Cailey Castillo
Summary
Dedicated and detail-oriented Medical Eligibility Specialist II with experience in Medicaid eligibility and training in Texas Works programs. Skilled in case management, data entry, and assisting clients with state services, while maintaining strict confidentiality and accuracy. Provide support to both clients and team members. Seeking to transition into the Records Specialist role to contribute to the Health and Human Services Commission’s mission through customer service, empathy, attention to detail, policy compliance, and results-focused skills.
Overview
3
3
years of professional experience
Work History
Medical Eligibility Specialist, Outstation Worker
Texas Health and Human Services Commission
01.2023 - Current
- Determine eligibility for state benefits by reviewing and assessing sensitive client information.
- Provide client support with professionalism and empathy, ensuring compliance with agency standards, and state and federal regulations.
- Collaborate with internal team members and healthcare providers, such as hospitals and skilled nursing facilities, providing support and guidance to address all client-related questions and concerns.
- Maintain thorough and accurate case documentation, with strong attention to detail, reconciling discrepancies, and ensuring data integrity, with the ability to manage multiple priorities under deadlines.
Education
High School Diploma -
Currently Pursuing College Coursework
Skills
- Records data entry (internal state databases)
- Microsoft Office Suite (Word, Excel, Teams, Outlook, PowerPoint)
- Strong organizational and documentation skills
- Compliance with the State of Texas and HHSC policies and procedures in client eligibility and case management
- Team collaboration and customer service
- Reliable in carrying out assigned tasks with accuracy and timeliness
- Medicaid eligibility (strong proficiency, peer support, and training)
- Texas Works (trained, foundational knowledge)
Timeline
Medical Eligibility Specialist, Outstation Worker
Texas Health and Human Services Commission
01.2023 - Current
High School Diploma -
Currently Pursuing College Coursework
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