1. Mersa T. Moreno
13902 Winding Hill St.
San Antonio, Texas, 78259
Telephone: (843) 263-6550
Email: mersatperez@gmail.com
Experience:
10/21/2014 - 05/15/2015 SRA International, San Antonio, Texas
In- Person Assister - Navigator
 Providing education on, and facilitate enrollment into, Qualified Health Plans (QHPs), Medicaid,
supplementary plans available through the Market Place and/or into Insurance Affordability Programs
(IAPs).
 Providing enrollment assistance to potentialenrollees with the renewal of health plans.
 Complete health insurance applications through the Market Place on-line website.
 Assisting potential enrollees with grievances, complaints or questions regarding their health coverage or a
determination related to their coverage.
 Providing information in a fair and impartial manner which is individually appropriate and accessible for
the populations being served underthe Market Place, including individuals with limited English proficiency.
 Traveling to off-site locations to offer personalized enrollment and building strong working relationships
with site staff and management.
 Conducting internal outreach and work with site staff to identify uninsured clients and provide application
assistance.
 Being able to work in a high-paced and performance-based environment.
 Being responsible for meeting Market Place programmatic goals and individual targets as it relates to
application completion and enrollment.
 Participating in Market Place trainings and meetings.
 Maintaining strong expertise in public and private health insurance eligibility, application and enrollment.
 Ensuring that follow-up with both clients and partnering sites occurs regarding referrals and outcomes.
 Ensuring the proper documentation of all client data including client contact, referrals, and outcomes is
entered into the Navigator’s database in an accurate and timely manner.
 Assisting in program research, development and assessment and participates in ongoing trainings, typically
on-site, and contributes to peer learning systems.
 Educate other service providers, care givers, social workers and the general public regarding health care
access and coverage options by presenting on the quality of care and managed health care for individuals in
all situations.
 Conduct public education about the availability of qualified health plans (QHPs)
 Provide impartial, objective information about enrolling in different QHPs to the individuals and small
businesses that need the information.
10/01/2013 -08/16/2014 Texas Health and Human Services, San Antonio, Texas
Texas Work AdvisorI
• Obtains, verifies, and calculates income and resources to determine client financial eligibility for social
service programs.
• Processes,Monitors,review, and communicate case status and changes to clients,theirfamilies, orauthorized
representatives.

2. Mersa T. Moreno
13902 Winding Hill St.
San Antonio, Texas, 78259
Telephone: (843) 263-6550
Email: mersatperez@gmail.com
• Interviews clients, family, or authorized representatives to gather information for use in determining benefit
eligibility.
• Certifies program eligibility, computes benefit levels, and determines the length of eligibility.
• Conducts reviews to determine or verify new and continued program eligibility.
• Explains program benefits, requirements, rights of appeal, and fair hearings to clients, their families, or
authorized representative.
• Calculates and processes changes to client benefits such as overpayments, adjustments, or restoration of
benefits.
• Documents case records to maintain accurate and confidential client records.
• Communicates with internal and external stakeholders to provide and verify information, answer inquiries,
address issues,orresolve problems
09/08/2012 – 02/19/ 2013 Hector Garza Center, The Geo Group Abraxas, San Antonio,Texas
Youth BehaviorSpecialist
• Act as liaison with the public and mental health community for the purpose of supporting
individual resident development goals.
• Administers programs and services for behaviorally or emotionally disturbed residents for
the purpose ofimproved functioning and ensuring program eligibility and compliance with
established.
• Assists in developing interventions, functional behavior assessments and behavior plans
for the purpose ofproviding a safe and effective educationalenvironment for students with
challenging behaviors
• Assists in developing procedures and training materials for HGS staff involved with the
residents with challenging behaviors for the purpose of enhancing programs for residents
and ensuring that program operations are in compliance with established
• Conducts workshops,training, in-service presentations,etc. in Group Room management
techniques and other topics for the purpose of developing skills and establishing effective
relationships with behaviorally or emotionally disturbed
• Participates in a variety of meetings, workshops and committees for the purpose of
conveying and/orgathering information required to perform functions and remaining
knowledgeable with program guidelines.
• Coordinates handling of child abuse and neglect cases through contact with school staff
and HGC and outside agency personnel for the purpose of complying with mandated
requirements
11/2010 – 06/2012 Department of Health and Humans Service/ Beaufort SC
Case Worker/Medicaid Department
• Verifies FI and SSI- related (Age, Blind Disable & Specified Low Medicare
Beneficiaries) information given by client through proper sources and completes
required forms for intake, processing & Maintenance to code correctly the diverse
cases as Pregnant Woman,Childs, Low Income Family and , Pregnant Minors.

