
Healthcare and eligibility professional with over 5 years of experience in processing sensitive information and maintaining accurate documentation. Graduate in Medical Billing and Coding with expertise in healthcare terminology, HIPAA compliance, and medical coding. Skilled in analyzing financial data, identifying discrepancies, and ensuring confidentiality across multiple systems.
• Review and analyze detailed applicant information to determine eligibility for Medicaid and other assistance programs in accordance with applicable policies, regulations, and program requirements.
• Maintain current knowledge of laws, regulations, and policy changes affecting eligibility determinations and documentation requirements.
• Review financial, personal, and supporting information to ensure accuracy and completeness.
• Process a high-volume caseload while maintaining accuracy, confidentiality, and established deadlines.
• Enter, update, and maintain sensitive information across multiple computer systems and applications.
• Identify missing, inconsistent, or conflicting information and obtain clarification or additional documentation as needed.
• Handle confidential information in accordance with HIPAA requirements and professional standards.
• Conduct intake assessments and communicate with clients regarding application status and required information.
• Prioritize workload effectively while consistently meeting or exceeding productivity expectations.
• Complete a high volume of cases while maintaining accuracy and quality standards.
• Collaborate with team members to support consistent processes and efficient case management.
• Consistently met productivity and accuracy goals in a fast-paced, high-volume environment.
• Reviewed orders and inventory information for accuracy and completeness.
• Documented quantities and maintained accurate inventory records.
• Inspected products to identify errors, defects, or discrepancies before shipment.
• Assisted with training new employees on procedures, quality standards, and productivity expectations.
• Supported daily operations and helped maintain an organized and efficient work environment.
• Supervised employees during assigned shifts and assisted with workflow coordination.
Medicaid and Medicare Knowledge
Healthcare documentation
Regulatory compliance
HIPAA Compliance
Quality Assurance
Data Management
Information review
Information assessment
Information handling
Microsoft Office and Outlook
System Integration
Workload Prioritization