Alicia Sellers
Charlotte,NC
Summary
Detail-oriented professional with experience in human services, case management, and administrative support. Skilled in client relations, documentation, problem solving, and maintaining confidentiality while ensuring accuracy and quality service.
Overview
20
20
years of professional experience
Work History
Eligibility Specialist II
Department of Social Services – Cabarrus County
11.2024
- Interview applicants and determine Medicaid eligibility by conducting financial assessments, verifying documentation, and ensuring compliance with federal and state Medicaid policy. Collaborate with customers, providers, and partner agencies to resolve case issues, manage redeterminations, and implement benefit updates. Handle high-volume communications while maintaining accurate case records and NCFAST data entry.
- Functioned as Medicaid Liaison for Axess Pointe Health System, assisted three clinics with application status updates, provided eligibility guidance, and connected clients to community resources.
- Interview customers and process eligibility cases for multiple public assistance programs.
- Conducted Medicaid reimbursement budgeting and financial reviews to ensure compliance and accuracy.
- Communicated with customers, providers, and third-party partners to resolve inquiries and manage benefit changes effectively.
- Entered customer information into eligibility systems to facilitate timely application assessments.
- Checked information reliability through thorough documentation analysis, internet research, and direct phone inquiries.
- Determine eligibility and process applications for Medicaid, other complex programs.
- Provide information on services, documentation needs, community resources, and benefit status.
Eligibility Specialist I
Department of Social Services- Mecklenburg County
Charlotte, NC
09.2015 - 11.2024
- Interviews customers and processes cases for public assistance programs. Determines eligibility, obtains and verifies customer information, processes applications and recertifications. Handles complex budgeting for Medicaid reimbursement calculations for services rendered. Interacts with new and existing customers and third-party entities to provide and process information in response to inquiries, concerns and requests, reviews and benefit changes.
- Handled customer interactions to ensure timely communication of inbound and outbound calls, maintaining comprehensive records in the call center database.
- Obtain customer data from customers, representatives, and third-party contacts, and input data into appropriate systems.
- Confirmed customer details by cross-referencing documentation and conducting inquiries through paper, online search, and phone calls.
- Complete eligibility determination and process applications and recertifications in three programs. Food and Nutrition Services (FNS), Medicaid, and Work First (TANF), Energy or complete eligibility determination and process applications and recertifications in more complex programs
- Executed data entry tasks to maintain up-to-date information in client and service databases, ensuring accurate records of clients, providers, and program services.
- Provided information to clients and the public on available services, required documentation, community resources, and benefit statuses.
Human Resources / Training Coordinator
WalMart 1666
Charlotte, NC
12.2004 - 09.2015
- Ensured compliance with laws and regulations for associate personnel files and sensitive information while adhering to confidentiality policies. Identified associate needs and demonstrated care in serving associates and customers. Maintained accurate records of individual associate training and materials. Conducted monthly engagement huddles with management and departments to develop best practices and training aimed at reducing turnover.
- Managed full life cycle recruiting for various departments, actively preparing job descriptions, posting requisitions, and overseeing the hiring process to fulfill staffing needs.
- Provided accurate information to associates and leaders about FMLA, payroll inquiries, online enrollment for benefits, and electronic time adjustments, ensuring compliance with company policies and procedures.
- Handled accounts receivable for store-wide events and supplies, securing revenue by verifying and posting receipts and resolving discrepancies within the Human Resources department.
- Maintain employee records (attendance, EEO data etc.) according to policy and legal requirements
Education
High School Diploma -
North Meckleburg High
Huntersville, NC06-2000
Skills
- Medicaid eligibility
- Financial budgeting
- Case management
- NCFAST data management
- Benefits administration
- Policy compliance
- Document verification
- Records management
- Attention to detail
- Critical thinking
- Conflict resolution
- Government relations
Timeline
Eligibility Specialist II
Department of Social Services – Cabarrus County
11.2024
Eligibility Specialist I
Department of Social Services- Mecklenburg County
09.2015 - 11.2024
Human Resources / Training Coordinator
WalMart 1666
12.2004 - 09.2015
High School Diploma -
North Meckleburg High