Arnetha Sharee Robinson
Trenton,NJ
Summary
Driven professional with extensive 16 years of experience in eligibility determinations and data entry, honed at NJHS- Division of Medical Assistance & Health Services. Excelled in applying Medicaid knowledge and effective communication to streamline application processes and enhance client engagement. Proven track record in improving eligibility verification efficiency, leveraging expertise in NJ State Systems. Planning to advance within the Division of Human Services and further utilize my skills in monitoring, maintaining and implementing Federal and State Regulations and Policies in the Public Assistance System.
Overview
17
17
years of professional experience
Work History
Presumptive Eligibility Unit
NJHS- Division of Medical Assistance & Health Serv
6 Quakerbridge Rd, Hamilton, NJ 08619
03.2024 - Current
- Followed guidelines when reviewing & processing Presumptive Eligibility Applications to determine client eligibility.
- Represent PE Unit in weekly meetings.
- Extensive Knowledge of HBC's Connexion System.
- Assists with Evaluating, verifying and overseeing the initial or continuing eligibility determination of applications for client eligibility while reviewing Extensions/Dispositions on PE cases.
Health Benefits Coordinator
Conduent State Healthcare
Hamilton NJ
02.2008 - 08.2024
- Review renewal information on the web-based system and associated imaged documents. Verify data displayed for the renewal is consistent with the information on the imaged documents.
- Identify missing information and initiate requests for the generation of missing \information notices.
- Document missing information in the web-based computer system.
- Enter, review, and process missing information when documentation is received.
- Determine eligibility for NJ FamilyCare according to the NJ FamilyCare regulations/guidelines by reviewing documentation to accurately enter data into a web-based computer system and following procedures for running automated eligibility rules; prepare correspondence for missing information as appropriate; make outbound calls to obtain, clarify, or validate the information.
- Verify the information provided by beneficiaries and investigate discrepancies.
- Initiate telephone calls to beneficiaries to follow up and confirm information, as necessary.
- Immediately report any technical problems with equipment, systems, or facilities to the Eligibility Determination Supervisor.
- Refer beneficiaries potentially eligible for Medicaid to DMAHS using the functionality of the web-based computer system.
- HMO enrollment.
Education
High School Diploma -
Ewing High School
Ewing Twp, NJ06.1999
Skills
- Eligibility Determinations
- Data Entry
- Telephone Etiquette
- Knowledgeable & Proficency in NJ State Systems- Labcicsz (MES), Labprd, DOVE, SOLM, NJP, Salesforce
- Microsoft Office/Excel
- Application Review
- Medicaid knowledge
- Effective communication skills
- Applicant engagement
- Policy Knowledge
- ConneXion
Timeline
Presumptive Eligibility Unit
NJHS- Division of Medical Assistance & Health Serv
03.2024 - Current
Health Benefits Coordinator
Conduent State Healthcare
02.2008 - 08.2024
High School Diploma -
Ewing High School
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