1. CHRISTINE BALLADAREZ
43611 CarefreeCt.Lancaster Ca.93535 | 661-400-9283| Queencball@yahoo.com
SUMMARY
 Creative Problem Solver and expert in critical thinking
 Motivated team player with demonstrated talent for developing
organizational skills towards detail, and client services.
 Bilingual Armenian professional with extensive experience
working with a diverse community within the Human Services,
and medical fields.
 Service-focused social worker, and coordinator with a strong
commitment to serving the needs ofdisadvantaged individuals
and families.
 Excel in program, and organizational development, with skills in
building community support.
COMPUTER SKILLS
 LEADER, MEDS Statewide system,Word, Excel, PowerPoint,
L.R.S., Windows, and MAC.
 Administration support and operation.
 Employee training and development
 Worker’s compensation knowledge
 Member ofLos Angeles County D.P.S.S. Organizational
Change Management committee, and Leader system
replacement.
EXPERIENCE
12-2006-
present
Eligibility worker II Los AngelesCounty Department ofPublic Social
Services
Cal-Works and General Relief Intake, obtaining financial information
for client applying for public assistance. Explaining provisions,
identifying client needs, legal rights, and responsibilities, state, and
federal regulations. Advising clients of sanctions, noncompliance,
IPV, NHR, GAIN, GROW, and IFDS issues needed to be resolved.
Reviewing, and analyze cases, ensuring all documentation is

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obtained, and entered in system. Organizing, monitoring, measuring,
and tracking client’s progress. Prioritizing assigned cases, meeting
deadlines, and compliance with all county, state, and federal
regulations. Assisting client’s homeless assistance, local resources,
domestic violence counseling, coordinating child and parental safety,
benefit issuance for children placed through DCFS, and verifying
MEDS codes. Working with local agencies providing resources for clients.
01/2001-12-
2009
Facey Medical Group, Claims Processor II
· Review, authorize payments, and final disposition of claims requiring
adjustments, and claims benefit determination for reinsurance qualification.
Process claims involving coordination of benefits, non-duplicate of
Medicare, and third party liability. Resolving complex, difficult, non-
routine claims needing special handling in accordance with established
policy guidelines. Utilization review coordinator, processing referrals for
patients to outside specialty physicians. Verification of benefits, DME,
diabetic supplies, and home health. Monitoring and resolving issues with
outside contracted providers, and servicing incoming and outgoing calls by
providers and members. Assisting with AB1455 working with technical
support team committee, in creating forms according to established
regulations. Overseeing audits of claims with all health care groups,
HMO’s,PPO’s,SR HMO,and Medi-Medi. Assurance of prompt payments
for all clean claims according to Prompt Payment Act (P.L. 97-117)
avoiding interest charges on unpaid claims within thirty calendar days of
receipt established by the Secretary of the Treasury Pursuant to 32 U.S.C. §
3902(a). Determining underpayments and overpayments for commercial
providers. Processing, adjudicating, and calculating interest according to
IDX calendar rate. Assurance of all coding, and processing is correctly
submitted.
EDUCATION
2012 AssociatesofArts Human Services Management, University ofPhoenix
2014 Bachelors ofScience Human Services/Management, University of
Phoenix