Ashley West

Human Service Specialist III

NJFamilyCare

Age Blind Disabled

• Demonstrate in-depth knowledge of Medicaid program requirements, eligibility criteria, and regulation compliance to ensure accurate application and adherence to policy
• Coordinate fair hearing processes by reviewing client requests and appeals, compiling case evidence, and presenting case information before the judge.
• Review client case files prepared by HSS1/HSS2 to ensure proper documentation, policy adherence and program eligibility
• Serve as the escalation point for client issues , assisting department members in resolving complex client concerns while maintaining compliance with regulations
• Utilize Excel and other data tools to create spreadsheets that streamline department progress tracking and reporting
• Review Share Data Warehouse and Oracle reports in order to generate mandatory monthly reports

Human Service Specialist II

NJFamilyCare

• Demonstrate in-depth knowledge of Medicaid program requirements, eligibility criteria, and regulation compliance to ensure accurate application and adherence to policy
• Conduct one-on-one interviews with NJFamilyCare applicants to assess eligibility based on income and program requirements
• Provide training and guidance to new hires in the NJFamilyCare department, utilizing in-depth program knowledge to assisant in their development
• Process and resolve intricate cases that require extensive review and specialized knowledge of policies and regulations
• Respond to client inquiries via phone and email, providing updates on application status and program information

Human Service Specialist I

NJFamilyCare

• Demonstrate in-depth knowledge of Medicaid program requirements, eligibility criteria, and regulation compliance to ensure accurate application and adherence to policy
• Conduct one-on-one interviews with NJFamilyCare applicants to assess eligibility based on income and program requirements
• Review NJFamilyCare applications to assess eligibility based on income, residency, and program guidelines
• Respond to client inquiries via phone and email, providing updates on application status and program information

Clerk I

NJEase

• Possess comprehensive knowledge of available programs and grants, including eligibility requirements and application processes
• Manage client records using Microsoft Excel, maintaining a clean and structured log for easy access and tracking
• Manage incoming office calls, take detailed messages, and ensure prompt delivery to appropriate staff
• Manage client case files by labeling, sorting, and organizing them for accurate record-keeping

• Assisted customers with product inquiries and efficiently directed inbound calls to the appropriate department
• Managed order issuance and release, regularly updating the client database to reflect transactions
• Provided support to customers regarding delivery issues and facilitated returns to ensure customer satisfaction

• Supervised daily cashier team workload and provided support during peak hours to maintain efficiency
• Scheduled and coordinated cashier shifts to ensure adequate coverage and operational efficiency
• Assigned and managed till allocations to maintain accurate cash handling and workflow balance
• Addressed employee concerns to promote a positive and productive work environment
• Assisted in resolving customer complaints to ensure satisfaction and maintain service standards