Dedicated Veterans Service professional with knowledge of service delivery and proven multitasking abilities. Committed to maintaining professional relationships to increase profitability and service to veterans.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Veteran Service Representative (GS10)
Veterans Benefits Administration (VBA)
04.2022 - Current
Examine claims submitted by Veterans, spouse, and dependents for disability compensations.
Request examinations and medical opinions to evaluate disability(s), evaluate and request military service records, Service treatment records, and medical records.
Input data and documents received from claims and/or veteran
Convert VA laws, Adjudication Procedure Manual (M21 manual), and state laws.
Interpret medical records, medical diagnosis, and treatment.
Gathers relevant evidence needed to process claims for benefits and/or services.
Contact Representative (GS8)
Social Security Administration (SSA)
03.2022 - 04.2023
Answer and screen incoming calls at Social Security Administration national 800 number.
Conduct interviews to determine nature of calls.
Input data to release and track payments to claimants.
Develop and examine applications/claims.
Resolve discrepancies of erroneous or incomplete information on claimant's record and enter death reports.
Determine eligibility for various Social Security Administration programs by screening and interview methods.
Providing information on Social Security Administration policies and procedures.
Resolve customer questions by identifying issues and selecting best resolutions.
Use tools to access and update information, payments, documents, and explain benefits claimants are eligible for and/or entitled.
Send referrals to proper claims representative, set leads, and schedule appointments.
Provided exceptional service by proactively addressing customers needs and concerns.
Conducted thorough research on complex inquiries, delivering informed solutions to callers.
Patient Service Advocate (Coordinator)
Cook County Health (Stroger)
01.2022 - 03.2022
Recognize patient/family in congruent with systems, treatment, or experiences at Stroger Hospital.
Identify/asses magnitude of complaints based on pre-determined criterion, coordinate intervention, comprehensively document, and accurately support database that track and trend work.
Organize work, set priorities, and multitasks based on policy and procedures.
Maintain objectivity and sensitivity while addressing needs of patients/customer and supporting staff and services.
Apply understanding of impacts of illness/hospitalization on human development and culture.
Provide patient education, demonstrating customer service practices, advocate, and promote patient rights.
Works closely with Quality Assurance and Risk Management in promoting performance improvement activities and reducing liability.
Adheres to confidentiality practices and privacy standards.
Complete routine data collection, statistical analysis, and/or descriptive report writing for: Patient Rights, Patient Satisfaction, Patient Complaints, and Employee Commendations.
Case Worker
Vitas Healthcare Hospice
11.2016 - 11.2021
Collaborate with other public resources to get the best results possible for terminally ill patients.
Manage caseloads (14-50)
Attend case medical hearings and other official appointments to involved in resolutions of each case file and/or Medicaid benefits
Long term care billing and payments.
Assist and/or apply for Medicaid/SNAP benefits for patients by conducting interviews in person or by phone.
Schedule meetings with patients and/or their family member to collect identifying and income documents needed for benefits.
Customer Service Representative
Maximus Call Center Temporary Agency
10.2020 - 01.2021
Support Internal Revenue Service (IRS) Call Center.
Answer 25-60 daily telephone inquiries regarding account, tax filing and Covid-19 stimulus questions and payments.
Handled customer inquiries and suggestions courteously and professionally.
Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
Answered customer telephone calls promptly to avoid on-hold wait times.
Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
Child Welfare Specialist (High Needs and Foster Care)
Ada S. McKinley Community Services
10.2015 - 11.2016
Provide supervision of each child's foster home through home visits, including upholding policies and licensing standards, issues regarding care of children in their home, monitoring, and aiding obtaining service.
Secure documentation from school, medical providers, and any other service provided to children in care, and ensures all services are being adequately provided.
Evaluate case situations and make recommendations regarding children on caseloads.
Make recommendations to supervisor regarding critical decisions regarding placement, parent visitation, and permanency goal.
Prepare, implement, and evaluate integrated assessment and service plan for all cases.
Maintain regular contact with biological parents of children in foster care program.
Coordinate sibling and birth parent's visits.
Work cooperatively with other staff in Foster Care, Children's Services, DCFS, and collateral services.
Advocated in best interests of children during court proceedings, presenting clear recommendations based on thorough evaluations.
Managed complex caseloads effectively while adhering to strict timelines as mandated by federal regulations or state policies.
Caseworker (Foster Care)
Little City Foundation
09.2015 - 10.2015
Prepare and evaluates integrated assessments and service plan for all cases. Manage relationship between children and biological siblings. Manage sibling and birth parent's visits.
Advocated for foster children by facilitating access to community resources and services to maximize safety and well-being of child.
Promoted child safety by conducting thorough home studies and evaluating potential foster homes for compliance with state regulations.
Provided emotional support to foster parents during challenging situations and connected them with additional resources as needed.
Provided crisis intervention to children and families, addressing urgent needs and connecting them with necessary resources.
