BRITNEY RIDEAUX
Opelousas,LA
Summary
A professional Analyst with experience in the health, social service, and legal sectors, skilled at collecting and storing information and data in the organization’s system, and keeping accurate record of such information for effective retrieval in future; including bringing technical expertise to ensure the quality and accuracy of that data, then processing and presenting it in ways to help the organization make better decisions. A programmer who is adept at using some of the industry standard programming languages to build databases, manage client information, and analyze and develop reports, using automated tools to extract data from relevant sources; often providing technical expertise when required and verifying data in support of determining eligibility. Mathematical & Algorithmic Skills | Data Analysis | Programming Knowledge (Python, HTML, JavaScript, CSS) | Technical Proficiency | Problem-Solving | Report Writing | Presentation Skills | Team Work & Management | Time Management | Documentation & Reporting | Research & Record Keeping | Typing | Microsoft Office Suite
Overview
10
10
years of professional experience
Work History
LTC Medicaid Analyst 2
Opelousas
Opelousas, LA
12.2019 - Current
- Conduct interviews with clients and makes necessary collateral contacts for verification to determine the eligibility for Medicaid Programs
- Examine application packets for timeliness, completeness, and appropriateness before authorizing reimbursement
- Decide on complex eligibility factors and determine the level of benefits for federal and state funded programs as a result of the rolldown procedure; interpret and apply complex federal, state, and agency policies for each program
- Contacts individuals, companies, businesses, local, state and federal agencies as needed to obtain or to verify information
- Record findings, recommendations, and services provided into the system; complete case record forms and necessary correspondence in connection with assigned cases
- Documented all communication with applicants and inputted information into system using Microsoft Word.
- Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
- Assessed information gleaned from interviews, educational and medical records, consultation with other professionals and diagnostic evaluations to identify clients' abilities, needs and eligibility for services.
- Used Lameds to maintain over 1800 candidate files and file notes.
- Reviewed applications for different aid programs and determined which qualification criteria for individuals.
- Interviewed applicants and explained scope of different available benefits.
- Communicated with people from various cultures and backgrounds on application process.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Worked within applicable standards, policies and regulatory guidelines to promote safe working environment.
- Completed paperwork, recognizing discrepancies and promptly addressing for resolution.
- Input gathered information and researched data on applicants into computer system using Lameds software.
- Monitored use of data files and regulated access to protect secure information.
- Scheduled appointments with applicants to gather information and explain benefits processes.
Designee
Social Service, Heritage Manor Of Opelousas
Opelousas , LA
05.2017 - 12.2019
- Planned and organized a social service program according to established policies, coordinated services with other departments, and completed social history on each resident
- Assisted in the coordination of resident transfers, in charge of the resident discharge plan, and formulated a written plan of care for each admitted resident
- Responded to telephone calls and interviewed each resident and family on admission and identified and evaluated personal, emotional and environmental concerns
- Participated regularly in case conferences with nurses and other staff to better understand the resident and their family
- Oversaw day-to-day activities of residents in Nursing facility.
- Worked with clients to improve life choices and maximize benefits of programs.
- Coordinated referrals and direct support for Nursing Home clients.
- Handled 10-20 calls per day to address customer inquiries and concerns.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Used Microsoft Word and other software tools to create documents and other communications.
- Learned new skills and applied to daily tasks to improve efficiency and productivity.
- Led projects and analyzed data to identify opportunities for improvement.
- Developed and implemented performance improvement strategies and plans to promote continuous improvement.
- Identified issues, analyzed information and provided solutions to problems.
- Maintained energy and enthusiasm in fast-paced environment.
- Collaborated with team members to achieve target results.
- Spoke with senior citizen groups to expand community engagement and program outreach.
- Resolved problems, improved operations and provided exceptional service.
- Developed team communications and information for meetings.
- Offered friendly and efficient service to customers, handled challenging situations with ease.
Consumer Benefits Specialist I
Metrocare Services
Dallas, TX
02.2017 - 05.2017
- Assisted individuals apply for or obtain enrollment into Medicaid services, Medicare Savings Plan, SSI/SSDI,
- CHIP, and Health Marketplace Plans
- Conducted telephone or on-site screening to determine potential eligibility of medical record
- Resolved issues and inquiries from plan participants regarding health and welfare benefits and deductions through telephone, email and in-person interactions.
