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Amanda Fonseca

@amandafonseca

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Bilingual care coordinator with strong clinical support, benefits navigation, and patient advocacy experience.

United States

Message

What I'm looking for

I seek a remote Quality Assurance role within healthcare operations where I can utilize my background in care coordination, benefits navigation, bilingual communication, and EHR documentation review to strengthen compliance, improve audit performance, and drive continuous quality enhancement.

I am a bilingual (English/Spanish) care professional with experience coordinating patient services, managing enrollments, and supporting clinical workflows across Medicaid and Medicare programs.

At Healthfirst I manage inbound and outbound member communications, verify Medicaid/Medicare eligibility using ePaces and Marx (CMS), schedule clinical assessments, and document outcomes in pre-enrollment systems while meeting growth goals.

Previously, as a Care Manager at JemCare I performed DOH-required enrollment activities, assisted members with benefits and supports (Medicaid, SNAP, SSI/SSDI, housing, employment), and ensured EHR documentation met regulatory and organizational standards.

My background as a Medical Assistant includes patient intake, clinical and administrative support, and experience with systems like StellarHealth, EClinicalWorks, and CORTEXID; I bring strong communication, multitasking, and MS Office skills to deliver patient-centered care.

Experience

Work history, roles, and key accomplishments

Current

Relationship Coordinator

Current

Healthfirst

Apr 2023 - Present (2 years 10 months)

Handles inbound/outbound member calls, verifies Medicaid/Medicare eligibility, schedules Clinical Assessors for Community Health Assessments, and documents outcomes in the pre-enrollment database to meet growth targets.

Customer Service Medicaid Eligibility Marx CMS Scheduling Documentation

Care Manager

JemCare

Jan 2022 - Mar 2023 (1 year 2 months)

Performed enrollment and outreach per DOH and lead health home requirements, educated members/caregivers on conditions and care plans, and ensured required documentation met DOH and organizational standards.

Care Management Enrollment Outreach Patient Education Medicaid

Medical Assistant

City Prime Health

Sep 2021 - Dec 2022 (1 year 3 months)

Supported clinical staff by recording medical histories, preparing patients for exams, performing administrative duties including scheduling, and maintaining medical records using EHR systems.

Patient Intake Scheduling Medical Records