High Needs Case Manager (Empact: Suicide Prevention)
Quality Care Network
06.2015 - 08.2015
Manage 15-25 high needs cases from service recipients and their families
Evaluate family behavior and complete reports for needed services, including sexual assault and suicide attempts
Conducted Child and Family Team (CFT) process, and Regional Behavioral Health Authority (RBHA)
Provided crisis service and prevention
Ensure family participation that links them to natural or community-based supports
Coordinate, schedule, facilitates CFT Service Plan meetings with natural, and formal supports
Provide individualized Service Plan and family strengths to meet identified needs/goals
Create individualized service plans as identified by CFT members according to Arizona Model and RBHA guidelines
Plan and progress of service recipient toward goals by comprehensive documentation, staffing notes, contact notes, and other forms of documentation toward this goal
Service Plan, RBHA demographics, and CASII according to RBHA and Arizona Department of Health Services (ADHS) guidelines
Participate in court hearings for service recipients when necessary
Bills average of at least 400 units/month.
Monitored program effectiveness by tracking metrics related to client progress toward goals.
Enhanced client well-being by developing individualized care plans and coordinating with multidisciplinary teams.
Assisted in development of organizational policies and procedures, ensuring consistency and quality across all case management services.
Successfully closed cases after helping clients achieve stability in their lives through targeted support services.
Facilitated group sessions for high needs individuals, fostering sense of community while addressing common challenges faced by participants.
Conducted thorough assessments to identify appropriate interventions and resources for each client''s unique needs.
Triage Medical Assistant
The Pain Center
01.2015 - 06.2015
Managed care to patients using process to access, plan, deliver care and evaluate outcomes for prescriptions and refills
Provided preoperative assessment and teaching either in person or via telephone
Evaluated patients and decide if narcotics are used appropriate and send prescription to pharmacy
Submit Arizona CSPMP prescription drug morning program request.
Improved team efficiency by effectively collaborating with medical professionals during high-pressure situations, ensuring seamless patient care.
Ensured proper handling of confidential information by maintaining strict compliance with HIPAA regulations and clinic privacy policies.
Facilitated timely communication between patients and healthcare providers by promptly relaying pertinent information.
Assisted in emergency situations by providing crucial support to physicians during life-saving procedures, contributing to positive outcomes.
Point of Service Rep/Medical Assistant
Lurie Children's Hospital
10.2006 - 10.2014
Prepared and compose routine correspondence, memorandum, reports and request referrals; modifies pre-authorization data.
Greet and performed check in of patients/families for appointments, directs patients to Central Registration to update insurance information.
Reviewed registration information, modifies demographic information in system, make copies of insurance cards, and collects co-payments.
Requested appropriate referral forms modifies pre-authorization data.
Completed check-in and checkout procedures.
Direct Patient Care, schedule test, blood draws, and injections.
Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
Performed medical records management, including filing, organizing and scanning documents.
Performed phlebotomy tasks efficiently while ensuring minimal discomfort for patients during blood collection procedures.
Education
Master of Science - Psychology
University of Phoenix
Phoenix, AZ
01.2021
Bachelor of Arts - Applied Behavioral Science
University of Arizona
Arizona
01.2013
Associate of Arts - Psychology
University of Phoenix
Phoenix, AZ
01.2010
Medical Assistant Certificate - Medical Assistant
Center For Employment Training
Chicago, Illinois
06.1999
Skills
Customer Service
Computer Proficiency
Medical terminology knowledge
Record preparation
Data Entry
Certification
CANS Certified
CWEL License
CPI Certified
CERAP Certified
Timeline
Veteran Service Representative (GS10)
Veterans Benefits Administration (VBA)
04.2022 - Current
Contact Representative (GS8)
Social Security Administration (SSA)
03.2022 - 04.2023
Patient Service Advocate (Coordinator)
Cook County Health (Stroger)
01.2022 - 03.2022
Customer Service Representative
Maximus Call Center Temporary Agency
10.2020 - 01.2021
Case Worker
Vitas Healthcare Hospice
11.2016 - 11.2021
Child Welfare Specialist (High Needs and Foster Care)
Ada S. McKinley Community Services
10.2015 - 11.2016
Caseworker (Foster Care)
Little City Foundation
09.2015 - 10.2015
High Needs Case Manager (Empact: Suicide Prevention)
Quality Care Network
06.2015 - 08.2015
Triage Medical Assistant
The Pain Center
01.2015 - 06.2015
Point of Service Rep/Medical Assistant
Lurie Children's Hospital
10.2006 - 10.2014
Master of Science - Psychology
University of Phoenix
Bachelor of Arts - Applied Behavioral Science
University of Arizona
Associate of Arts - Psychology
University of Phoenix
Medical Assistant Certificate - Medical Assistant
Center For Employment Training
CANS Certified
CWEL License
CPI Certified
CERAP Certified
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