Digna Perez

205 West 65 St. Apt. 316

(786) 376-3532

Objective:To obtain a position that will allow me to demonstrate my skills by displaying

an acute ability to quickly learn new tasks and efficiently carry them out.

Experience:

07/2013- Present Altegra Health, My Advocate Miami Lakes, FL 33016

Case Reviewer

  • Responsible to receive and review correspondence from member’s for applications according to the specific state guidelines and procedures.
  • Alert Case Managers to request any missing verifications for case submitted and provide required information verifying all income and assets.
  • Review applications toensure that all is complete and no documents required are missing before submitting to the Quality Assurance Department.
  • Meet quality standards by ensuring that cases are accepted and mailed out to the state.
  • Knowledge in all aspects of the process of qualifying the member accurately for the Medicare Savings Program by using the State Processing guidelines.
  • Training new employees under company policies and guidelines.
  • Answering, screening, and directing inbound calls.

2/2012 to 07/2013

Remote Case Manager/Case Manager

  • Effectively manage internal and external resources for the Medicare Savings Program eligibility.
  • Follow up to request and obtain required documents for the state
  • Manage alerts sent by the Case Reviewer in a timely manner and close cases to be sent to the Quality Assurance Dept.
  • Print and prepare State applications to be sent to the member.
  • Manage pending notices received from the State and assisting the member to obtain the missing documents for approval status.

11/2005 to 11/2007

Intake Specialist

  • Answer high volume of Inbound and Outbound calls.
  • Screen contracted Health Insurance members for potential enrollment.
  • Complete an on-line application with potential member thru the Social Security website for

Education:

Hialeah Miami Lakes Senior HighMiami, FL

High School DiplomaJune 1996-June 2000

Skills:

Fluent in English and Sign Language.Proficient in MS Office Applications: Excel, Outlook, Word, CM, and MMS