Dynamic Medicaid Eligibility Specialist with extensive experience at Alabama Medicaid Agency, adept at eligibility determination and confidentiality management. Proven ability to process complex cases while maintaining compliance with regulations. Exceptional client communication skills foster positive relationships, ensuring patients receive the support they need. Committed to driving efficiency and excellence in service delivery.
Overview
3
3
years of professional experience
Work History
Medicaid Eligibility Specialist
Alabama Medicaid Agency
Florence, AL
08.2024 - Current
Processed requests for changes in existing Medicaid cases.
Compiled and documented information regarding applicant's income, assets, insurance coverage and other relevant data.
Maintained confidential patient documentation to prevent data compromise and comply with HIPAA regulations.
Maintained up-to-date knowledge of state and federal regulations pertaining to Medicaid eligibility.
Attended training sessions, seminars and workshops related to Medicaid programs.
Reviewed applications and supporting documents to determine applicant's eligibility for Medicaid benefits.
Granted, modified, denied, or terminated assistance based on key information and eligibility determination.
Conducted initial eligibility screenings for Medicaid applicants.
Explained eligibility details and affordability options to patients with kindness and respect.
Maintained positive working relationship with fellow staff and management.
Office Manager
Burt's Carpet Cleaning And Janitorial Service
Muscle Shoals, AL
07.2022 - 08.2024
Organized and schedule meetings and appointments
Managed relationships with vendors, service providers, and landlord, ensuring that all items are invoiced and paid on time
Managed contract and price negotiations with office vendors, service providers, and office lease
Managed office services by ensuring office operations and procedures are organized, correspondences are controlled, filing systems are designed, supply requisitions are reviewed and approved, and that clerical functions are properly assigned and monitored
Developed and implemented office policies by setting up procedures and standards to guide the operation of the office
Coached, mentored, and disciplined office staff
Design and implement office policies and procedures
Perform review and analysis of special projects and keep the management properly informed
Ensured office efficiency is maintained by carrying out planning and execution of equipment procurement, layouts, and office systems
Account Development Representative
Avalara
Raleigh, NC
07.2022 - 03.2023
Responded to and qualify incoming web and phone inquiries regarding Avalara products by utilizing Salesforce, Outreach.io, Zoom Info, Sales Navi
Become an expert on products and services to be sold and maintain relevant industry knowledge
Created a great first impression to our prospects and customers by providing them with a world class experience
Maintained active engagement with new and existing leads through creative follow-up communications designed to increase customer interest in Avalara products
Achieved monthly quotas of qualified and sales accepted opportunities
Actively collaborated as a team member within the department and the organization as a whole
Business Development Representative
JumpCrew
Nashville, TN
10.2021 - 07.2022
Managed CRM database, ensuring accurate and up-to-date information on leads and clients.
Identify and establish partnerships with key industry stakeholders to drive business growth and cultivate a strong network within the automotive market.
Leverage data analytics tools to assess market trends and customer behavior, providing insights to drive strategic decision-making for Experian Automotive's business development initiatives.
Develop and maintain a comprehensive database of potential leads and prospects within the automotive market, utilizing CRM systems to track interactions and personalize outreach strategies for enhanced engagement with Experian Automotive's target audience.
Engage with potential clients in the automotive market to understand their business needs and tailor Experian Automotive's solutions to meet their specific requirements, showcasing the value proposition and competitive advantages of partnering with Experian Automotive.
Education
MBA - Executive Masters of Business Administration
Colorado Technical University
Colorado Springs, CO
12-2007
Bachelor of Science - Business Administration
University of North Alabama
Florence, AL
12-2007
Skills
Medicaid regulations
Case processing
Eligibility determination
Confidentiality management
Data collection
Client communication
Policy implementation
References
References available upon request.
Timeline
Medicaid Eligibility Specialist
Alabama Medicaid Agency
08.2024 - Current
Office Manager
Burt's Carpet Cleaning And Janitorial Service
07.2022 - 08.2024
Account Development Representative
Avalara
07.2022 - 03.2023
Business Development Representative
JumpCrew
10.2021 - 07.2022
MBA - Executive Masters of Business Administration
Colorado Technical University
Bachelor of Science - Business Administration
University of North Alabama
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