clientcomplete behavioral care plans for each clienthost monthly client meetings with clients to review any concerns or questions with the centerhost quarterly participant and family advisory council meetings with clients and individuals in the community to discuss program changes or client concernsassist floor staff with any needs of clientscomplete molst and health proxy paperworkparticipate in weekly care plan meetings with nurses to discuss any questions or concerns Show less
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AllCare Plus Pharmacy
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United States
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Pharmaceutical Manufacturing
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100 - 200 Employee
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AMAG Care Manager
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May 2017 - Sep 2017
Obtaining client information by answering telephone calls; interviewing clients; verifying information Contacting insurance companies for benefit investigation and coverage eligibility Completing prior authorizations with attention to detail and accuracy, to then have the prepared prior authorization reviewed by a clinical pharmacist Assisting patients with the enrollment process for manufacturer and non-profit organization copay assistance programs Providing customers with courteous, friendly, fast and efficient service Show less
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Century Homecare
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United States
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Hospitals and Health Care
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1 - 100 Employee
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Intake Coordinator
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Sep 2015 - Aug 2016
Responsible for performing the new patient intake procedures of a healthcare facility Responsible for identifying appropriate candidates for home care services Evaluated patients referred for treatment to determine appropriateness for admission Responsible for obtaining initial and ongoing insurance/managed care benefits for insurance providers Responsible for performing the new patient intake procedures of a healthcare facility Responsible for identifying appropriate candidates for home care services Evaluated patients referred for treatment to determine appropriateness for admission Responsible for obtaining initial and ongoing insurance/managed care benefits for insurance providers
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COMMUNITY HEALTH LINK
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United States
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Medical Practices
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1 - 100 Employee
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Relief Residential Counselor
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Oct 2013 - Aug 2016
Provided general supervision of clients Assisted clients in completing activities of daily living Maintained an environment that protects safety and welling being of clients Worked successfully with other team members Provided general supervision of clients Assisted clients in completing activities of daily living Maintained an environment that protects safety and welling being of clients Worked successfully with other team members
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Ace Medical Services
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United States
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Medical Practices
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1 - 100 Employee
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Certified Scheduling Coordinator
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May 2015 - Sep 2015
Took incoming referrals and complete the intake form accurately and enters information into the system.Reviewed the need list daily and calls for patients.Performed all scheduling activities.Maintained accurate schedules for all clients and staff.Worked with the Supervisor/Clinic Manager to ensure that all start of cares is assigned to the appropriate staff.Called hospitals to notify them that we offer full certified services when our clients are admitted.Actively worked to encourage departmental growth (networking with referral sources).Assisted with filing.Took a client complaint/concern and pass the message on to the Supervisor for resolution.Developed new process as necessary to improve workflow and efficiency.Ensured that only authorized visits are scheduled.Notified the Agency of emergencies, sickness, and other imminent occurrences that may affect the client caseload as quickly as possible relative to the event's occurrence.Prepared clinical client folders.Ran assigned daily/weekly reports.On call (rotation)Perform other duties as assigned. Show less
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Office Coordinator
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Jun 2014 - May 2015
Assured phones are answered in a professional and courteous manner.Ordered office supplies and formsArranged the biohazard pickups, shredding pickups.Arranged the postal needs of the branch (postage, pickups, mailings)Assisted in all activities that are required of the C.E.O, C.O.O., Administrator and or D.P.S Branch Manager.Filed all patient/client time sheets and visit notes.Reviewed time sheets prior to submission of payrollAssisted with the physician orders process.Prepared new charts as needed.productive and uses time efficiently.Followed instructions, is-punctual and attendance is acceptable.Performed other duties as assigned. Show less
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TD
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Canada
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Banking
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700 & Above Employee
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Parttime Teller
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Mar 2013 - Mar 2014
Responsible for providing WOW! customer service to all TD bank customers Responsible for processing transactions, cashing checks and meeting with client's needs Referred customers to the appropriate departments in the bank to help assist their need Responsible for providing WOW! customer service to all TD bank customers Responsible for processing transactions, cashing checks and meeting with client's needs Referred customers to the appropriate departments in the bank to help assist their need
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Education
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Becker College