Andaleeb Shah
Human Resources Administration
NEWYORK,NY
3
Languages
8
years of professional experience
Detail-oriented Eligibility Specialist experienced in public benefits, application processing, documentation review, and eligibility determination. Strong communicator with excellent organizational and problem-solving skills, committed to confidentiality, accuracy, and quality client service.
Work History
Medicaid Eligibility Specialist II
8 Years 4 Months- Determine Medicaid eligibility by reviewing applications, income, household information, and supporting documentation.
- Process applications, renewals, recertifications, and case changes in accordance with program guidelines.
- Conduct client interviews, verify information, and resolve discrepancies or missing documentation.
- Maintain accurate and confidential case records using eligibility and case-management systems.
- Explain eligibility requirements, decisions, and program information while providing professional client service.
- Ensure accurate and timely case processing while complying with Medicaid policies and regulations.
Nursing Home Division
5 Years- Process Medicaid and long-term care applications, recertifications, renewals, and case updates.
- Review and verify income, assets, bank statements, property, trusts, and other financial documentation.
- Interview residents and families to gather information and explain eligibility requirements and application processes.
- Determine financial eligibility, patient responsibility, and applicable spend-down requirements.
- Coordinate with Medicaid offices, caseworkers, families, and internal teams to resolve pending applications and eligibility issues.
- Track cases, follow up on missing documentation, and ensure timely processing in accordance with program guidelines.
Education
Bachelor of Arts - Liberal Arts
Skills
Application processing
Problem-solving abilities
Case management
Time management
Multitasking ability
Communication skills
Languages
English
Full Professional
Pashto
Full Professional
Urdu
Full Professional
Timeline
Medicaid Eligibility Specialist II
Human Resources Administration
04.2018 - CurrentRead More
Nursing Home Division
Human Resources Department
04.2018 - 04.2023Read More
University of Peshawar
Bachelor of Arts from Liberal Arts
Read More