3. Mersa T. Moreno
13902 Winding Hill St.
San Antonio, Texas, 78259
Telephone: (843) 263-6550
Email: mersatperez@gmail.com
• Applied federal/ Confidentiality HIPPA state regulations as defined in
policy/procedural manuals to render timely accurate eligibility determination in
the case decisions denial or approval
• Prepare client history information profile for timely and accurate data entry and
maintains case files.
• Interview clients providing an excellent customer service by phone (English or
Spanish) or personally in order to gather the necessary information assesses need
and determine appropriate medical category of eligibility.
• Provide clear and helpful information (English or Spanish) to the public and
providers.
• Performs any emergency preparedness duties or activities as assigned by my
supervisor
• Performs other related duties as assigned by my supervisor
• Attends meetings
• Prepares statisticaldata
07/2006 – 03/2007 Beaufort,Jasper Hampton Comprehensive Health, Beaufort, South Carolina
HIS Specialist (Health Information Specialist)/ AR Medical Record Scanning
OBGYN / Pediatric Department
• Chart in the computer all the information of patient health and medical records •
Operating computer information systems and scan all the patient confidential
documentation following the HIPA Standards
• Coding diagnoses and procedures for the Company reimbursement and billing the
patients
• Ensured that confidential patient information is secure and released only
according to strict state and federallaws • General Office Duties
03/2005 – 07/2006 Department of Health and Environmental Control, Beaufort, South Carolina
Program Specialist II WIC / Administrative Specialist II CRS Department /(Children’sRehabilitation
Services)
• Verification of income and residency eligibility for WIC Program
• Prepares periodic reports including non-participation, maintains WIC record including
applications, voided checks,Regular checks,vouchersand remainder notices for the clients
according with the standards and regulations of the DHEC.
• Provide translation services WIC Hispanic clients.
• Plan, develop, coordinates and evaluate a component of a statewide public health nutrition
and education program for the clients
• Monitor compliance with state policies and federalregulations
• Prepare inventory of the formula given to the new born and infants.

4. Mersa T. Moreno
13902 Winding Hill St.
San Antonio, Texas, 78259
Telephone: (843) 263-6550
Email: mersatperez@gmail.com
• Provide consultation and technical assistance in delivery of public health nutrition and
education services
• Schedule appointments for client’s nutrition training
• Responsible for arranging payments to CRS providers for services clients received.
• Practice billing procedures as outlined in the CRS policy manual.
Skills:
• Fully bilingual, (English, Spanish).
• Proficient in Internet and Windows applications such as, Works, Word, Excel,
Power Point and Outlook and Accounting Software programs
• Knowledge on community organizations and resources, and vast skill educating
groups and individuals.
• Managed Medical Records (maintains, files/scans, prepares for schedule
• Efficient typing skills (35 wrdsp/m)
• Customer Service Orientated and an excellent communication, oral and writing,
interpersonal and organizational skills.
• Ability to work independently without close supervision.
• Ability to compose and create memos, letters, graphics, Charts and formal
documents working with speed and accuracy while maintaining attention to details
• General knowledge of the office equipment.
• Collects co-payments, co-insurance and deductibles and issues receipts
• Ability to handle high-stress environments.
• Experience in handling multiple tasks, make informed decisions quickly, and
execute those decisions with confidence
Education:
2007- Red Cross School of Careers & Educational Programs, DentalAssistant Certification
2009 - Argosy University, Pittsburgh, PA – BA Diploma, Psychology and Drug Abuse
2010- Southern New Hampshire University-On-line- MS in Psychology/Child and Adolescent
Developmental Concentration, SWL
2012 – The Geo Group, Abraxas County, Youth Behavioral Specialist
2012 – The Geo Group – Abraxas, CPR Certification