Dynamic professional dedicated to making a positive impact within communities through effective communication and unwavering support. Recognized for the ability to inspire individuals and foster meaningful connections, leading to enhanced collaboration and community engagement. Committed to leveraging influence to drive change and promote well-being for all.
Overview
7
7
years of professional experience
Work History
Social Services Program Coordinator 2
Office of Special Disability Programs
08.2022 - Current
The Social Services Program Coordinator identifies and coordinates long-term services and supports to assist individuals with the most severe physical disabilities to remain independent in their homes and communities.
Employees in this position oversee ongoing community-based services to these individuals and are responsible for the planning and monitoring of accessibility needs and in-home personal care services to ensure the individuals remain as independent as possible in both the home and community-based setting.
Services are provided based on need as determined by a functional assessment and are provided through an individualized plan of services and supports.
The Social Services Program Coordinator oversees the process of assessments and reassessment of the individual's level of care and reviews the plan of services and supports that are completed in the individuals home
Responsibilities will include but are not limited to: Monitoring all approved services to meet the individual's current needs, Conducts quarterly home visits and conduct monthly telephone contacts with the individuals being served , ensuring personal care attendants (PCA's) chosen by the individual meet basic competencies, and review and approve their payroll
Must be able to travel within their assigned area
Benefits Program Specialist
State of Mississippi Division of Medicaid
06.2020 - 08.2022
This is investigative work involving the interpretation of policy to determine Medicaid eligibility for families and children and aged, blind, and disabled individuals.
The incumbent makes the initial and continuing determinations of eligibility for Medicaid recipients who live in private and institutional settings
Assumes responsibility for a Medicaid eligibility determination caseload for a designated territory within a region.
Investigates and verifies accuracy of information provided by recipients under the Medicaid programs to determine compliance with State and Federal laws, rules, and regulations.
Determines an applicant's eligibility for institutional care based on State and Federal guidelines and verifies the accuracy of information listed on the applicants' applications.
Maintains effective public relations with medical facilities and federal, state, county, and city agencies within assigned territory
Verifies accuracy of information listed on applicants' applications including income, bank accounts, and any other assets
Makes determination of an applicant's eligibility based upon established criteria
Visits contact centers and medical facilities; assists other regional offices on an as-needed basis
Performs related or similar duties as required or assigned
Claims Support Specialist
Conduent
05.2018 - 05.2020
Responsible for responding to customer inquiries and complaints regarding company records, billings, contract renewals, and supply returns. Manage interactions with patients and the insured for a significant portion of the U.S healthcare industry
Provides administrative/clerical support to business operations by performing processing tasks such as data entry, scanning, and mail sorting.
Updating the company's customized computer database according to CMS regulations.
Transcribes routine pre-coded and identifiable alphanumeric data from source document into an automated system
Ensures accuracy and completeness of data/assigned work
Ability to compare lists of numbers and find mismatches/errors
Handle multiple assignments
Maintain a high level of confidentiality, informational accuracy, and production
Provide backup support to other team/group members in the performance of job duties as assigned as well as working under strict deadlines
Compliance with HIPPA privacy and security guidelines
Education
Professional Interdisciplinary Studies - Social Work Concentration
Jackson State University
Jackson, MS
04.2022
High School Diploma -
Terry High School
Terry, MS
05.2012
Skills
Eligibility determination
Program management
Referral coordination
Human resources
Office administration
Data management
Project coordination
Strategic planning
References
Department of Rehabilitation- Cindy Paschall-601-249-4640
Seneca Turner- Division of Medicaid- 601-291-2203
Glake Hill- Advisor- 601-519-6979
Arekia Bennett-Scott-MS Votes 601-551-6146
Timeline
Social Services Program Coordinator 2
Office of Special Disability Programs
08.2022 - Current
Benefits Program Specialist
State of Mississippi Division of Medicaid
06.2020 - 08.2022
Claims Support Specialist
Conduent
05.2018 - 05.2020
Professional Interdisciplinary Studies - Social Work Concentration
Jackson State University
High School Diploma -
Terry High School
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