- Updated personnel handbooks and individual records to keep filed accurate and detailed.
- Delivered targeted advise on issues such as applicable employment regulations, compensation strategies and internal systems to help companies update antiquated or ineffective approaches.
- Explained benefits to plan participants in easy to understand terms in order to educate each on available options.
- Observed strict procedures to maintain data and plan participant confidentiality.
- Checked employees' benefits enrollment for accuracy and inputted all data into Electronic Health Records.
- Worked within applicable standards, policies and regulatory guidelines to promote safe working environment.
- Processed monthly remittance and reconciliation for various benefit plans.
Home Developer/Home Study Specialist
Faithworks, Inc
DeSoto, TX
02.2016 - 02.2017
- Contacted applicant and scheduled interview; conducted interview; obtained further documentation to complete initial application; scheduled and provided training in order to determine eligibility for becoming a foster parent
- Received and processed initial applications; reviewed information provided to ensure application is complete and complies with DFPS Minimum Standards and Agency requirements
- Conducted verification process for foster parents; maintained file tracking; tracked expiration dates for certificates and required training; advised foster parents of training certification requirements
- Maintained foster parents and foster homes files and records; inputed initial and subsequent data into computer system; copied relevant documentation for files
- Delivered user support to clients to train, educate and answer questions.
- Maintained program files, records, databases and websites to gather research and prepare and submit comprenhensive reports.
- Directed day-to-day operations of education program and supervised support staff to delegate assignments and evaluate performance.
- Conducted home, school and community visits to assigned clients to assess client's level of care and provide guidance towards meeting treatment goals.
- Assisted families in developing problem-solving and coping skills by providing counseling and referring to appropriate community agencies.
- Collaborated with case managers and community partners to deliver effective treatment and case collaboration.
- Conducted mandatory job training and life skill classes to assist clients receiving specific benefits.
- Provided on-going support to resource parents through coaching and crisis intervention techniques.
- Achieved family goals for 67% of clients by providing referrals, resources and tools for assistance.
- Built solid and trusting rapport with children and families, fostering trust and communication to meet case needs.
- Interviewed individuals and families to assess needs and provide informational resources.
- Planned, promoted and managed parent workshops on assisting children in attaining academic success.
- Documented data and completed accurate updates to case records.
- Reported child abuse in accordance with legal standards of mandatory reporters.
- Collaborated with community program leaders and advocates to make resources accessible to those in need.
- Advocated for foster children by facilitating access to community resources and services to maximize safety and well-being of child.
- Provided transportation for children and parents to and from visits and court.
Child Welfare Specialist
Department of, Families Services Opelousas
, LA
06.2015 - 01.2016
- Participated in developing case plans and objectives in family team conferences and agency staffing, and prepared cases for presentation to the multi-disciplinary team for consultation
- Provided supportive counseling and other supportive services for clients including providing services from community resources based on the case plan
- Utilized appropriate systems and software, including other documentation and resources to search for and locate relatives, and oversaw the most appropriate placement or change of placement for a child
- Planned, promoted and managed parent workshops on assisting children in attaining academic success.
- Collaborated with community program leaders and advocates to make resources accessible to those in need.
- Built solid and trusting rapport with children and families, fostering trust and communication to meet case needs.
- Interviewed individuals and families to assess needs and provide informational resources.
- Reported child abuse in accordance with legal standards of mandatory reporters.
- Documented data and completed accurate updates to case records.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Conducted research, gathered information from multiple sources and presented results.
- Identified issues, analyzed information and provided solutions to problems.
- Resolved problems, improved operations and provided exceptional service.
- Demonstrated respect, friendliness and willingness to help wherever needed.
Social Work Intern
Family Services
Opelousas, LA
01.2015 - 04.2015
- Conducted Home Studies with the supervision of a Family Service Worker
- Shadowed various employees in Foster Care, Family Services, and Child Protection Investigation
- Participated in regular home visits to assess safety factors Volunteer
- Completed home wellness checks under licensed social worker supervision to verify client well-being in healthy and stable environment.
- Assisted Social Workers with wellness checks and home visits to supervise separated families.
- Developed treatments and casework programs for average of at least 75 patients per month.
- Visited individuals in homes and attended group meetings to provide information on agency services, requirements and procedures.
- Attended over 100 hours of meetings, conferences and training courses to advance professional knowledge of social work.
- Interviewed clients and family members to obtain key information for case planning and management.
- Counseled individuals and families regarding mental health, substance abuse, physical abuse and rehabilitation issues.
- Secured housing, medical care and employment for clients by collaborating with various community agencies.
- Completed detailed charts to summarize interactions with patients and booked follow-up sessions.
- Conducted outreach to local referral sources to build strong partnerships for supportive services.
- Mediated between family members to facilitate conflict resolution and build healthy family relationships.
Legal Assistant
Jarvis Claiborne
Opelousas, LA
03.2009 - 12.2010
- Performed secretarial duties utilizing legal terminology, procedures, and documents
- Prepared legal papers and correspondence, such as summons, complaints, motions, and subpoenas
- Prepared for trials, conducting legal research and drafting pleadings.
- Managed accounts and client records of clients, observing confidentiality and extreme discretion.
- Worked alongside attorneys, administrative assistants and fellow legal assistants on complex cases and legal processes.
- Handled office scheduling and made notes for deadlines, motions and other important dates.
- Scheduled appointments, court appearances and depositions for busy law firm.
- Reviewed, edited and proofread legislation drafts for proper grammar, spelling, punctuation and formatting.
- Developed positive working relationship with courts, clients, law enforcement members and attorneys.
- Organized key evidence exhibits to prepare for trials.
- Assisted up to 4 lawyers at time.
- Developed and managed up to 75-100 Criminal and Civil cases simultaneously.
- Authored over 100 affidavits for use in Criminal and Civil law cases.
- Researched statutes, decisions, legal articles and codes.
- Developed polished motions and briefs to support litigation processes and court proceedings.
- Wrote and filed pleadings with Civil and Criminal court on schedule to maximize case success.
- Conducted background investigations on defendant.
Hospital Corpsman
United States NAVY
Great Lakes, IL
02.2008 - 06.2008
- Performed administrative and certain clinical duties under the direction of physician, including scheduling appointments, maintaining medical records, billing, and coding for insurance purposes; clinical duties include taking and recording vital signs and medical histories, preparing patients for examination, drawing blood, and administering medications as directed by physician
- Provided leadership, delegation and exceptional medical service in high-pressure situations.
- Maintained treatment records and reports and cared for over 50-75 injured and sick individuals per week.
- Learned new techniques to better serve patients' needs.
- Kept up with continuing education requirements to maintain certification.
- Communicated clearly and openly with dispatch to receive new orders and convey important updates about scenes.
- Communicated with dispatchers or treatment center personnel to provide information about situation, to arrange reception of victims or to receive instructions for further treatment.
- Maintained operational organization by ensuring equipment functionality, inventory levels and employee medical training.
Education
Certificate In Cybersecurity - Cybersecurity
Isc2
12.2022
Web Developer -
SheCodes
08.2022
Bachelor Of Arts - Social Work
Northwestern State University of Louisiana
Natchitoches, LA05.2015
Skills
- Excellent Communication
- Self-Motivated
- Multitasking Abilities
- Teamwork and Collaboration
- Organization and Time Management
- Analytical and Critical Thinking
- Dependable and Responsible
- Attention to Detail
- Flexible and Adaptable
- Interpersonal Communication
- Front-End Skills: HTML, CSS
- Data Integrity
- Medicaid statutes and regulations
- Medicare/Medicaid
- Medicare and Medicaid applications
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
The person who says it cannot be done should not interrupt the person who is doing it.
Chinese proverb
Timeline
LTC Medicaid Analyst 2
Opelousas
12.2019 - Current
Designee
Social Service, Heritage Manor Of Opelousas
05.2017 - 12.2019
Consumer Benefits Specialist I
Metrocare Services
02.2017 - 05.2017
Home Developer/Home Study Specialist
Faithworks, Inc
02.2016 - 02.2017
Child Welfare Specialist
Department of, Families Services Opelousas
06.2015 - 01.2016
Social Work Intern
Family Services
01.2015 - 04.2015
Legal Assistant
Jarvis Claiborne
03.2009 - 12.2010
Hospital Corpsman
United States NAVY
02.2008 - 06.2008
Certificate In Cybersecurity - Cybersecurity
Isc2
Web Developer -
SheCodes
Bachelor Of Arts - Social Work
Northwestern State University of Louisiana
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